Screening baby boomers for hepatitis C will save lives

Screening baby boomers for hepatitis C will save lives
26 juillet 2017

Ecaterina Perean Damian, MPH MA

This week, on July 28, countries around the world will mark World Hepatitis Day by calling for increased access to hepatitis testing, prevention and treatment.

The World Health Organization is leading the charge with its Global Strategy on Viral Hepatitis – adopted by 194 governments – which aims to eliminate hepatitis as a public health threat by 2030.

And Canada is on board. Sort of …

For the past eight years, the Canadian Society for International Health (CSIH) has been coordinating the World Hepatitis Day campaign in Canada, with the participation of dozens of organizations across the country. Last year, federal Health Minister Dr. Jane Philpott launched WHD Canada on Parliament Hill with an affirmation of Canada’s commitment to the elimination of hepatitis.

CSIH, the Canadian Liver Foundation, and other like-minded organizations work year-round to raise awareness and promote safe behaviour, screening and access to treatment. Physicians treat hundreds of Canadians who are affected by the disease. Canada’s provinces and territories are taking active steps to improve access to the most recent hepatitis therapies which have been demonstrated to cure hepatitis C, especially when detected early.

And there’s the hitch – early detection. It is estimated that 44% of Canadians with hepatitis C do not know they have it. The need to improve screening is evident.

On April 24, the Canadian Task Force on Preventive Health Care (CTFPHC) released new screening guidelines for hepatitis C that were intended to fill the gap. Unfortunately, the guidelines do not include the population with the highest rate of undiagnosed cases: baby boomers, or Canadians born between 1945 and 1975.

Some boomers may have participated in risky behaviours in their youth, from experimenting with injection drugs to DIY tattoos, and others could have been contaminated through blood transfusions and unsafe medical practices prior to 1992. Others, thousands of Canadians from every walk of life, have no way of tracing how they might have contracted the disease.

These people are going about their business oblivious to the fact they have been carrying a life-threatening disease for 10, 20, 30 years. And by the time symptoms develop, they could have serious liver damage, cirrhosis, cancer, and a bleak prognosis.

Screening would permit early detection, effective treatment, and help prevent the spread of the disease.

How can a country sign on to the WHO Global Strategy on Viral Hepatitis while adopting guidelines that overlook such a large segment of the population? How can Canada eradicate hepatitis if almost half its affected citizens do not know they need to seek treatment?

This year on World Hepatitis Day, CSIH calls on the Canadian government to step up its efforts to eliminate hepatitis C by revisiting these guidelines and including a recommendation for the screening of Canadians born between 1945 and 1975.

And we call on baby boomers to ask their doctor for this simple test. It could save your life.