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Hepatitis C testing in sexual health services in England, 2002–7: results from sentinel surveillance
  1. Emily Tweed1,
  2. Lisa Brant1,
  3. Martin Hurrelle2,
  4. Paul Klapper3,
  5. Mary Ramsay1
  6. the Hepatitis Sentinel Surveillance Study Group
  1. 1Health Protection Agency, Centre for Infections, London, UK
  2. 2Health Protection Agency, Leeds laboratory, Leeds, UK
  3. 3Manchester Medical Microbiology Partnership, Manchester Royal Infirmary, Manchester, UK
  1. Correspondence to Emily Tweed, c/o Lisa Brant, Health Protection Agency Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK; emilytweed43{at}


Objectives To describe testing for hepatitis C virus (HCV) in sexual health services in England between 2002 and 2007, using data from a sentinel surveillance study of hepatitis testing.

Methods Data on all anti-HCV tests carried out between 2002 and 2007 were collected from 20 participating laboratories. Test requests originating in sexual health services were identified, allowing analysis of the demographic and clinical characteristics of individuals tested in this setting. KC60 statutory returns data were used to estimate the proportion of new genitourinary medicine clinic attendees tested for hepatitis C each year.

Results 90 424 individuals were tested for anti-HCV in 100 sexual health clinics; 3.2% (n=2858) were found to be positive. Multivariable analysis showed anti-HCV status to be associated with male sex and a reported history of injecting drug use. In those clinics for which data on trends were available, testing for anti-HCV increased over the study period and the percentage testing positive decreased. KC60 data suggested that most clinics tested less than 20% of new patients for anti-HCV, although the proportion of patients tested increased over time.

Conclusions Sexual health services have become increasingly important locations for hepatitis C testing in England, although the proportion of patients testing positive is low compared with other settings. We suggest that testing in this setting could be better targeted to those most at risk of infection by thorough investigation of risk factors among service users.

  • Hepatitis C virus
  • genitourinary medicine
  • screening
  • sentinel surveillance
  • sexual health
  • surveillance

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  • For members of the Hepatitis Sentinel Surveillance Study Group see Appendix 1.

  • Funding This study was funded by the UK Department of Health. The funding body did not have any involvement in the study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the paper for publication.

  • Competing interests None.

  • Ethics approval Ethics approval was obtained from the Northern and Yorkshire Multi-Centre Research Ethics Committee (MREC1/3/76) and Public Health Laboratory Service Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.