The Syndemic Roundtable: Opioids & Hepatitis C

The Syndemic Roundtable Post Meeting Report is now available


Click here to read the report!

Dreamland: The True Tale of America's Opiate Epidemic

“Addiction has devastated hundreds of cities, small towns, and suburbs across America. How that happened is the riveting story behind Dreamland.”

Recommended Reading:

Opioid Epidemic Impact

  1. Enquirer and Media Network of Central Ohio. Seven Days of Heroin
  2. Centers for Disease Control and Prevention. Quick Stats: Rates of Drug Overdose Deaths Involving Heroin,* by Selected Age Groups — United States, 2006–2015
  3. Centers for Disease Control and Prevention. Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015
  4. Medical Care. The Economic Burden of Prescription Opioid Overdose, Abuse, and Dependence in the United States, 2013
  5. CDC Guideline for Prescribing Opioids for Chronic Pain
  6. Treatment utilization among persons with opioid use disorder in the United States

The Syndemic

  1. The Washington Post. Another outbreak related to the nation’s opioid crisis: hepatitis C
  2. National Institute on Drug Abuse. Viral Hepatitis—A Very Real Consequence of Substance Use
  3. Centers for Disease Control and Prevention. Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years — Kentucky, Tennessee, Virginia, and West Virginia, 2006–2012
  4. Centers for Disease Control and Prevention. Graph: New Hepatitis C Infections since 2010
  5. CNN. “New hepatitis C infections triple due to opioid epidemic”
  6. The PEW Charitable Trusts. With Opioid Crisis, a Surge in Hepatitis C 
  7. Richard Wolitski, Ph.D., Director, Office of HIV/AIDS and Infectious Disease Policy, U.S. Department of Health and Human Services. Interconnected, Intertwined, and Colliding: Co-Occurring Epidemics of HIV, Viral Hepatitis, and Opioids
  8. Jon E. Zibbell, PhD, Alice K. Asher, PhD, Rajiv C. Patel, MPH, Ben Kupronis, MPH, Kashif Iqbal, MPH, John W. Ward, MD, and Deborah Holtzman, PhD. Increases in Acute Hepatitis C Virus Infection Related to a Growing Opioid Epidemic and Associated Injection Drug Use, United States, 2004 to 2014

Hepatitis C, Opioid Addiction Treatment, and Self-efficacy

  1. Toronto Centre for Liver Disease. Hepatitis C Screening May Boost Opioid Treatment Success
  2. Clinical Infectious Diseases. Sustained Drug Use Changes After Hepatitis C Screening and Counseling Among Recently Infected Persons Who Inject Drugs: A Longitudinal Study
  3. Hepatitis C screening and treatment outcomes in patients with substance use/dependence disorders.
  4. AIDS. A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users.
  5. Community Mental Health. Hope and Abstinence Self-Efficacy: Positive Predictors of Negative Affect in Substance Abuse Recovery
  6. Addiction Behavior. The Role of Self-Efficacy in the Treatment of Substance Use Disorders


  1. Centers for Disease Control and Prevention. State HCV Incidence and Policies Related to HCV Preventive and Treatment Services for Persons Who Inject Drugs — United States, 2015–2016
  2. Final Report: The President’s Commission on Combating Drug Addiction and the Opioid Crisis
  3. Recommendations of Congressman Patrick J. Kennedy to the President’s Commission on Combating Drug Addiction and the Opioid Crisis
  4. The National Center on Addiction and Substance Abuse. ENDING THE OPIOID CRISIS: A PRACTICAL GUIDE FOR STATE POLICYMAKERS

Treatment and Program Considerations

  1. Johns Hopkins Bloomberg School of Public Health Center for Health Security. Serving the Greater Good: Public Health and Community Pharmacy Partnerships PAGE 11-12
  2. National Public Radio. “Syringe Exchange Program Aims To Slow Hepatitis C Infections In Alaska”
  3. Jama Internal Medicine. Association of Opioid Agonist Therapy with Lower Incidence of Hepatitis C Virus Infection in Young Adult Injection Drug Users
  4. Substance Abuse. Hepatitis Infection in the Treatment of Opioid Dependence and Abuse
  5. International Journal of Drug Policy. An international perspective on using opioid substitution treatment to improve hepatitis C prevention and care for people who inject drugs: structural barriers and public health potential
  7. JAMA. Confronting the Stigma of Opioid Use Disorder—and Its Treatment
  8. C-SCOPE Topline Results
  9.  Perceived Barriers Related to the Management of HCV Infection Among Physicians Prescribing Opioid Agonist Therapy: The C-SCOPE Study
  10.  Self-Reported Competency Related to Testing, Management and Treatment of HCV Infection Among Physicians Prescribing Opioid Agonist Therapy: The C-SCOPE Study

HCV Elimination

  1. Highlights: A National Strategy for the Elimination of Hepatitis B and C Phase Two Report
  2. Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C. Chapter 3 Knowledge and Awareness About Chronic Hepatitis B and  Hepatitis C