July - September 2017
Treatment as Prevention: Should Hepatitis C Learn the Lessons from HIV?
Department of Infectious Diseases, University Hospital Crosshouse, Kilmarnock, Scotland, UK
Long-term experience in the treatment of HIV-infected individuals has shown indirect benefits of early initiation of antiretroviral therapy, particularly in preventing HIV transmission. With the advent of direct-acting antivirals for the treatment of hepatitis C, the strategy of treatment-as-prevention has become feasible. However, economic, clinical, ethical, and public health issues arise from the concept of using therapeutic interventions only as prevention strategies.
HIV. Hepatitis C. Direct-acting antivirals. Prevention. Resistance.