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Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of Health Department of Health and Human Services Bethesda, MD
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Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Mar 28, 2015

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Page 1: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Hepatitis Studies

Shyam Kottilil M.D., Ph.D.

Laboratory of Immunoregulation

National Institute of Allergy and InfectiousDiseases

National Institutes of Health

Department of Health and Human Services

Bethesda, MD

Page 2: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Hepatitis C and HIV coexist in the US

0

1

2

3

4

5

Num

ber a

ffect

ed (m

illio

ns)

HCV

HIV

Sulkowski MS, Mast EE, Seeff, LB et al. Hepatitis C Virus Infection as an Opportunistic Disease in Persons infected with Human Immunodeficiency Virus. Clin Infect Dis. 2000;30:577-84.

Population

All HIV+

0

20

40

60

80

100

Perc

enta

ge

IVDU90%

33%

Population

Page 3: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Washington, D.C. Our Nation’s Capital

3%=18000 HIV+

1.8%=12000 HCV+

Page 4: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Establishment of Hepatitis Clinics

Average Incidence Rateper 100,000 Population

0 - 25.025.1 – 50.050.1 – 75.075.1 – 100.0100.1 – 125.0

Numbers found below each ward refer to the rate of newly reportedHIV cases per 100,000 population. Rates were calculated using 2000 Census data.

For 16% of cases, ward information was not available and therefore not displayed on this map.

HCV/HIVHCVHIV/HBVHBVHIV/HCV/HBV

Page 5: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Hepatitis Treatment Protocols-DC-PFAP

GS-7977+RBV Anti-fibrosis

Jan Mar Sept Dec Mar JuneJune Sept

HCV DAA Tx

Peg+RBV+PI (Boc) IFN and RBV FREE Tx

TLR7 PHASE 1

Anti-fibrosis

HCV-DAA

HCV-DAA

TLR7 Phase 1Natural History

Anti-fibrosis

Page 6: Hepatitis Studies Shyam Kottilil M.D., Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of.

Most Effective HIV Program

Most Effective Hepatitis Program

Washington, D.C. Our Nation’s Capital