Supplementary Resources

The HHS Viral Hepatitis National Strategic Plan encourages states and local jurisdictions to develop plans to prevent and respond to viral hepatitis in their communities. The resources below have been provided to assist jurisdictions in developing their own viral hepatitis elimination plans (if they have not done so already) or updating their plans to ensure that they are in line with current best practices. Section A – “Guiding Documents and National Resources” – can help guide the elimination plan drafting process. These include resources about the current state of the epidemic and programmatic initiatives that jurisdictions can adopt to address its impact. Section B – “Jurisdictions’ Viral Hepatitis Elimination Plans” – provides examples of current state hepatitis elimination plans. The elimination plans highlighted in this section are a comprehensive list of all current state-level elimination strategies and several include examples of best practices and innovative solutions to address the epidemic.

A.Guidance Documents and National Resources

1. Guidance for Jurisdictional Hepatitis C Elimination Strategic Planning (CDC, 2021)
2. The Community Response to Viral Hepatitis (2016) – Report from the HHS Office of Infectious Disease Policy summarizing strategies community organizations utilized to achieve the goals of the National Viral Hepatitis Action Plan
3. Mapping Hepatitis Elimination Projects in the United States – HHS map of current elimination projects across the nation
4. CDC List of Resources for State, Local, Tribal and Territorial Health Departments
5. Developing an elimination plan: core components and establishing achievable targets (NASTAD, 2021)
6. Engaging People with Lived Experience Toolkit (Community Commons, 2019)
7. Nothing About Us Without Us: The Importance of Centering the Voices of Patient Advocates in the Public Health Response to Viral Hepatitis (NASTAD, 2019)
8. Methods and Emerging Strategies to Engage People with Lived Experience – Improving Federal Research, Policy, and Practice (ASPE – HHS, 2021)

B.Jurisdictions’ Viral Hepatitis Elimination Plans

1. Hepatitis C Elimination Strategy for AI/AN Communities (Northwest Portland Area Indian Health Board, 2019)
2. Ending the Epidemics: Integrated Statewide Strategic Plan Overview, 2022-2026 (California)
3. Hep Free 2030: The Hawaii Hepatitis Elimination Strategy 2020-2030
4. Zero Is Possible: Indiana’s Plan to End HIV and HCV (2021-2030)
5. Iowa Department of Public Health 2017-2021 Iowa Hepatitis Action Plan
6. Louisiana Hepatitis C Elimination Plan: 2019-2024
7. Maryland Hepatitis C Strategic Plan (2019)
8. Michigan’s State Plan on Eliminating Hepatitis C (2021)
9. Missouri Hepatitis C Elimination Plan 2022-26: Show Me The Cure
10. Pennsylvania Viral Hepatitis Elimination Plan (2022)
11. Plan to Eliminate Viral Hepatitis as a Major Public Health Threat in New York City by 2030 (NYC, 2021)
12. North Carolina Comprehensive Response Recommendations (2022)
13. New York State Viral Hepatitis Strategic Plan, 2020
14. Rhode Island Hepatitis C Elimination Plan, 2023-2027
15. 2022 State Plan for Hepatitis C (Texas)
16. Hep C Free Washington: Plan to Eliminate Hepatitis C in Washington State by 2030 (2019)

Jurisdictions’ laws and policies that implement and support harm reduction strategies are a critical tool to reduce viral hepatitis transmission. Officials and advocates who are interested in making changes in their own jurisdictions’ laws can use these resources to shape new harm reduction legislation. Section A – “National Harm Reduction Law and Policy Resources” – provides an overview of existing harm reduction legislation and policy considerations, including national trends and best practices. Section B – “Jurisdictional Resources” – provides curated examples of state-level harm reduction initiatives.

A.National Harm Reduction Law and Policy Resources

1. Syringe Services Programs: Summary of State Laws (LAPPA, 2021)
2. Good Samaritan Overdose Prevention Laws (Prescription Drug Abuse Policy System, 2021) – List of state laws
3. State Approaches to Addressing the Infectious Disease Consequences of the Opioid Epidemic (National Governors Association, 2019) 
4. Law Atlas – Database of state laws relating to:
   1. Syringe Service Program Laws (2019)
5. Research and Evidence to Support Legalization of Syringe Service Programs:
   1. Safety and Effectiveness Summary of Syringe Service Programs (SSPs) (CDC, 2019)
   2. Peer Reviewed Research About Syringe Service Programs (Washington State Department of Health, 2019)
6. Syringe Service Program Locations – Map maintained by the North American Syringe Exchange Network (NASEN)
7. Syringe Services Programs: A Technical package of Effective Strategies and Approaches for Planning, Design, and Implementation (CDC, 2020)
8. Model Syringe Services Program Act (LAPPA, 2021)
9. Syringe Services Programs Communications Toolkit (CDC, 2022)

