Table 1.
Parameter table including uncertainty intervals. TEDs denotes the drug treatment episode dataset.
Parameter | Symbol | Units | Values (sampled range) | Reference | |
---|---|---|---|---|---|
PWID and HCV-related parameters | |||||
PWID HCV chronic prevalence in 2015 | – | 45 – 65%, uniform distribution | Contact tracing data33 | ||
Average infection rate |
|
per year | Varied to fit sampled HCV prevalence in 2015, and increased by factor after 2010 to achieve 4–7 fold increase in incident infections | Acute HCV surveillance data34,35 | |
Average proportion of infections that spontaneously clear |
|
– | 0.22 – 0.29, uniform distribution | 32 | |
PWID recruitment rate |
|
per year | Varied to fit total population of 436–600 PWID in 2015, and increased by factor after 2008 to fit 2–3 fold increase in PWID population between 2008–2013 | Contact tracing data33 and TEDs data36 | |
Increase in PWID population size between 2008 and 2013 | p | 2 – 3, uniform distribution | TEDs data36 | ||
Average duration of injecting until cessation |
|
years | 5 – 20, uniform distribution | Unpublished Scott county SSP data and other data23,37–39 | |
Average drug-related mortality rate |
|
per year | 0.57% (0.41–0.73%), Poisson distribution | USA sites from40 | |
Average non drug-related mortality rate |
|
per year | 0.14%, Poisson distribution | 41 for 35–39 year olds in US | |
Treatment parameters | |||||
SVR rate |
|
– | 85 – 95%, uniform distribution | 43 | |
Duration of treatment |
|
weeks | 12 | ||
Treatment number |
|
number per year | Varied to reduce HCV prevalence or incidence by 90% by 2020/25/30. | ||
Harm reduction intervention parameters | |||||
Relative risk of acquiring HCV while: | |||||
On MAT |
|
– | 0.50 (0.40–0.63), log normal distribution | Cochrane Systematic review13 | |
On SSP |
|
– | 0.44 (0.24–0.80), log normal distribution | ||
On both MAT and SSP |
|
– | 0.29 (0.13–0.65), log normal distribution | ||
Duration on MAT/SSP | 1/ | years | 0.99 (0.64–1.50), normal distribution | 42 | |
Recruitment rate MAT |
|
per year | Varied to give 25% or 50% coverage by mid-2017 | ||
Recruitment rate SSP |
|
per year | Varied to give 50% coverage by mid-2016 |