{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:41:55Z","timestamp":1777898515900,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2_suppl","license":[{"start":{"date-parts":[[2016,5,1]],"date-time":"2016-05-01T00:00:00Z","timestamp":1462060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>The national Viral Hepatitis Action Plan recommends strengthening partnerships among health departments, community-based organizations, and health-care providers for hepatitis services. We implemented a hepatitis C virus (HCV) testing and linkage-to-care program through a local health department using similar strategies reported for HIV care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>The Durham County Department of Public Health received federal funding to conduct HCV testing and linkage to care in Durham, North Carolina. HCV antibody testing with reflex RNA was offered through a sexually transmitted disease clinic, a county jail, community testing sites (including a residential substance abuse recovery program), and a homeless clinic. People with evidence of HCV infection were linked to care through an HCV bridge counselor who provided education, incentives, and transportation, and scheduled appointments with HCV specialists at nearby academic centers and on-site clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>From December 2012 through February 2014, we conducted 2,004 HCV tests, of which 326 (16.3%) were HCV antibody positive and 241 (12.0%) had detectable HCV RNA. Among the 241 people with HCV infection, 178 (73.9%) were men, and 133 (55.2%) were born between 1945 and 1965. Of 241 people with chronic HCV infection, 150 (62.2%) reported ever injecting drugs, eight (2.5%) were coinfected with HIV, and 123 (51.0%) were linked to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>At the local public health level, HCV testing and linkage to care can be facilitated with additional funding and by leveraging existing programs and provider networks to deliver a coordinated system of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549161310s210","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T15:47:01Z","timestamp":1467215221000},"page":"57-64","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Efforts at the Frontlines: Implementing a Hepatitis C Testing and Linkage-to-Care Program at the Local Public Health Level"],"prefix":"10.1177","volume":"131","author":[{"given":"Arlene C.","family":"Se\u00f1a","sequence":"first","affiliation":[{"name":"Durham County Department of Public Health, Durham, NC"},{"name":"University of North Carolina at Chapel Hill, Department of Medicine, Institute for Global Health and Infectious Diseases, Chapel Hill, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Willis","sequence":"additional","affiliation":[{"name":"University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, Chapel Hill, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Hilton","sequence":"additional","affiliation":[{"name":"Durham County Department of Public Health, Durham, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandria","family":"Anderson","sequence":"additional","affiliation":[{"name":"Durham County Department of Public Health, Durham, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Wohl","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Department of Medicine, Institute for Global Health and Infectious Diseases, Chapel Hill, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher B.","family":"Hurt","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Department of Medicine, Institute for Global Health and Infectious Diseases, Chapel Hill, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Muir","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Division of Gastroenterology and Duke Clinical Research Institute, Durham NC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,5,1]]},"reference":[{"key":"bibr1-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1302973"},{"key":"bibr2-00333549161310S210","volume-title":"Combating the silent epidemic: Action plan for the prevention, care and treatment of viral hepatitis","author":"Department of Health and Human Services (US)","year":"2011"},{"key":"bibr3-00333549161310S210","unstructured":"Centers for Disease Control and Prevention (US). Viral hepatitis statistics and surveillance [cited 2014 Nov 24]. Available from: http:\/\/www.cdc.gov\/hepatitis\/statistics\/2012surveillance\/table4.1.htm."},{"key":"bibr4-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50073"},{"key":"bibr5-00333549161310S210","unstructured":"Durham County Department of Public Health. 2013 state of the county health report [cited 2014 Nov 24]. Available from: http:\/\/www.healthydurham.org\/docs\/durham%20SOTCH%202013.pdf."},{"key":"bibr6-00333549161310S210","first-page":"439","volume":"72","author":"Kolman M","year":"2011","journal-title":"N C Med J"},{"issue":"43","key":"bibr7-00333549161310S210","first-page":"886","volume":"61","author":"Smith BD","year":"2012","journal-title":"MMWR Recomm Rep"},{"key":"bibr8-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1177\/00333549161310S215"},{"key":"bibr9-00333549161310S210","unstructured":"Department of Health and Human Services (US). Continuum of HIV care [cited 2015 Oct 29] Available from: http:\/\/hab.hrsa.gov\/data\/reports\/continuumofcare\/continuumabstract.html."},{"key":"bibr10-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.9987"},{"key":"bibr11-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-012-0136-6"},{"key":"bibr12-00333549161310S210","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0279"},{"key":"bibr13-00333549161310S210","unstructured":"North Carolina Office of Administrative Hearings. Chapter 41: Epidemiology health. 10A NCAC 41A.0214 control measures\u2014 hepatitis C [cited 2015 Oct 29]. 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