Finding 50,000

50,000 National project to increase HCV treatment rates

A hunt will soon be on to find 50,000 Australians with hepatitis C who are missing out on getting cured.

The ‘Finding 50,000’ campaign will target geographically dispersed and socially diverse people who so far, have not been reached by the “business-as-usual” national hepatitis C response.

Led by Hepatitis Australia and funded by the Federal government as part of a larger project, ‘Finding 50,000’ will work with local services and communities to engage with 50,000 people with hepatitis C by the end of 2022.

Geo-targeting

This geo-targeted campaign will be implemented in 16 areas nationally. State and Territory Health Departments have been asked to identify Primary Health Network (PHN) areas as targets for on-the-ground implementation. These are areas:

• where testing and treatment uptake are low, • which are unlikely to reach the national 2022 targets without additional effort, and

• which are not already being targeted in other campaigns or projects.

By focusing on specific locations, activities can be integrated, and by selecting locations where there is capacity to scale up services, the impact of the campaign can be maximised to increase hepatitis C testing and treatment.

The 16 geographic areas include four in New South Wales, three each in Queensland and Victoria, two in Western Australia and one each in the ACT, Northern Territory, South Australia and Tasmania.

SA: A Granular Approach

South Australia has just two PHNs, both of which have relatively high hepatitis C treatment uptake. SA Health has therefore adopted a more granular approach by identifying Australian Bureau of Statistics sub areas (SA3) within the Adelaide PHN as target locations.

Four metropolitan SA3 regions—Port Adelaide – West, Port Adelaide – East, Playford and Salisbury—were recommended. The four areas are over-represented in the number of people with untreated hepatitis C.

In making the recommendations, Tom Rees, Manager STI & BBV Section, SA Health, said that the most recent Viral Hepatitis Mapping Report showed that in 2020 these four SA3s contained 21% of the overall South Australian population, and 34% of all South Australians living with hepatitis C who were yet to access treatment.

He further pointed out that postcodes with lower socioeconomic indices have higher hepatitis C notifications, quoting a study into the socioeconomic burden of hepatitis C in SA which stated that “HCV notifications were 7 times more likely to be from people residing in the least economically-resourced 10% of postcodes, and 20 times more likely compared to people living in the wealthiest deciles”.

The SA3 of Port Adelaide – East, Port Adelaide – West, Playford and Salisbury are also served by existing services which can be scaled 50,000 up to meet increased demand for hepatitis C testing and treatment.

The Larger Project

The campaign is a component of the larger National Hepatitis C ‘Finding 50,000’ Campaign, also known as the 50,000 Project.

The 50,000 Project is a sector-led proposal developed following a commitment made by Federal Minister for Health Greg Hunt in November 2020, to find 50,000 people living with hepatitis C by the end of 2022 as part of the response to achieve Australia’s hepatitis C testing and treatment targets.

The Project identified five key “inter-related and mutually reinforcing” pillars of activities to be focused in areas where testing and treatment uptake have been low, and concerted effort is needed. The activities are:

• national hepatitis C public education campaigns,

• a national program to increase hepatitis C point of care testing,

• expanded hepatitis activity in primary care, including case finding,

• national Hepatitis C Infoline enhancement,

• a hepatitis C systems working group and project coordination and evaluation

It is projected that, run concurrently, these activities will amplify the reach and retention of messages, and increase community engagement in local existing services.

Local Activities

Running under the umbrella of the broader campaign, ‘Finding 50,000’ will organise events and work with communities to motivate people to act on hepatitis C. It aims to achieve this by working with community influencers, raising awareness within communities, about hepatitis and liver cancer, and providing people with support and pathways to seeing friendly nurses and GPs to get tested and treated.

These activities will be further reinforced with messages in the media, and be supported by other national 50,000 Project activities including enhancement of the Hepatitis Infoline, point-of-care testing, campaigns with people who inject drugs, and work with Aboriginal and Torres Strait Islander communities, as well as the national and individual state World Hepatitis Day campaigns.

The National Hepatitis C ‘Finding 50,000’ Campaign is funded by the Australian Government Department of Health. Project partners include the Australian Department of Health & BBV & STI Standing Committee, Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM), Hepatitis Australia, The Burnet Institute in partnership with NACCHO and AIVL, The Kirby Institute in partnership with Flinders University and National Reference Laboratory.

Cecilia Lim