中国吸毒人群中的丙型肝炎消除:挑战、策略和经验

Hepatitis C elimination among drug users in China:challenges,strategies and experiences

吸毒人群丙型肝炎流行率高,是我国达成丙型肝炎消除需要重点关注的人群之一。然而由于该人群处境复杂,其丙型肝炎消除仍面临着筛查难、治疗率低、依从性差、再感染率高等诸多挑战,现有诊疗体系无法满足该人群的需求。我国致力于为吸毒人员建立戒毒管理、教育、医疗及康复为一体的统一系统,这也为整合丙型肝炎诊疗、提高吸毒人群的诊疗可及性提供了有力条件。现从我国吸毒人群丙型肝炎消除的现状及挑战出发,结合国外案例,探讨该人群中丙型肝炎消除策略,并介绍海南省针对吸毒人群的丙型肝炎消除经验。

The prevalence of hepatitis C among drug users in China is high,and thus it is one of the populations that needs attention to achieve hepatitis C elimination.However,due to the complexities of this population's situation,hepatitis C elimination still faces many challenges,such as difficult screening,low cure rate,poor compliance,and high reinfection rates.Therefore,the existing diagnostic and therapeutic system cannot meet the needs of this population.China has pledged to establish a unified system for drug users that will integrate drug treatment programs,education,medical care,and rehabilitation,creating favorable conditions for integrating hepatitis C diagnosis and treatment and improving the accessibility of drug users.Starting with the current situation and challenges of eliminating hepatitis C among drug users in China,in combination with cases from other countries,this paper discusses the strategy for eliminating hepatitis C and introduces what Hainan Province did to eliminate hepatitis C among drug users.