Hep-CORE study | European Liver Patients' Association

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In an attempt to shed light on national policies on hepatitis B (HBV) virus and hepatitis C virus (HCV), ELPA has taken action and launched The 2016 Hep-CORE Report – Monitoring the implementation of hepatitis B and C policy recommendations in Europe.

2016 was a productive year in the fight against the hepatitis. World Health Organization introduced the first global health sector strategy on viral hepatitis and stakeholders in all regions of the world are beginning to rally around the global goal of eliminating viral hepatitis as a public health threat by 2030. However, despite the good news, the fact is that Europe has not been monitored as a whole since its inclusion in the WHO global hepatitis policy report of 2013, later followed up by a 2014 global community response report. In an attempt to shed the light on national policies on hepatitis B (HBV) virus and hepatitis C virus (HCV), ELPA has taken action and launched The 2016 Hep-CORE Report – Monitoring the implementation of hepatitis B and C policy recommendations in Europe.

Hep-CORE is a unique patient-led monitoring tool that engaged patient organizations in providing a full picture of the level of implementation viral hepatitis B and C policy recommendations in Europe and part of the Mediterranean Basin. Hep-CORE study was carried out by a research team led by Prof. Jeffrey V. Lazarus, from the Barcelona Institute of Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Spain and CHIP, Rigshospitalet, a World Health Organization Collaborating Centre on HIV and Viral Hepatitis, University of Copenhagen, Denmark, on ELPA’s behalf. We would especially like to thank all patient organizations that participated in the study, all other stakeholders who provided necessary information and our sponsors, AbbVie Inc, Gilead Sciences Inc, and MSD, who supported the study by unrestricted grants.

Stark findings of the Hep-CORE study were internationally launched on December 20th during the international press conference in Berlin. Results presented by Prof. Jeffrey V. Lazarus of ISGlobal, University of Barcelona, showed some worrisome gaps in EU countries policies in coping with viral hepatitis. It shows that 52% of surveyed European (25) and Mediterranean Basin (2) countries lack national strategies to address viral hepatitis B or C, despite the WHO World Health Assembly resolution from May 2016, calling on all countries to have one. Also, only three countries have access to the new, highly effective medicines (direct acting antivirals) for hepatitis C without restrictions. These are just two sobering results from the 2016 Hep-CORE Report on the state of viral hepatitis policy and practice in Europe, released by ELPA. The report also showed that, despite an urgent need for broad monitoring and disease surveillance, 17 countries (63%) have no national hepatitis B virus (HBV) register and that 15 countries (56%) have no national hepatitis C virus (HCV) register. In addition, patient groups from 10 countries (37%) reported that there are no HCV testing or screening sites outside of hospitals for the general population in their countries. Even more alarming, patient groups from 12 of the countries (44%) reported that there are no such sites outside of hospitals that provide testing or screening services for high-risk populations.

It is completely unacceptable that hepatitis continues to be so poorly addressed in Europe. There are excellent prevention and treatment possibilities, well-thought-out strategies are available, and we have numerous international initiatives, especially from WHO.  I expect this study to change the landscape of viral hepatitis policy surveillance on a regional and  global level – said Tatjana Reic, President of ELPA during the report launch.

On this occasion, Prof. Massimo Colombo, Chairman of the EASL International Liver Foundation and guest at Hep-CORE report launch, emphasized the importance of rigorous HCV surveillance, effective screening programs, increased treatment uptake with high efficacy therapies, and close collaboration between stakeholders. The press conference was opened by a keynote speech of ELPA President, Tatjana Reich and was moderated by ELPA member and Special Policy Consultant, Achim Kautz.

Our goal is to repeat Hep-CORE study on a regular basis in order to compare results between countries, and thus help the efforts in elimination of HBV and HCV.

You can read and download Hep-CORE report here.