Compass Project, Inside and Outside Link for Prisoners and PWID with Hepatitis C in France

Author: REMY André-Jean, BAZELA Alexandre, BOULOGNE Guillaume, BOUCHKIRA Hakim, MONTABONE Stéphane

Theme: Clinical Research Year: 2016


REMY André-Jean, BAZELA Alexandre, BOULOGNE Guillaume, BOUCHKIRA Ha-kim, MONTABONE Stéphane

Mobile Hepatitis Team, Perpignan Hospital, France

Introduction: Mobile hepatitis team was created in 2013 to increase screening care and treatment of hepatitis B and C patients. We proposed 13 services: 1. Screening by Dried Blood Spot (DBS) HIV HBV HCV 2. Mobile Fibroscan* in site 3. Social screening and diagnosis (EPICES score) 4. Advanced on-site specialist consultation 5. Access to pre-treatment commissions. 6. Individual psycho-educative sessions 7. Collective educative workshops 8. Staff training 9. Drug users prevention 10. Peer to peer program 11.Low cost specific patients mobile phones 12. Specific one day hospitalizations 13. Green thread: outside POCT and FIBROSCAN* in specific con-verted truck. Target population was drugs users, prisoners, homeless, precarious people, migrants and psychiatric patients. In our 3 years experience we screened, treated and cured 93 HBV/HCV patients with our team; it was enough to linkage care of all target population.

Objectives: of COMPASS project will to increase screening care and treatment of hepatitis B and C in inmates and drug users inside and outside, including incarcera-tion with specific health care workers.

Methodology: 2 health care workers welcome, screen and support inmates and PWID in their life area and drugs units, in all steps of HBV/HCV care. We create also outreach centre outside jailhouse to welcome, follow up HCV and HBV patients after incarceration with or without treatment.

First results: after 3 months we observed significal increase of HCV an HBV pa-tients screened and diagnosed, treatments started, measure realized of social score EPICES. All these 2016 results were compared with year 2015 and showed increase of 20 to 50% of each item.

Conclusions: specific follow up and support by dedicated health care workers are essential for increase medical management of drug users and inmates HCV/HBV patients. COMPASS project was new useful tool to screen diagnosis and treat these patients by specific pathway of care

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