title: Towards elimination of hepatitis B and C in European Union and European Economic Area countries: monitoring the World Health Organization's global health sector strategy core indicators and scaling up key interventions.
abstract: The World Health Organization 'Global Health Sector Strategy on Viral Hepatitis 2016-2021' aimed at the elimination of viral hepatitis as a public health threat provides a significant opportunity to increase efforts for tackling the epidemics of hepatitis B and hepatitis C virus infections across Europe. To support the implementation and monitoring of this strategy, core epidemiological and programmatic indicators have been proposed necessitating specific surveys, the systematic collection of programmatic data and the establishment of monitoring across the care pathway. European Union and European Economic Area countries already made progress in recent years implementing primary and secondary prevention measures. Indeed, harm reduction measures among people who inject drugs reach many of those who need them and most countries have a universal hepatitis B vaccination programme with high coverage above 95%. However, while a further scaling up of prevention interventions will impact on incidence of new infections, treating those already infected is necessary to achieve reductions in mortality. The epidemiological, demographic and socio-political situation in Europe is complex, and considerable diversity in the programmatic responses to the hepatitis epidemic exists. Comprehension of such issues alongside collaboration between key organisations and countries will underpin any chance of successfully eliminating hepatitis.
authors.affiliation: European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
authors.forename: Erika F
authors.initials: EF
authors.lastname: Duffell
authors.affiliation: European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal.
authors.forename: Dagmar
authors.initials: D
authors.lastname: Hedrich
authors.affiliation: European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
authors.forename: Otilia
authors.initials: O
authors.lastname: Mardh
authors.affiliation: WHO Regional Office for Europe, Copenhagen, Denmark.
authors.forename: Antons
authors.initials: A
authors.lastname: Mozalevskis
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D005062:European Union; D014943:Global Health; D016174:Hepacivirus; D006509:Hepatitis B / Q000453:epidemiology / Q000517:prevention & control*; D006515:Hepatitis B virus; D006526:Hepatitis C / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D011159:Population Surveillance / Q000379:methods*; D014944:World Health Organization
chemical_list: D000998:Antiviral Agents
keywords: Keywords: hepatitis B; elimination; hepatitis B virus; hepatitis C; hepatitis C virus; monitoring, indicators; people who inject drugs, injecting drug use; prevention; public health policy; strategy; viral hepatitis