HCV:
The Correctional Conundrum
(continued)
Conclusion
In summary, the high prevalence
of hepatitis infections among incarcerated individuals and the availability
of treatments with less than 100% efficacy forces difficult decision making
in correctional health facilities. Combination IFN/ribavirin therapy
is now the standard of care. National guidelines and standards for selecting
patients who are to be treated, while providing access to care for HCV
infected individuals regardless of incarceration status, are forthcoming
from the CDC. The cost of HCV treatment is expected to be a major barrier
to wide implementation of the guidelines in prisons and jails. Correctional
physicians eagerly anticipate further guidance from state and federal health
officials on supplemental sources of funding for HCV treatment initiatives
in correctional settings.
CONTINUE...
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