Sunday 28th July 2019 is World Hepatitis Day . This is an important health issues in prison. A recent review estimated that, of the 10·2 million people in prison worldwide on any given day in 2014, 15·1% have hepatitis C virus (that’s 1 546 500 people) and 4·8% have chronic hepatitis B virus (that’s 491 500 people) (Dolan, 2016).

The prison setting present challenges and opportunities for the prevention and treatment of viral hepatitis, and in the vlog below, Dr Roberto Monarca, Infectious Diseases Specialist and Head of the Health Unit at the Maximum Security Prison in Viterbo, Italy, and Health Without Barriers’ Scientific Director, outlines some of these.

Please also join the discussion at our community group on Hep C in prisons at




Related papers from Dr Monarca


A systematic review on models of care effectiveness and barriers to Hepatitis C treatment in prison settings in the EU/EEA.

Vroling H, Oordt-Speets AM, Madeddu G, Babudieri S, Monarca R, O'Moore E, Vonk Noordegraaf-Schouten M, Wolff H, Montanari M, Hedrich D, Tavoschi L.

J Viral Hepat. 2018 Dec;25(12):1406-1422


Management of HCV infection in the penitentiary setting in the direct-acting antivirals era: practical recommendations from an expert panel.

Ranieri R, Starnini G, Carbonara S, Pontali E, Leo G, Romano A, Panese S, Monarca R, Prestileo T, Barbarini G, Babudieri S; SIMSPe Group.

Infection. 2017 Apr;45(2):131-138.


Correlates of infection and molecular characterization of blood-borne HIV, HCV, and HBV infections in HIV-1 infected inmates in Italy: An observational cross-sectional study.

Sanarico N, D'Amato S, Bruni R, Rovetto C, Salvi E, Di Zeo P, Chionne P, Madonna E, Pisani G, Costantino A, Equestre M, Tosti ME, Cenci A, Maggiorella MT, Sernicola L, Pontali E, Pansera A, Quattrocchi R, Carbonara S, Signorile F, Surace LA, Federzoni G, Garlassi E, Starnini G, Monarca R, Babudieri S, Rapicetta M, Pompa MG, Caraglia A, Ensoli B, Ciccaglione AR, Buttò S.

Medicine (Baltimore). 2016 Nov;95(44):e5257.





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