hepVoice Vol.27 (WHD special edition) | Page 12

Focus O vercoming the barriers to diagnosis of hepatitis B and C Nine out of 10 people living with viral hepatitis are unaware – that’s more than 290 million people across the globe. Only 20% of people living with hepatitis C are aware of their condition and less than 10% of people living with hepatitis B. In every region, diagnosis remains one of the biggest challenges for the elimination of viral hepatitis. Without timely diagnosis, infection rates will continue to escalate and people won’t be able to access life-saving treatments. The African and South East Asia regions have the lowest diagnosis rates, with 93% and 91% of the population living with viral hepatitis being unaware. This is compared to 83% in Eastern Mediterranean, 79% in Western Pacific, 68% in European and 64% in the Americas region. Barriers to diagnosis People across the globe are being denied their right to know 12 hep Voice August 2018 their health status. In an effort to increase diagnosis rates across the globe, this year we commissioned a multi-country survey to identify the key barriers to the diagnosis. Based on our research, we found the main barriers to diagnosis globally are: 1 2 3 4 5 Lack of public knowledge of the disease Lack of knowledge of the disease amongst healthcare professionals Lack of easily accessible testing Stigma and discrimination The out-of-pocket costs to the patients Find out more about the barriers to diagnosis and regional findings in this report here. Overcoming the barriers to diagnosis Overcoming the barriers to diagnosis will be critical if we are to reach elimination so once we had identified the barriers, we convened a two-day stakeholder consultation meeting. Throughout the meeting, global experts discussed ways in which the barriers can be overcome and decided on a number of recommendations to tackle the diagnosis gap. The resounding message from the meeting was clear: governments must act immediately in each of the areas and must adopt a multi- stakeholder response. Outcomes of the meeting are captured in a White Paper that was launched on World Hepatitis Day. The white paper acts as a roadmap, highlighting actions to be prioritised such as integrating targeted hepatitis testing strategies into existing services, making testing affordable and combating