The need for universal hepatitis C screening in incarcerated populations

Abstract

Hepatitis C carries a large burden of disease in Canada. Barriers to care, especially in the incarcerated population, may impede effective treatment and the achievement of targets for disease eradication. Access to universal screening in incarcerated populations could support engagement in the care cascade, and local studies around prevalence and screening efficacy could be used to justify and inform screening programs. A focus on incarcerated populations is an important step toward HCV eradication and ensuring equitable healthcare for all. This article will discuss the HCV care cascade, the unique burden of HCV in correctional facilities, and provide an argument in support of universal screening in incarcerated populations.