EuroHePP : The European Toolkit to Strengthen National Responses for the Elimination of Viral Hepatitis in Prisons
People living in prison are disproportionately affected by hepatitis B and C, yet access to prevention, testing, and treatment services remains inconsistent across Europe. Addressing this gap is critical to achieving viral hepatitis elimination targets by 2030. EuroHePP is a European toolkit developed to support national responses to viral hepatitis in prison settings. It was created through a structured, multi-stage process involving evidence review, stakeholder consultations, and expert validation. The toolkit provides practical guidance across the full continuum of care, including prevention, testing, treatment, and monitoring, and promotes micro-elimination approaches tailored to prison populations. It emphasises evidence-based interventions such as opt-out testing, decentralised and simplified models of care, harm reduction strategies, and continuity of care after release. By offering adaptable tools and frameworks for policymakers and practitioners, EuroHePP aims to strengthen prison health systems, reduce health inequalities, and accelerate progress towards hepatitis elimination at national and regional levels.
Authors
- Carole Seguin‐Devaux (ORCID: https://orcid.org/0000-0003-0636-5222)
- Linda Montanari (ORCID: https://orcid.org/0000-0001-7681-5933)
- Fadi Meroueh (ORCID: https://orcid.org/0000-0002-6824-5608)
- Roberto Ranieri (ORCID: https://orcid.org/0000-0002-4548-4403)
- Joaquín Cabezas (ORCID: https://orcid.org/0000-0003-0012-484X)
- Filipa Alves da Costa (ORCID: https://orcid.org/0000-0003-0562-2514)
- Christian Brixko
- Serena Fondelli
- Nicola Cocco
- Lara Tavoschi (ORCID: https://orcid.org/0000-0002-2217-4664)
- Arkadiusz Komorowski (ORCID: https://orcid.org/0000-0002-1674-4333)
- Thomas Seyler
- Guglielmo Arzilli (ORCID: https://orcid.org/0000-0003-1258-1650)
- Rafaela Rigoni (ORCID: https://orcid.org/0000-0002-8393-4604)
- Olivia Dawson
- Alessio Saponaro
- Sara Mazzilli (ORCID: https://orcid.org/0000-0002-7989-0661)
- María Buti (ORCID: https://orcid.org/0009-0002-9620-9812)
- Ehab Salah
- Heino Stöver
- Éamonn O'Moore
- Erika Duffell
- Charlotte Deogan (ORCID: https://orcid.org/0000-0002-2082-5419)
- Gabriele Fischer
Institutions
- University of Pisa (IT)
- Goethe University Frankfurt (DE)
- AOL (United States) (US)
- European Union (BE)
- University of Lisbon (PT)
- HM Prison Service (GB)
- United Nations Office on Drugs and Crime (AT)
- Health Service Executive (IE)
- Directorate of Health (IS)
- Service de la Santé Publique (CH)
- World Health Organization Regional Office for Europe (DK)
- Marqués de Valdecilla University Hospital (ES)
- Luxembourg Institute of Health (LU)
- Tarımsal Araştırmalar ve Politikalar Genel Müdürlüğü (TR)
- Instituto de Investigación Marqués de Valdecilla (ES)
- Vall d'Hebron Hospital Universitari (ES)
- Harm Reduction Services (US)
- International University in Geneva (CH)
- Centre hospitalier régional de la Citadelle (BE)
- Austrian Political Science Association (AT)
- Frankfurt University of Applied Sciences (DE)
- European Centre for Disease Prevention and Control (SE)
- Medical University of Vienna (AT)
Publication Details
- Journal
- Liver International
- Published
- 2026-09-15
- DOI
- https://doi.org/10.1111/liv.70874
- Primary Topic
- Hepatitis C virus research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- European Centre for Disease Prevention and Control
- Università di Pisa