Definition of the Problem
On August 17, 2012, the Centers for Disease Control and Prevention (CDC) released recommendations for testing all persons in the US born between 1945 and 1965 for hepatitis C infection.1 The Baby Boomer generation has been targeted because the CDC has determined that 75% of all chronic hepatitis C cases are between 47 and 67 years of age and the prevalence is five times higher in this age group than in any other.1
According to the Institute of Medicine, only 25% of those who are infected know their status and, given that there are an estimated 3.9 to 4.9 million persons living with hepatitis C virus (HCV) infection in the US, that means approximately 3 to 3.7 million American Baby Boomers currently have chronic hepatitis C and don’t know it.1,2 The majority of this group is believed to have been infected between 1980 and 1990, with an estimated 230,000 infections per year during that decade.4 By 1992, the year that sensitive assays for the identification of HCV were developed, the number of reported new cases had already declined by 78%, probably a result of a saturation of the drug-injecting population.5 The number of new cases has steadily declined each year since, and in 2010 there were only 17,000 new cases of acute infection.6,7 (more…)