MICRO-ELIMINATION OF HEPATITIS C IN ADDICTION CENTERS: SCREENING GAPS AND AWARENESS BARRIERS IN ARGENTINA

Introduction and Objectives

Micro-elimination strategies are key tools in the fight against hepatitis C virus (HCV), particularly in vulnerable populations such as individuals with substance use disorders (SUD), where both prevalence and underdiagnosis are high.

To describe the characteristics of individuals tested for HCV and their level of disease awareness within the context of a micro-elimination campaign conducted in SUD treatment centers.

Materials and Methods

A retrospective, observational study was conducted among 160 adults with SUD attending three addiction centers in Argentina. Each participant underwent a rapid HCV antibody test, followed by point-of-care confirmatory testing using HCV RNA PCR when reactive. Demographic data, testing history, and general knowledge about HCV were collected.

Results

Of the 160 participants, 2 tested reactive on the rapid test and are currently undergoing confirmation by PCR. A total of 84.4% were male and 15.6% female, with a median age of 36 years. Among participants, 95% were unaware of having been previously tested for HCV, and 76.9% had no knowledge about the disease. Additionally, 74.4% lacked medical insurance coverage.

Conclusions

This preliminary study highlights the feasibility of implementing HCV micro-elimination strategies in addiction centers. The findings emphasize the limited awareness of HCV and the absence of prior testing in most participants, underlining the importance of targeted screening and educational interventions in this high-risk population.

Conflict of interest: None