The Long Journey to Eradication of Hepatitis C Virus Infection Should Begin with the Smallest Victims

In this volume of The Journal, Epstein et al1 have made an important and timely contribution to our understanding of the need to improve hepatitis C virus (HCV) testing of pregnant women with opioid use disorder as well as their infants. The authors used electronic health records for a 10-year cohort of 879 women with opioid use disorder from an obstetric clinic serving women with substance use disorders. Only 85% of the women were screened for HCV. Of the 68% who were seropositive, only 72% had HCV RNA testing and 71% were viremic.

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