Despite the huge disparities in care that were highlighted, last week’s Standard of Care for HIV and Coinfections in Europe meeting in Bucharest featured discussions that could form the basis of a European-wide exercise to audit HIV centres to a common standard. As well as highlighting the difficulties facing clinicians tackling the needs of people co-infected with HIV and tuberculosis (TB), the meeting also looked at the needs of people with viral hepatitis and specifically hepatitis C.
Dr Jerzy Jaroszewicz of the Polish Association for the Study of the Liver said that given there is a World Health Organization (WHO) target that by 2030 90% of people with hepatitis C should know their status, we have a long way to go. It’s currently estimated that 13% are aware of their status (globally), with one-third diagnosed in Europe as a whole.
The big gap in Europe is lack of treatment. Here the WHO target is for 80% of those diagnosed to receive direct-acting antivirals (DAAs) by 2030; last year it was estimated that 13% of those diagnosed received treatment (2.5% of all those with hepatitis C).