Table 1.
Comparator scenario | Number of new HCV infections 2016–30 | Chronic HCV prevalence in 2016 | Number of new HCV-disease 2016–30b | Number of new HCV-related deaths 2016–30 |
---|---|---|---|---|
Baseline scenario with no further treatment from 2016 | 13.4 [11.9 to 15.0] million | 3.9% [3.7–4.1%] | 5.4 [4.6 to 6.6] million | 1.4 [1.0 to 2.0] million |
Intervention scenario | % of new HCV infections prevented 2016–30 | % change in HCV chronic prevalence 2016–30 | % reduction in HCV- disease 2016–30b | % reduction in HCV- related deaths 2016–30 |
Reducing PWID-related and high medical and community HCV transmission risks by 50% | 21.5 [13.7 to 32.3] | +11.4 [+1.8 to +20.6] | 7.6 [4.6 to 11.5] | 2.4 [1.3 to 4.1] |
Reducing all HCV transmission risks by 30%a | 38.1 [36.9 to 39.2] | −3.0 [−8.0 to +2.1] | 13.8 [13.1 to 14.4] | 4.4 [3.4 to 6.2] |
Reducing all HCV transmission risks by 50%a | 59.5 [58.2 to 60.7] | −21.7 [−26.0 to −17.1] | 21.9 [21.0 to 22.9] | 7.1 [5.5 to 10.0] |
Continuing current treatment rate (2% of infected individuals treated annually) with new DAA treatments from 2016 | 10.4 [9.3 to 11.7] | +2.3 [−3.7 to +8.4] | 12.3 [11.2 to 13.4] | 7.2 [6.3 to 8.3] |
Scaling up DAA treatment rates from 2016 to 5% of infected individuals treated annually | 23.4 [21.0 to 26.1] | −28.7 [−34.7 to −23.1] | 27.2 [25.0 to 29.3] | 16.3 [14.2 to 18.6] |
Combined reduction in all transmission risksa (50%) and scaling up DAA treatment rates to 5% of infected individuals treated annually from 2016 | 69.1 [67.3 to 70.7] | −58.8 [−62.4 to −55.0] | 42.1 [40.2 to 44.2] | 21.4 [18.5 to 25.5] |
HCV transmission risk associated with injecting drug use, as well as low and high community and medical risks, is reduced by 30% or 50%.
HCV disease relates to cases of compensated and decompensated cirrhosis and hepatocellular carcinoma.