Hepatitis B and C in homeless populations in London

As we all know, homeless populations across the globe do not have the same levels of access to health care as housed individuals. This has only become more apparent in a recent article published in the British Thoracic Society Journals investigating the high incidence of hepatitis B virus, hepatitis C virus, and latent tuberculosis infection in homeless populations. The researchers found that a substantial population were not immune and hadn’t been vaccinated against hepatitis B virus. Those of the population that consented to the study that were intravenous drug users were more likely to be vaccinated due to them being a target population for vaccination outreach in the UK. The hepatitis B vaccine is available and effective at protecting against hepatitis B infection - so why is it that the homeless population in the UK has not been targeted for vaccination outreach? This study described the population as “usually hard-to-reach” and thus used convenience sampling. They weren’t able to have intoxicated individuals participate due to consent issues, which only makes a stronger case for helping homeless individuals stave off these blood-borne viral infections. The provided data in the study could potentially be used to estimate cost-effectiveness of at least giving the hepatits B vaccine to homeless people in the UK. This published article has only reinforced the need for support for homeless populations in the UK.

-Meley

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