Virtual Elimination of HCV from an Inner City General Practice

(A report back on Dr Kenneth Koh's session - Virtual Elimination of HCV from an inner city general practice - Treating Hepatitis C in General Practice Forum )

This session was presented by Dr Kenneth Koh who is a GP at Holdsworth house (a general practice specialising in HIV & sexual health). Dr Koh’s presentation highlighted statistics found using the Holdsworth house data base. 

Below is a summary of the main points of his very informative presentation.  

  1. All GPs should try their best to integrate the database they have in their practices to identify HCV Patients in order to treat them. 

  2.  It’s very rare to have a chronic disease that is curable! HVC is one of those so if you as a GP have not written your first script of DAA you better use that golden chance and cure your first patient! 

  3. We should all go back to the basic rule of a thorough history taking including sexual history and illicit drugs history. 

  4. Keep in mind vertical transmission of HCV through pregnancy (snow ball issue) 

  5. When going back to your practice after today's session dig out hep C data, send letters, recall patients – reach out in every possible way to cure to them. 

  6. 30% of HCV patients could have normal LFT. 

  7. When treating the patient for full course and achieving cure remember to think about re-Infection or HIV Co-infection. 

  8. Offer screening to all patient who request it but still continue to focus on at Risk patients including people 

    a. who inject drugs 

    b. have tattoos  

    c. who share medical equipment especially whilst overseas  

    d. have HIV  

    e. who have been in prison 

    f. who have abnormal unexplained LFTs 

    g. who have had a blood transfusion/exposure, organ transplant etc 

    h. who have Chemsex  

    i. MSM

 

The key message from the forum was - NO Hep C Elimination without GP participation. 

 

Author bio: 

My name is Seham Fahmy. I graduated from Baghdad medical university with MBBS degree. Soon after I travelled to Egypt where I finished an internship year and then migrated a year later to Australia. I started working at Launceston teaching hospital in Tasmania while I was sitting the AMC exams and soon after obtaining my AMC certificate I Jointed the RACGP to obtain my FRACGP 16 years ago. 

 Since then I have been working as GP in Panania Family Clinic where a have wide base of multicultural patients  from different backgrounds. My aim is to help each and every one of them to have the best chance to live a healthy and productive life.