Abstract
What is already known on this topic? To understand the status of the diagnosis and reporting of hepatitis C and standardize the reporting of hepatitis C cases in county-level hospitals, we conducted the first supervised analysis of hepatitis C cases in county-level hospitals in China from 2013 to 2018, covering all provincial-level administrative divisions (PLADs) except Tibet. What is added by this report? Through 6 years of supervision, we have obtained key data such as the nucleic acid detection rate and positive rate of hepatitis C virus (HCV) antibody positive cases in our county-level hospitals, the report rate and accuracy of HCV RNA positive cases, and standardized and improved the hepatitis C case reporting in county-level hospitals to improve data quality and provide data support for the judgment and estimation of hepatitis C in China. What are the implications for public health practice? By strengthening the management and supervision of hepatitis C case reporting, the reporting rate and accuracy of HCV RNA positive cases in county-level hospitals in China had been greatly improved. By combining the number of HCV antibody tests and the number of viral nucleic acid tests in medical institutions around the country, it was possible to effectively assess the current status of hepatitis C in China and to provide a scientific basis for the development of hepatitis C prevention and treatment measures.
Highlights
Hepatitis C is an infectious disease that results in liver disease caused by hepatitis C virus (HCV), including acute and chronic hepatitis, liver cirrhosis, and even liver cancer
Due to the emergence of drugs that can completely cure hepatitis C, including those based on long-acting interferons and small molecule oral drugs, the National Health Commission of China has strengthened the prevention and treatment of hepatitis C including infectious disease case reports and clinical treatment
According to the “Hepatitis C Diagnostic Criteria (WS 213-2018)”, nucleic acid (HCV RNA) positive results can be diagnosed as a confirmed case and must be reported [5]
Summary
Supervised Analysis of Hepatitis C Virus RNA-Positive Case Reporting in County-Level Hospitals — China, 2013−2018. Through 6 years of supervision, we have obtained key data such as the nucleic acid detection rate and positive rate of hepatitis C virus (HCV) antibody positive cases in our county-level hospitals, the report rate and accuracy of HCV RNA positive cases, and standardized and improved the hepatitis C case reporting in countylevel hospitals to improve data quality and provide data support for the judgment and estimation of hepatitis C in China. By strengthening the management and supervision of hepatitis C case reporting, the reporting rate and accuracy of HCV RNA positive cases in county-level hospitals in China had been greatly improved. From 2013−2018, we continuously carried out verification of HCV RNA positive case reports in county-level hospitals, conducted research, and improved work
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