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Many European countries 'flying blind' in their efforts to eliminate viral hepatitis

More people die from viral hepatitis than from HIV, yet the public health response is lacking. The ACHIEVE Coalition urges governments in Europe and elsewhere to improve hepatitis B and hepatitis C monitoring so that a reliable evidence base will be available to guide the drive towards disease elimination.

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Figure 1: The global cascade of care for chronic HCV infection in 2015.


  1. World Health Organization. Global Hepatitis Report 2017 (WHO, 2017).

  2. Duffell, E. F., Hedrich, D., Mardh, O. & Mozalevskis, A. Towards elimination of hepatitis B and C in European Union and European Economic Area countries: monitoring the World Health Organization's global health sector strategy core indicators and scaling up key interventions. Euro Surveill. 22, 30476 (2017).

    Article  Google Scholar 

  3. Lazarus, J. V., Mozalevskis, A., Safreed-Harmon, K. & Eramova, I. Strengthening hepatitis B and C surveillance in Europe: results from the two global hepatitis policy surveys (2013 and 2014). Hepatol. Med. Policy, 1, 3 (2016).

    Article  Google Scholar 

  4. Rantala, M. & van de Laar, M. J. W. Surveillance and epidemiology of hepatitis B and C in Europe — a review. Euro Surveill. 22, 18880 (2008).

    Google Scholar 

  5. Duffell, E. F., van de Laar, M. J. W. & Amato-Gauci, A. J. Enhanced surveillance of hepatitis B in the EU, 2006–2012. J. Viral Hepat. 22, 581–589 (2015).

    Article  CAS  Google Scholar 

  6. European Centre for Disease Prevention and Control. Hepatitis B and C testing activities, needs, and priorities in the EU/EEA (ECDC, 2017).

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Correspondence to Jeffrey V. Lazarus.

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Competing interests

The ACHIEVE Coalition is enabled by the support of Abbott, Cepheid, Gilead Sciences and MSD. None of the authors received funding for their work on this Comment.

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Lazarus, J., Safreed-Harmon, K., Colombo, M. et al. Many European countries 'flying blind' in their efforts to eliminate viral hepatitis. Nat Rev Gastroenterol Hepatol 14, 445–446 (2017).

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