In sub-Saharan Africa, chronic infection with the hepatitis B virus (HBV) is a profoundly important public health issue characterised by high prevalence, frequent co-infection with HIV, and sub-optimally applied ascertainment and management strategies. Prevalence of hepatitis B surface antigen (HBsAg) in the general population varies geographically, with the highest rates (>8%) measured in West Africa. Among people living with HIV, between 6% and 25% are co-infected with HBV, and co-infection accelerates fibrosis and increases the risk of liver-related mortality and development of hepatocellular carcinoma (HCC) compared to HIV-negative controls.

World Hepatitis Day, on 28 July, is both a chance to celebrate the progress made in sub-Saharan Africa and an opportunity to focus on the action now needed to reverse the increasing tide of disease. 

You can download the full pdf version of the editorial by clicking in the link on the top right corner of the page or you can click here to access it online in Transactions of the Royal Society of Tropical Medicine & Hygiene.


Microbiology  Infectious diseases  



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