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Current status and strategies for viral hepatitis control in Korea

机译:韩国病毒性肝炎控制的现状和策略

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摘要

Viral hepatitis is one of major global health challenges with increasing disease burden worldwide. Hepatitis B virus and hepatitis C virus infections are major causes of chronic liver diseases. They can lead to cirrhosis, hepatocellular carcinoma, and death in significant portion of affected people. Transmission of hepatitis B virus can be blocked by vaccination. Progression of hepatitis B virus-related liver diseases can be prevented by long-term viral suppression with effective drugs. Although vaccine for hepatitis C virus is currently unavailable, hepatitis C virus infection can be eradicated by oral direct antiviral agents. To eliminate viral hepatitis, World Health Organization (WHO) has urged countries to develop national goals and targets through reducing 90% of new infections and providing universal access to key treatment services up to 80%. This can lead to 65% reduction of viral hepatitis-related mortality. Here, we discuss some key features of viral hepatitis, strategies to control viral hepatitis suggested by WHO, and current status and strategies for viral hepatitis control in South Korea. To achieve the goal of viral hepatitis elimination by 2030 in South Korea, an independent 'viral hepatitis sector' in Centers for Disease Control & Prevention (CDC) needs to be established to organize and execute comprehensive strategy for the management of viral hepatitis in South Korea.
机译:病毒性肝炎是全球范围内疾病负担日益严重的主要全球健康挑战之一。乙型肝炎病毒和丙型肝炎病毒感染是慢性肝病的主要原因。它们可导致很大一部分受影响人群的肝硬化,肝细胞癌和死亡。接种疫苗可以阻止乙型肝炎病毒的传播。使用有效药物长期抑制病毒可以预防与乙型肝炎病毒相关的肝病的进展。尽管目前尚无用于丙型肝炎病毒的疫苗,但可以通过口服直接抗病毒剂根除丙型肝炎病毒感染。为了消除病毒性肝炎,世界卫生组织(WHO)敦促各国通过减少90%的新感染并提供高达80%的普遍获得关键治疗服务来制定国家目标。这可以使病毒性肝炎相关死亡率降低65%。在这里,我们讨论了病毒性肝炎的一些关键特征,世卫组织提出的控制病毒性肝炎的策略以及韩国病毒性肝炎控制的现状和策略。为了实现到2030年韩国消除病毒性肝炎的目标,需要在疾病控制与预防中心(CDC)中建立一个独立的“病毒性肝炎部门”,以组织和执行韩国病毒性肝炎管理的综合战略。

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