Hepatitis C Virus Epidemiology in Djibouti, Somalia, Sudan, and Yemen: Systematic Review and Meta-Analysis
Identifieur interne : 001002 ( Main/Merge ); précédent : 001001; suivant : 001003Hepatitis C Virus Epidemiology in Djibouti, Somalia, Sudan, and Yemen: Systematic Review and Meta-Analysis
Auteurs : Karima Chaabna [Qatar, États-Unis] ; Silva P. Kouyoumjian [Qatar] ; Laith J. Abu-Raddad [Qatar, États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
To characterize hepatitis C virus (HCV) epidemiology and assess country-specific population-level HCV prevalence in four countries in the Middle East and North Africa (MENA) region: Djibouti, Somalia, Sudan, and Yemen.
Reports of HCV prevalence were systematically reviewed as per PRISMA guidelines. Pooled HCV prevalence estimates in different risk populations were conducted when the number of measures per risk category was at least five.
We identified 101 prevalence estimates. Pooled HCV antibody prevalence in the general population in Somalia, Sudan and Yemen was 0.9% (95% confidence interval [95%CI]: 0.3%–1.9%), 1.0% (95%CI: 0.3%–1.9%) and 1.9% (95%CI: 1.4%–2.6%), respectively. The only general population study from Djibouti reported a prevalence of 0.3% (CI: 0.2%–0.4%) in blood donors. In high-risk populations (e.g., haemodialysis and haemophilia patients), pooled HCV prevalence was 17.3% (95%CI: 8.6%–28.2%) in Sudan. In Yemen, three studies of haemodialysis patients reported HCV prevalence between 40.0%-62.7%. In intermediate-risk populations (e.g.. healthcare workers, in patients and men who have sex with men), pooled HCV prevalence was 1.7% (95%CI: 0.0%–4.9%) in Somalia and 0.6% (95%CI: 0.4%–0.8%) in Sudan.
National HCV prevalence in Yemen appears to be higher than in Djibouti, Somalia, and Sudan as well as most other MENA countries; but otherwise prevalence levels in this subregion are comparable to global levels. The high HCV prevalence in patients who have undergone clinical care appears to reflect ongoing transmission in clinical settings. HCV prevalence in people who inject drugs remains unknown.
Url:
DOI: 10.1371/journal.pone.0149966
PubMed: 26900839
PubMed Central: 4764686
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hepatitis C Virus Epidemiology in Djibouti, Somalia, Sudan, and Yemen: Systematic Review and Meta-Analysis</title><author><name sortKey="Chaabna, Karima" sort="Chaabna, Karima" uniqKey="Chaabna K" first="Karima" last="Chaabna">Karima Chaabna</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha, Qatar</addr-line></nlm:aff><country xml:lang="fr">Qatar</country><wicri:regionArea>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha</wicri:regionArea><orgName type="university">Université Cornell</orgName><placeName><settlement type="city">Ithaca (New York)</settlement><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">Ithaca (New York)</settlement></placeName><orgName type="university">Université Cornell</orgName></affiliation></author><author><name sortKey="Kouyoumjian, Silva P" sort="Kouyoumjian, Silva P" uniqKey="Kouyoumjian S" first="Silva P." last="Kouyoumjian">Silva P. Kouyoumjian</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha, Qatar</addr-line></nlm:aff><country xml:lang="fr">Qatar</country><wicri:regionArea>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha</wicri:regionArea><orgName type="university">Université Cornell</orgName><placeName><settlement type="city">Ithaca (New York)</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Abu Raddad, Laith J" sort="Abu Raddad, Laith J" uniqKey="Abu Raddad L" first="Laith J." last="Abu-Raddad">Laith J. 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Kouyoumjian</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha, Qatar</addr-line></nlm:aff><country xml:lang="fr">Qatar</country><wicri:regionArea>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha</wicri:regionArea><orgName type="university">Université Cornell</orgName><placeName><settlement type="city">Ithaca (New York)</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Abu Raddad, Laith J" sort="Abu Raddad, Laith J" uniqKey="Abu Raddad L" first="Laith J." last="Abu-Raddad">Laith J. Abu-Raddad</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha, Qatar</addr-line></nlm:aff><country xml:lang="fr">Qatar</country><wicri:regionArea>Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation – Education City, Doha</wicri:regionArea><orgName type="university">Université Cornell</orgName><placeName><settlement type="city">Ithaca (New York)</settlement><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">Ithaca (New York)</settlement></placeName><orgName type="university">Université Cornell</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>College of Public Health, Hamad bin Khalifa University, Doha, Qatar</addr-line></nlm:aff><country xml:lang="fr">Qatar</country><wicri:regionArea>College of Public Health, Hamad bin Khalifa University, Doha</wicri:regionArea><wicri:noRegion>Doha</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objectives</title><p>To characterize hepatitis C virus (HCV) epidemiology and assess country-specific population-level HCV prevalence in four countries in the Middle East and North Africa (MENA) region: Djibouti, Somalia, Sudan, and Yemen.