{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T10:47:01Z","timestamp":1777286821087,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Chronic hepatitis D virus (HDV) infection always occurs as a coinfection with hepatitis B virus (HBV) and is the most severe form of viral hepatitis, associated with a high risk of cirrhosis, liver cancer and death. Effective treatment is now available for HDV\u2013HBV coinfection and HDV screening is recommended for all people living with HBV, yet most people in Australia with HDV\u2013HBV are diagnosed too late to prevent complications. This article calls for an urgent change in HDV testing policy and funding to implement reflex HDV antibody (anti\u2010HDV) testing for all people diagnosed with HBV infection, thus enabling timely diagnosis of HDV\u2013HBV coinfection and rapid access to life\u2010saving treatment.<\/jats:p>","DOI":"10.5694\/mja2.70170","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T02:54:22Z","timestamp":1775444062000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reflex Testing for Hepatitis D Infection: A Unique Opportunity to Reduce Hepatitis D\u2010Related Chronic Liver Disease Deaths in Australia"],"prefix":"10.5694","volume":"224","author":[{"given":"Jessica","family":"Howell","sequence":"first","affiliation":[{"name":"St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Burnet Institute  Melbourne Victoria Australia"},{"name":"University of Melbourne  Melbourne 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