<p>Hepatitis C virus (HCV) infection is increasingly reported among Rohingya refugees in Cox’s Bazar, with active infection rates in adults reaching 20% by 2023. The risk of liver disease progression and hepatocellular carcinoma (HCC) may be amplified by coexisting factors such as chronic malnutrition, coinfections, aflatoxin exposure, metabolic disorders, and environmental toxins. Despite WHO-led efforts, data on these risk factors remain fragmented, and access to care is limited. This study underscores the need for comprehensive surveillance, epidemiological research, and long-term prevention strategies to reduce HCV-related morbidity and the future burden of HCC in displaced Rohingya populations.</p>

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Optimizing HCV Management Among Rohingya Refugees in Cox’s Bazar, Bangladesh: Addressing Cofactors and Environmental Risks to Mitigate Long-Term Liver Disease Complications

  • Giancarlo Ceccarelli,
  • Francesco Branda,
  • Fariha Fairouz,
  • Mattia Albanese,
  • Fabio Scarpa,
  • Massimo Ciccozzi

摘要

Hepatitis C virus (HCV) infection is increasingly reported among Rohingya refugees in Cox’s Bazar, with active infection rates in adults reaching 20% by 2023. The risk of liver disease progression and hepatocellular carcinoma (HCC) may be amplified by coexisting factors such as chronic malnutrition, coinfections, aflatoxin exposure, metabolic disorders, and environmental toxins. Despite WHO-led efforts, data on these risk factors remain fragmented, and access to care is limited. This study underscores the need for comprehensive surveillance, epidemiological research, and long-term prevention strategies to reduce HCV-related morbidity and the future burden of HCC in displaced Rohingya populations.