</p></sec><sec id="sec002"><title>Methods</title><p>Reports of HCV prevalence were systematically reviewed as per PRISMA guidelines. Pooled HCV prevalence estimates in different risk populations were conducted when the number of measures per risk category was at least five.</p></sec><sec id="sec003"><title>Results</title><p>We identified 101 prevalence estimates. Pooled HCV antibody prevalence in the general population in Somalia, Sudan and Yemen was 0.9% (95% confidence interval [95%CI]: 0.3%–1.9%), 1.0% (95%CI: 0.3%–1.9%) and 1.9% (95%CI: 1.4%–2.6%), respectively. The only general population study from Djibouti reported a prevalence of 0.3% (CI: 0.2%–0.4%) in blood donors. In high-risk populations (e.g., haemodialysis and haemophilia patients), pooled HCV prevalence was 17.3% (95%CI: 8.6%–28.2%) in Sudan. In Yemen, three studies of haemodialysis patients reported HCV prevalence between 40.0%-62.7%. In intermediate-risk populations (e.g.. healthcare workers, in patients and men who have sex with men), pooled HCV prevalence was 1.7% (95%CI: 0.0%–4.9%) in Somalia and 0.6% (95%CI: 0.4%–0.8%) in Sudan.</p></sec><sec id="sec004"><title>Conclusion</title><p>National HCV prevalence in Yemen appears to be higher than in Djibouti, Somalia, and Sudan as well as most other MENA countries; but otherwise prevalence levels in this subregion are comparable to global levels. The high HCV prevalence in patients who have undergone clinical care appears to reflect ongoing transmission in clinical settings. HCV prevalence in people who inject drugs remains unknown.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Frank, C" uniqKey="Frank C">C Frank</name></author><author><name sortKey="Mohamed, Mk" uniqKey="Mohamed M">MK Mohamed</name></author><author><name sortKey="Strickland, Gt" uniqKey="Strickland G">GT Strickland</name></author><author><name sortKey="Lavanchy, D" uniqKey="Lavanchy D">D Lavanchy</name></author><author><name sortKey="Arthur, Rr" uniqKey="Arthur R">RR Arthur</name></author><author><name sortKey="Magder, Ls" uniqKey="Magder L">LS Magder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strickland, Gt" uniqKey="Strickland G">GT Strickland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cornberg, M" uniqKey="Cornberg M">M Cornberg</name></author><author><name sortKey="Razavi, Ha" uniqKey="Razavi H">HA Razavi</name></author><author><name 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Yazdanpanah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martin, Nk" uniqKey="Martin N">NK Martin</name></author><author><name sortKey="Vickerman, P" uniqKey="Vickerman P">P Vickerman</name></author><author><name sortKey="Dore, Gj" uniqKey="Dore G">GJ Dore</name></author><author><name sortKey="Hickman, M" uniqKey="Hickman M">M Hickman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cuadros, Df" uniqKey="Cuadros D">DF Cuadros</name></author><author><name sortKey="Branscum, Aj" uniqKey="Branscum A">AJ Branscum</name></author><author><name sortKey="Miller, Fd" uniqKey="Miller F">FD Miller</name></author><author><name sortKey="Abu Raddad, Lj" uniqKey="Abu Raddad L">LJ Abu-Raddad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Fd" uniqKey="Miller F">FD Miller</name></author><author><name sortKey="Abu Raddad, Lj" uniqKey="Abu Raddad L">LJ Abu-Raddad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chemaitelly, H" uniqKey="Chemaitelly H">H Chemaitelly</name></author><author><name sortKey="Abu Raddad, Lj" uniqKey="Abu Raddad L">LJ Abu-Raddad</name></author><author><name sortKey="Miller, Fd" uniqKey="Miller F">FD Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benova, L" uniqKey="Benova L">L Benova</name></author><author><name sortKey="Awad, Sf" uniqKey="Awad S">SF Awad</name></author><author><name sortKey="Miller, Fd" uniqKey="Miller F">FD Miller</name></author><author><name sortKey="Abu Raddad, Lj" uniqKey="Abu Raddad L">LJ Abu-Raddad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guerra, J" uniqKey="Guerra J">J Guerra</name></author><author><name sortKey="Garenne, M" uniqKey="Garenne M">M Garenne</name></author><author><name sortKey="Mohamed, Mk" uniqKey="Mohamed M">MK Mohamed</name></author><author><name sortKey="Fontanet, A" uniqKey="Fontanet A">A Fontanet</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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