Hepatitis C virus: A critical approach to who really needs treatment

Table 1 Reasons for failure of the World Health Organization 2030 hepatitis C virus elimination program

Treatment failure and non-compliance

Resistance of old and new subtypes

Occult HCV

Reinfection: People who inject drugs; Males having sex with males

Cost of treatment

HCV: Hepatitis C virus.

Table 2 Group targets in a hepatitis C virus micro-elimination program

Alcohol consumers

Metabolic syndrome: Obesity-steatosis; Cirrhosis-HCC; Diabetes mellitus and insulin resistance

HCV/HIV coinfection

People who inject drugs

Males having sex with males

Hemophiliacs, thalassemia patients

Immunocompromised patients

HCV: Hepatitis C virus; HCC: Hepatocellular carcinoma.