全球消除病毒性肝炎的公共卫生威胁:促进诊断和治疗是降低死亡率的关键
DOI: 10.3969/j.issn.1001-5256.2021.07.006
利益冲突声明:作者声明不存在利益冲突。
Global elimination of viral hepatitis as a public health threat: Promoting diagnosis and treatment is the key to reducing mortality
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摘要: 2021年5月20日WHO发布《艾滋病、病毒性肝炎和性传播感染全球2021年进展报告,全球卫生部门战略责任》显示,全球2019年估计仍有2.96亿HBV感染者,5800万HCV感染者。在慢性感染者中,仅有3040万(10%)的慢性HBV感染者被诊断,其中660万(22%)接受抗病毒治疗。全球有1520万(21%)的HCV感染者被确诊,其中940万(62%)的感染者接受抗病毒治疗。尽管截止2020年全球在消除病毒性肝炎工作中有显著的进展,但距实现2030年目标仍存在很大差距,需要全球重视对消除病毒性肝炎的重要性,促进病毒性肝炎的诊断和治疗工作。不仅需要WHO和各大区继续为消除病毒性肝炎提供支持,各成员国也应积极落实消除病毒性肝炎的行动,尽快推动诊断和治疗的国家策略,提升诊断和治疗的覆盖率。Abstract: According to Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021 - Accountability for the global health sector strategies 2016-2021: Actions for impact, released by WHO on May 20, 2021, there is still an estimated number of 296 million people with hepatitis B virus (HBV) infection and 58 million people with hepatitis C virus (HCV) infection in 2019. Among the individuals with chronic infections, only 30.4 million (10%) of those with chronic HBV infection were diagnosed, among whom 6.6 million (22%) received antiviral therapy. Globally, 15.2 million (21%) of those with HCV infection have been diagnosed, among whom 9.4 million (62%) received antiviral therapy. Although significant progress has been made in eliminating viral hepatitis globally by 2020, there is still a large gap from the 2030 goal, and global attention should be paid to eliminating viral hepatitis and promoting the diagnosis and treatment of viral hepatitis. WHO and all regions should continue to support the elimination of viral hepatitis, and meanwhile each member state should also actively implement the elimination of viral hepatitis, promote national strategies for diagnosis and treatment as soon as possible, and improve the coverage of diagnosis and treatment.
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Key words:
- Viral Hepatitis /
- Diagnosis /
- Therapeutics /
- Public Health
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[1] World Health Organization. Global health sector strategy on viral hepatitis 2016-2021[EB/OL]. (2016-06)[2021-06-02]. https://www.who.int/hepatitis/strategy2016-2021/ghss-hep/en/. [2] LEE BX, KJAERULF F, TURNER S, et al. Transforming our world: Implementing the 2030 agenda through sustainable development goal indicators[J]. J Public Health Policy, 2016, 37 (Suppl 1): 13-31. doi: 10.1057/s41271-016-0002-7. [3] United Nations. United Nations General Assembly resolution A/RES/70/1-Transforming our world: The 2030 agenda for sustainable development[EB/OL]. (2015-08-21)[2021-06-02]. http://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E. [4] World Health Organization. Progress report on HIV, viral hepatitis and sexually transmitted infections 2019. Accountability for the global health sector strategies, 2016-2021[R]. Geneva: World Health Organization, 2021. [5] World Health Organization. Global Hepatitis Report 2017[R]. Geneva: World Health Organization, 2017. [6] World Health Organization. Progress report on HIV, viral hepatitis and sexually transmitted infections 2019. Accountability for the global health sector strategies, 2016-2021[R]. Geneva: World Health Organization, 2019.
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