{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T08:27:53Z","timestamp":1780648073057,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Progress in treating chronic hepatitis C virus (HCV) infection has been slow amongst people who use drugs (PWUD). This study describes the HCV treatment cascade amongst people accessing a mobile clinic offering integrated low\u2010threshold buprenorphine and infectious disease services in Baltimore City. From May 1, 2021, to December 31, 2022, 560 people had a rapid HCV antibody test, of whom 201 (36%) had a positive result and amongst those, 117 (58%) had an HCV RNA test performed, 81 (40%) had a documented positive RNA, 45 (22%) were prescribed medication, 42 (21%) started medication, 32 (16%) completed medication, 22 (11%) had blood work to assess for sustained virologic response and 20 (10%) had a documented cure. Challenges including housing instability, insurance barriers and lack of venous access limit progress in this cascade. Providing integrated care models to meet the needs of PWUD in the community is necessary but not sufficient to make progress in improving HCV treatment. Removal of insurance restrictions, availability of point\u2010of\u2010care HCV RNA testing, development of rapid HCV treatment guidelines and development of long\u2010acting injectable HCV treatment are needed to move towards a same\u2010day, one\u2010time test and treat model of care.<\/jats:p>","DOI":"10.1111\/jvh.14038","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T11:18:37Z","timestamp":1732619917000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Challenges and Opportunities for Treating Hepatitis C Amongst People Who Use Drugs: Experience of an Integrated Mobile Clinic in Baltimore City"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3230-0684","authenticated-orcid":false,"given":"Amanda","family":"Rosecrans","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne St","family":"Clair","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Rice","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Zoltick","sequence":"additional","affiliation":[{"name":"Institute of Human Virology at the University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Willman","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"King","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Baltimore City Health Department  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Kerr","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing  Baltimore Maryland USA"},{"name":"Behavioral Health Leadership Institute  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen R.","family":"Page","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7226a3"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention \u201c2023 National Viral Hepatitis Progress Report \u201d(2023)."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.13634"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa105"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.13583"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010022\u201007778\u2010w"},{"key":"e_1_2_9_8_1","unstructured":"C.Bush T.Arowolo P.DeMartino andM.Gribbin \u201cMaryland Viral Hepatitis Epidemiological Profile 2015\u20132019 \u201d (2021) https:\/\/health.maryland.gov\/phpa\/OIDPCS\/AVHPP\/Documents\/Maryland_ViralHepatitis_EpiProfile_final_July.28.2021.pdf."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108553"},{"key":"e_1_2_9_10_1","unstructured":"AASLD\u2010IDSA \u201cSimplified HCV Treatment for Treatment\u2010naive Adults \u201daccessed October 9 2023 https:\/\/www.hcvguidelines.org\/treatment\u2010naive\/simplified\u2010treatment."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiac049"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103456"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20101253(22)00346\u20106"},{"key":"e_1_2_9_15_1","unstructured":"Center for Health Law and Policy Innovation National Viral Hepatitis Roundtable. \u201cHepatitis C: State of Medicaid Access\u201d(2023) https:\/\/stateofhepc.org\/report\u2010cards\/."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.15245"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciac715"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00258-9"}],"container-title":["Journal of Viral 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