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Hepatitis B: Urgent Changes Needed to Meet Elimination Goals

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An international ⁢study​ published in⁢ *The LancetGastroenterology & Hepatology* and led by the World Health association (WHO) has ⁤raised concerns about the‌ current models⁣ of care for Hepatitis B, finding⁢ they ⁢are unable to keep patients within the​ healthcare system over ​time, threatening the 2030 global elimination goal ⁢ [[1]]. The research analyzed data from over ‍1.7 million people with chronic ​Hepatitis B across⁢ 50 countries [[2]].​ Each stage of care, from ‌diagnosis to long-term‌ treatment, experiences notable patient loss ⁤ [[3]].

The report highlights deficiencies​ in care,‍ noting that less than ⁤75% of⁤ patients are properly evaluated for treatment eligibility, and only 78% of those eligible initiate therapy ‌ [[1]]. Patient retention is particularly low among ‌those ‌who do not begin treatment,​ especially ‌in primary care settings [[2]]. Follow-up care for women diagnosed during prenatal care is also insufficient [[3]].

The authors suggest ⁢that the‌ 2024 WHO guidelines, wich expand treatment​ eligibility, are a positive step, but are insufficient without guaranteed access to services [[1]].⁣ They ‌recommend a decentralized approach integrating Hepatitis⁣ B care ⁤into ‌existing primary care and HIV ​programs [[2]].

Key recommendations​ include eliminating financial ‌barriers to testing and treatment, enabling same-day treatment initiation, and applying retention methods used in HIV programs [[3]].

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