Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 30, Supplement - Infectious Diseases and Carceral Health

SUPPLEMENT ISSUE
Prevention

Advancing Hepatitis C Elimination through Opt-Out Universal Screening and Treatment in Carceral Settings, United States

Maeve McNamaraComments to Author , Nathan Furukawa, and Emily J. Cartwright
Author affiliations: Emory University, Atlanta, Georgia, USA (M. McNamara, E.J. Cartwright); Centers for Disease Control and Prevention, Atlanta (N. Furukawa, E.J. Cartwright); Veterans Affairs Atlanta Health Care System, Decatur, Georgia, USA (E.J. Cartwright)

Main Article

Table 3

Litigation supporting HCV treatment of incarcerated persons that advances hepatitis C elimination through opt-out universal screening and treatment in carceral settings, United States*

Case Court Claims Rulings
Estelle v. Gamble, 1976
US Supreme Court
Plaintiff was subjected to cruel and unusual punishment in violation of the 8th Amendment for inadequate treatment of a back injury sustained while he was engaged in prison work.
Judge ruled that correctional facilities cannot display deliberate indifference to known healthcare needs of incarcerated individuals.
Stafford v. Carter, 2018
US District Court, Indianapolis Division
98.8% of incarcerated people with chronic HCV infection were withheld DAAs per prison treatment allocation protocol, violating 8th Amendment to the US Constitution, the Americans with Disabilities Act, and the Rehabilitation Act.
Judge ruled that the prison's policy of relying on APRI scores to determine treatment eligibility amounted to deliberate indifference in this class action suit.
Postawko v. Missouri Department of Corrections, 2020 US District Court, Western District of Missouri, Central Division Class action suit sought prospective relief for denial of rights endowed to plaintiffs by 8th Amendment to the US Constitution and the Americans with Disabilities Act, for systemic denial of treatment for individuals with chronic HCV infection. Private settlement agreement to enforce universal opt-out screening at intake, perform reflex testing within 3 days of positive antibody result, invest $7 million annually to purchase DAAs and enforce treatment of all individuals at highest risk for complications or disease progression.

*Reflex testing describes the process by which the lab performs HCV antibody testing and, if reactive, uses the same sample to automatically perform HCV RNA testing. APRI, aspartate transaminase to platelet ratio Index; DAA, direct-acting antiviral; HCV, hepatitis C virus.

Main Article

Page created: December 31, 2023
Page updated: March 31, 2024
Page reviewed: March 31, 2024
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external