A significant gap in treatment initiation persists among First Nations patients with hepatitis C virus infection, according to new data.
HCV infection remains an important public health problem in Canada, according to the authors. Direct-acting antiviral regimens have revolutionized treatment of HCV infection. Second-generation DAA agents became available in Canada in 2014.
From 1999 through 2018, 40,533 First Nations peoples in Ontario underwent testing for HCV antibodies. By the end of 2018, 35,775 of these patients were alive and still lived in the province. Of this group, 4962 had ever tested positive for HCV. The study methodology makes the findings noteworthy, said Jones. The population-based retrospective cohort study used administrative data from the Indian Registry system, which includes all people registered as First Nations members with the Canadian federal government, along with data from the Ontario health system, including HCV testing records for the study period from Public Health Ontario.
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