Harm Reduction Centres

Why?

Harm reduction centres and needle exchange facilities serve the health needs of PWID. The number of PWID who are successfully diagnosed with hepatitis C and linked to the appropriate care remains low. Frequently, the problem relates to the time it takes to diagnose people living in vulnerable conditions. Hepatitis C treatment is based on the detection of a positive viral load in the blood using a RT-PCR test. The process can be accelerated through rapid RT-PCR tests using capillary blood, taken from the fingertip. These tests provide results in less than an hour. This makes it more likely that PWID who test positive will remain within reach to receive their results. They can then be offered advice and the appropriate care required to cure their hepatitis C.

OUTCOMES

A total of 183 PWID took part in the project with the majority being men (79%). The average age was 44, and more than 50% lived in vulnerable conditions (22 had no social security, 40 lived in precarious housing and 42 were homeless). A hepatitis C antibody test was carried out in 180 of the 183 PWID, returning positive in 85 (47%) of the cases. [HBV surface antigen (HBsAG) was positive in 9 and HIV in 4 of the PWID]. 82 out of the 85 serology-positive PWID agreed to a rapid RT-PCR with the test coming up positive in 29 i.e. a prevalence of 16% of all PWID. Following counselling, 18 PWID agreed to initiate treatment.

FUNDING

Private funding.