In a recent article in Public Health Reports, Ms. Miranda S. Moore, Ms. Angelica Bocour, and Drs. Fabienne Laraque and Ann Winters of the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) constructed a care cascade for the hepatitis C virus (HCV) epidemic — i.e., they determined the relative proportions of people with a reported positive RNA test and those treated and cured of HCV through June 30, 2017. Of the 78,886 NYC residents who were diagnosed with HCV and tested since July 1, 2014, 89.2 pecent were ever reported as RNA positive through June 30, 2017, 46.7 percent had begun treatment since July 1, 2014, and 30.1 percent appeared cured during that same period. The authors concluded that a large gap exists between confirming HCV infection and starting treatment despite the availability of effective medications.
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