Project Hep-ØN: A comprehensive approach to reduce chronic viral hepatitis in Portugal

ISSUE: The World Health Organization considers viral hepatitis a public health problem and aims to eliminate it as a threat by 2030, reducing incidence by 90% and mortality by 65%. To achieve these goals, the National Program for Viral Hepatitis recommends the screening of viral hepatitis at least once in a lifetime. However, this is not a widespread practice. DESCRIPTION OF THE PROBLEM: Micro-elimination is an effective, efficient, and cost-effective intervention in addressing chronic hepatitis in specific geographic areas. The ‘Hep-ØN’ project aims to reduce the incidence, mortality, and morbidity of viral hepatitis in the area of influence of Oeste Norte. The project has three strategic axes: screening, patient follow-up, and liver disease literacy, with the support of several partners. RESULTS: The goal is to implement viral hepatitis screening at least once in a lifetime for all adult users, improve referral networks, ensure treatment and post-treatment surveillance of viral hepatitis, and empower healthcare professionals. The project aims to cover the 180,000 users registered in Oeste Norte (municipalities of Alcobaça, Bombarral, Caldas da Rainha, Óbidos, Peniche, Nazaré), of which more than 150,000 are over 18 years old. The pilot project is taking place in Peniche until September 2023, and covers more than 27,000 users, of which more than 22,000 are adults. The project's strategies can be applied to other areas, allowing for the rapid identification and treatment of viral hepatitis. LESSONS: The success of the pilot project in Peniche will demonstrate the importance of integrated and localized interventions in preventing and eliminating chronic viral hepatitis, first in ACES ON and then in other regions of the country. Replication should be adapted to local characteristics, leveraging synergies with local and national partners. Integrated care models are an effective strategy to address the challenges of preventing, treating, and controlling chronic viral hepatitis. KEY MESSAGES: • ‘Hep-ØN’ project aims to screen all adults, treat viral hepatitis, and empower healthcare professionals in Oeste Norte to eliminate chronic hepatitis. • Success of the pilot project in Peniche will show localized interventions’ importance in identifying and treating viral hepatitis rapidly and how integrated care models are an effective strategy.