title: Hepatitis C Screening of the "Birth Cohort" (Born 1945-1965) and Younger Inmates of New York City Jails.
abstract: To examine uptake of screening for all individuals born between 1945 and 1965 (referred to by the Centers for Disease Control and Prevention as the "birth cohort") and outline preliminary HCV prevalence data in the New York City jail system.
  
  
  
  Data were extracted from electronic health records for all individuals screened for HCV between June 13, 2013, and June 13, 2014, in New York City jails. We used the Abbott EIA 2.0 HCV antibody assay for testing.
  
  
  
  In the year of study, 56 590 individuals were incarcerated; 15.1% were born between 1945 and 1965, and 84.6% were born after 1965. HCV screening was completed for 64.1% of the birth cohort and for 11.1% born after 1965, with 55.1% and 43.8% of cases found in these groups, respectively. The overall seropositivity rate was 20.6%.
  
  
  
  Birth cohort screening in a large jail system identified many HCV cases, but HCV infection was common among younger age groups.
  
  
  
  Universal screening may be warranted pending further study including cost-effectiveness analyses.
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Akiyama
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Fatos
authors.initials: F
authors.lastname: Kaba
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Rosner
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Howard
authors.initials: H
authors.lastname: Alper
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Holzman
authors.affiliation: Matthew J. Akiyama and Robert S. Holzman are with the Division of Infectious Diseases, New York University School of Medicine, New York. Fatos Kaba, Zachary Rosner, Howard Alper, and Ross MacDonald are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.
authors.forename: Ross
authors.initials: R
authors.lastname: MacDonald
mesh_terms: D017677:Age Distribution; D000368:Aged; D057286:Electronic Health Records; D005260:Female; D006526:Hepatitis C / Q000453:epidemiology*; D018937:Hepatitis C Antibodies; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D011329:Prisoners / Q000706:statistics & numerical data*; D011330:Prisons / Q000706:statistics & numerical data*; D016036:Seroepidemiologic Studies
chemical_list: D018937:Hepatitis C Antibodies