Approximately 3 million Americans are thought to be infectedwith hepatitis C virus (HCV).1 HCV causes chronic infectionin about 85 percent of infected persons, and cirrhosis may developin as many as 20 percent of those with chronic infection.2 HCVinfection results in 8000 to 10,000 deaths annually and is themost common reason for liver transplantation in the United States.The rates of morbidity and mortality from HCV infection areincreasing, and this trend is expected to continue in the comingdecades.1 Treatment with interferon, with or without ribavirin,for 6 to 12 months results in viral clearance . . . [Full Text of this Article]
Arguments for Withholding Treatment from Illicit-Drug Users
Adherence to Treatment
Side Effects of Treatment
Reinfection with HCV
Timing of Treatment
Medical and Public Health Practices
An Alternative Policy
Conclusions
Address reprint requests to Dr. Edlin at the Urban Health Study, Institute for Health Policy Studies, University of California, San Francisco, 3180 18th St., Suite 302, San Francisco, CA 94110, or at bredlin@itsa.ucsf.edu.
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