英国有望成为首批消除丙型肝炎的国家之一。
England set to be one of the first countries to eliminate hepatitis C

原始链接: https://www.bbc.com/news/articles/c75gk620r22o

英国有望成为首批消除丙型肝炎的国家之一。丙肝是一种会导致严重肝损伤的“沉默”病毒。英国国家医疗服务体系(NHS)报告称,自2015年以来,已有超过10万人接受了诊断和治疗,成功实现了治疗80%已知病例的目标。尽管65%的死亡率降低目标尚未达成,但相关部门仍有信心在世界卫生组织规定的2030年期限前实现这一目标。 这一成就归功于多项积极举措,包括扩大急诊科血液检测、全科医生登记筛查,以及发放免费且保密的居家检测包。由于该病毒通常没有明显症状,早期发现至关重要。专家目前正敦促高风险人群(包括1991年前在某些东欧国家接受过医疗手术的人员)进行检测。随着8至12周的抗病毒药物疗程可达到95%的治愈率,英国正接近实现丙型肝炎信托基金所称的“国家最重要的公共卫生成就之一”。

据 Hacker News 上讨论的一篇近期 BBC 报道指出,英格兰有望成为首批消除丙型肝炎的国家之一。社区讨论强调了以下重点: * **公共卫生成效:** 英国采取了针对性策略,将广泛筛查与疗效极佳的 8–12 周抗病毒治疗相结合,使英国国家医疗服务体系(NHS)大幅降低了该病毒的流行率,从而与世界卫生组织提出的 2030 年消除目标保持一致。 * **预防性护理的差异:** 该讨论串引发了关于医疗体系的争论。许多用户指出,虽然 NHS 在特定疾病的消除方面表现出色,但个人预防性护理(如年度常规体检)的集中度不及美国。反之,美国用户则讨论了其自身预防性护理的高昂成本和保险驱动的本质。 * **术语界定:** 一项重要的分支讨论聚焦于英国境内“国家”的定义,明确了英格兰、苏格兰、威尔士和北爱尔兰均为构成国,且各自管理其医疗服务。 * **政治背景:** 对话演变为一场关于全球疫苗接种趋势、小罗伯特·肯尼迪等政治人物对疫苗怀疑论的影响,以及社交媒体在放大医疗错误信息方面所扮演角色的更广泛辩论。
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原文

England set to be one of the first countries to eliminate hepatitis C

Getty Images Stock photo shows a lab setting with close up of gloved hands holding tubes of blood with bar codes on them, with other tubes in background with bokeh.Getty Images

England is on track to become one of the first countries in the world to eliminate hepatitis C, a dangerous virus that attacks the liver, figures show.

The target of treating 80% of all known cases has already been met, and deaths from the virus have fallen by 36% in the last decade, just short of what is needed by 2030.

Taking antiviral tablets for 8 to 12 weeks can cure more than 95% of cases.

Initiatives including A&E blood tests, GP registration testing and free at-home tests have helped to find people who were previously undiagnosed, says NHS England.

Silent disease

Hepatitis C is spread through contact with blood infected with the virus, such as by sharing needles with someone who has it.

Donor blood is already screened for it.

It is a silent disease, meaning people often have no symptoms until much later.

Untreated, it can cause serious and potentially life-threatening liver damage.

NHS England says that since 2015, more than 100,000 people have been diagnosed and treated for hepatitis C, meaning the country is already meeting that target.

Another goal - a 65% reduction in hepatitis C-related mortality compared with 2015 levels - has yet to be met, but might be before the 2030 target date.

Around 50,200 adults are living with hepatitis C, figures for England in 2024 suggest.

Estimates indicate 84.6% of those living with hepatitis C have been diagnosed - just short of the 90% target.

The Hepatitis C Trust says England is "on the cusp" of one of the most significant public health achievements in our country's history.

Prof Frankie Swords, NHS national medical director, added: "England is now leading the world in the mission to eliminate this disease and on course to beat the WHO's 2030 target, but we are determined to keep up the momentum and finish the job.

"We are committed to finding and treating everyone who needs support and would urge those at greater risk to come forward by ordering a free and confidential home-testing kit online."

Adults born in Ukraine, Romania, Estonia, Latvia, Poland, Albania, Lithuania, Bulgaria, Czechia or Slovakia are particularly urged to test, as some may have been infected through medical or dental procedures before 1991.

People can order a free, confidential NHS home self-testing kit without needing to speak to a GP.

NHS England Paul stands outdoors for a photo. He has grey hair and is smiling at the cameraNHS England
Paul Eatwell, 65, is one of the more than 100,000 people in England who have already been treated for hepatitis C

Paul Eatwell, 65, was diagnosed after a routine blood test.

The grandfather from Blackburn, Lancashire, said: "My first reaction was disbelief. I remember saying: 'Are you sure? Surely there's been some mistake.'

"I didn't feel ill. I kept wondering how I could possibly have caught it."

He says the medical support he received made a huge difference.

While it has not been established how Eatwell caught the virus, it has been suggested that surgery in South Africa decades ago may have been the cause.

Infected blood scandal

From 1970 to 1991, more than 30,000 people in the UK were infected with HIV and hepatitis C from contaminated blood products and fusions.

The infected blood scandal is known as the biggest treatment disaster in the NHS.

About 3,000 have since died and more deaths will follow.

A public inquiry found authorities covered up the scandal and exposed victims to unacceptable risks.

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