Accelerating the elimination of viral hepatitis: a Lancet Gastroenterology & Hepatology Commission

医学 肝病学 内科学 丙型肝炎 病毒性肝炎 公共卫生 全球卫生 疾病根除 乙型肝炎 佣金 环境卫生 免疫学 业务 疾病 护理部 财务
作者
Graham Cooke,Isabelle Andrieux-Meyer,Tanya Applegate,Rifat Atun,Jessica Burry,Hugo Cheinquer,G. Dusheiko,Jordan J. Feld,Charles Gore,Max Griswold,Hamid Salehiniya,Margaret Hellard,Jinlin Hou,Jess Howell,Jidong Jia,Natalia Kravchenko,Jeffrey V. Lazarus,Maud Lemoine,Olufunmilayo Lesi,Liudmyla Maistat,Brian J. McMahon,Homie Razavi,Teri Roberts,Bryony Simmons,Mark Sonderup,C Wendy Spearman,Bridie E Taylor,David L. Thomas,Imam Waked,John W. Ward,Stefan Z. Wiktor,Ayman A. Abdo,Rakesh Aggarwal,Alessio Aghemo,Bandar Al-Judaıbı,Mamun Al Mahtab,Arshad Altaf,Zyaad Ameen,Tarik Asselah,Oidov Baatarkkhuu,Ella Barber,Eleanor Barnes,Pascale Boulet,Louise Burrows,Maia Butsashvili,Erica On-Ting Chan,Chelsea Chow,Benjamin C Cowie,Chris Cunningham,Alexandre de Araújo,Graciela Diap,Greg Dore,Joseph S Doyle,Manal Hamdy El-Sayed,Emmanuel Fajardo,Ed Gane,Aneley Getahun,David J. Goldberg,Tiffany Got,Matthew Hickman,Andrew Hill,Sharon J. Hutchinson,Claire E. Jones,Saleem Kamili,Amreen Khan,Alice Lee,Tin Yan Lee,Jioiji Malani,Tammy Meyers Morris,Shevanthi Nayagam,Richard Njouom,Ponsiano Ocama,Alisa Pedrana,Rosanna W. Peeling,Amulya Reddy,Jilian A. Sacks,Shiv Kumar Sarin,Yusuke Shimakawa,Marcela Silva,Pavlo Skala,Simon D Taylor-Robinson,Alex Thompson,Mark Thursz,Alfred Tonganibeia,Jack Wallace,James Ward,Fernando Herz Wolff,Peter Vickerman,Johnny Yau
出处
期刊:The Lancet Gastroenterology & Hepatology [Elsevier]
卷期号:4 (2): 135-184 被引量:355
标识
DOI:10.1016/s2468-1253(18)30270-x
摘要

Viral hepatitis is a major public health threat and a leading cause of death worldwide. Annual mortality from viral hepatitis is similar to that of other major infectious diseases such as HIV and tuberculosis. Highly effective prevention measures and treatments have made the global elimination of viral hepatitis a realistic goal, endorsed by all WHO member states. Ambitious targets call for a global reduction in hepatitis-related mortality of 65% and a 90% reduction in new infections by 2030. This Commission draws together a wide range of expertise to appraise the current global situation and to identify priorities globally, regionally, and nationally needed to accelerate progress. We identify 20 heavily burdened countries that account for over 75% of the global burden of viral hepatitis. Key recommendations include a greater focus on national progress towards elimination with support given, if necessary, through innovative financing measures to ensure elimination programmes are fully funded by 2020. In addition to further measures to improve access to vaccination and treatment, greater attention needs to be paid to access to affordable, high-quality diagnostics if testing is to reach the levels needed to achieve elimination goals. Simplified, decentralised models of care removing requirements for specialised prescribing will be required to reach those in need, together with sustained efforts to tackle stigma and discrimination. We identify key examples of the progress that has already been made in many countries throughout the world, demonstrating that sustained and coordinated efforts can be successful in achieving the WHO elimination goals.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
ZXG完成签到,获得积分10
刚刚
机密塔完成签到,获得积分10
1秒前
WANGs发布了新的文献求助10
1秒前
盛开的芒果完成签到,获得积分10
1秒前
一进实验室就犯困完成签到,获得积分10
2秒前
爱因斯坦那个和我一样的科学家完成签到,获得积分10
2秒前
可可可11完成签到 ,获得积分10
2秒前
Zjn-完成签到,获得积分10
3秒前
科研小白发布了新的文献求助20
3秒前
我超爱cs完成签到,获得积分10
3秒前
zyz924完成签到 ,获得积分10
3秒前
哈哈完成签到 ,获得积分10
3秒前
student完成签到 ,获得积分10
3秒前
认真科研完成签到,获得积分10
3秒前
华新完成签到,获得积分10
4秒前
4秒前
cindy发布了新的文献求助10
4秒前
含蓄越彬完成签到,获得积分10
5秒前
孙某人完成签到 ,获得积分0
5秒前
5秒前
雪白的夜香完成签到,获得积分10
6秒前
黑粉头头发布了新的文献求助10
7秒前
大模型应助Margaret采纳,获得10
7秒前
ironsilica完成签到,获得积分10
7秒前
neo完成签到,获得积分10
7秒前
斯文败类应助Amy采纳,获得10
8秒前
访云完成签到 ,获得积分10
8秒前
雪白炎彬完成签到,获得积分10
8秒前
peiter发布了新的文献求助10
8秒前
WANGs完成签到,获得积分10
9秒前
啦啦啦啦啦完成签到,获得积分10
9秒前
子铭完成签到,获得积分10
9秒前
cookie完成签到,获得积分10
10秒前
1111111111111发布了新的文献求助10
10秒前
自家老王发布了新的文献求助10
11秒前
13秒前
丫丫完成签到,获得积分10
13秒前
hunajx完成签到,获得积分10
13秒前
董H完成签到,获得积分10
13秒前
高分求助中
Sustainability in Tides Chemistry 2000
Microlepidoptera Palaearctica, Volumes 1 and 3 - 13 (12-Volume Set) [German] 1122
Дружба 友好报 (1957-1958) 1000
The Data Economy: Tools and Applications 1000
Mantiden - Faszinierende Lauerjäger – Buch gebraucht kaufen 700
PraxisRatgeber Mantiden., faszinierende Lauerjäger. – Buch gebraucht kaufe 700
A Dissection Guide & Atlas to the Rabbit 600
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3099850
求助须知:如何正确求助?哪些是违规求助? 2751315
关于积分的说明 7612736
捐赠科研通 2403282
什么是DOI,文献DOI怎么找? 1275200
科研通“疑难数据库(出版商)”最低求助积分说明 616310
版权声明 599053