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Lack of Access to Treatment as a Barrier to HCV Screening: A Facility-Based Assessment in the Indian Health Service

Reilley, Brigg MPH; Leston, Jessica MPH; Redd, John T. MD, MPH; Geiger, Rebecca PharmD

Journal of Public Health Management and Practice: July/August 2014 - Volume 20 - Issue 4 - p 420–423
doi: 10.1097/PHH.0b013e31829e05b8
Original Articles

The US Centers for Disease Control and Prevention recently issued new recommendations to screen persons born between 1945 and 1965 for hepatitis C virus. Federal facilities in the US Indian Health Service were surveyed on knowledge and support for the hepatitis C virus recommendations, as well as barriers and concerns.

This study presents a facility-based assessment of the lack of access to treatment as a barrier to HCV screening in the Indian Health Service.

Indian Health Service, Albuquerque, New Mexico (Mr Reilley); Northwest Portland Area Indian Health Board, Portland, Oregon (Ms Leston); Indian Health Service, Santa Fe, New Mexico (Dr Redd); Indian Health Service, Claremore, Oklahoma (Dr Geiger).

Correspondence: Brigg Reilley, MPH, Indian Health Service, 5300, Homestead Rd NE, Albuquerque, NM 87110 ( or Jessica Leston, MPH, 2121 SW Broadway Ste 300, Portland, OR 97209 (

B. Reilley and J. Leston acknowledged as joint first authors.

This work was supported by the Indian Health Service and Northwest Portland Area Indian Health Board.

The authors thank the following people for their contributions to the article: Lisa Neel, MPH, Jonathan Iralu, MD, Brenna Simons, PhD, Stacey Williams, PharmD, and Michael Bartholomew, MD.

The opinions expressed in this paper are those of the author and do not necessarily reflect the views of the Indian Health Service, the Centers for Disease Control and Prevention, or the Department of Health and Human Services

No conflicts of interest are reported by any author.

© 2014 Lippincott Williams & Wilkins, Inc.