B.Jurisdictional Resources

1. Naloxone Vending Machines – Initiatives Across Indiana, Michigan, Nevada, Ohio, and Rhode Island (Wayne State University – Center for Behavioral Health and Justice, 2021)
2. New York City Department of Health Feasibility Study on Supervised Injection Sites (2017) – Findings from study conducted by NYC as part of the planning process to implement SIS
3. New York Plans to Install ‘Vending Machines’ With Anti-Overdose Drugs (The New York Times, 2022)
4. The First Supervised Safe Sites for Drug Use Open in New York City (Press Herald, 2021)

The state budget is a critically important tool to help support viral hepatitis elimination efforts. The resources in this section provide tools to help state officials determine appropriate levels of funding for viral hepatitis elimination efforts. In addition to addressing budget allocations, we also include a resource on ways to fund harm reduction strategies through other funding sources.

A.Guidance Documents and National Resources

1. Cost-effectiveness of Total State Coverage for Hepatitis C Medications (American Journal of Managed Care, 2021)
2. Hepatitis C Testing and Treatment Calculator (MGH Institute for Technology Assessment, 2022)
3. National Viral Hepatitis Elimination Budgeting and Strategy Template (World Hepatitis Alliance, 2022)
4. Navigating the Harm Reduction Funding Landscape – A Guide for State, Federal, and Private Funding (NASTAD)

To fully address the viral hepatitis epidemic, officials and community advocates must use a variety of tools, including prevention initiatives, constituent education, provider training, improved access to health care through Medicaid and within correctional systems, coalition-building efforts, and more. The resources in this section provide jurisdiction-specific examples of some of these efforts as well as ready-to-use educational and training resources. To the extent that the jurisdiction-specific lists include examples of existing programs and policies, Hep ElimiNATION recognizes that although some specific jurisdictions’ policies do align with the rubric and bring the jurisdiction closer to elimination, they are still not perfect.

Please note that almost all of the sub-sections below are tailored to include a curated list of resources and existing programs and should not be considered comprehensive. However, the sub-section titled “Enduring Collaborative Networks” is a comprehensive list of all of the jurisdictional and local coalitions and collaborative networks of which Hep ElimiNATION is aware so that stakeholders can easily connect with others in their communities already engaged in viral hepatitis work. 

Accurate and timely surveillance data is necessary to ensure that policy and programmatic decisions are appropriate and directly responsive to the needs of communities. Section A – “National Viral Hepatitis Surveillance and Data Usage Documents and Resources” – is meant to help officials throughout jurisdictions consider how to update their surveillance systems and leverage surveillance data to inform programmatic and policy reform. This section also includes some national data resources. Section B – “Jurisdictional Viral Hepatitis Epidemiological Reports” – includes every current viral hepatitis epidemiological report for each jurisdiction of which Hep ElimiNATION is aware, where a current report is defined as having been published in the last two years. Section C – “Jurisdictional Viral Hepatitis Data Dashboards” – includes every available state hepatitis dashboard of which Hep ElimiNATION is aware, providing current information about the viral hepatitis epidemic in that state.

A.National Viral Hepatitis Surveillance and Data Usage Documents and Resources

1. Widespread person-to-person outbreaks of hepatitis A across the United States (CDC, 2022)
2. AtlasPlus (NCHHSTP, 2021)
3. HepVu (2022)
4. Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments (CDC, 2022)
5. Viral Hepatitis Prevention and Surveillance Virtual Learning Collaborative (NASTAD, 2022)
6. Polaris Observatory Elimination Data (2021)
7. Provisional Drug Overdose Death Counts (CDC, 2022)
8. Interpretation of Hepatitis C Virus Test Results: Guidance for Laboratories (Association for Public Health Laboratories, 2019)
9. Viral Hepatitis Surveillance – United States (CDC, 2021)

B.Jurisdictional Viral Hepatitis Epidemiological Reports

1. California
   1. Vaccine Preventable Diseases Annual Report, 2019 (includes Hepatitis A)
   2. Office of Viral Hepatitis Prevention (Hepatitis B and C Surveillance Reports) (2020)
2. Colorado
   1. Viral Hepatitis Surveillance in Colorado: 2019 Annual Report
3. District of Columbia
   1. The Annual HIV, Sexually Transmitted Infections (STIs), Hepatitis, and Tuberculosis (TB) Surveillance Report (2021)
4. Iowa
   1. State of Iowa Hepatitis C Virus (HCV) End-of-Year 2019 Surveillance Report
5. Louisiana
   1. Hepatitis A in Louisiana (2018)
   2. 2019 Hepatitis B and Hepatitis C Surveillance Report
6. Maryland
   1. 2019 Annual Report – Implementation of Hepatitis B and Hepatitis C Prevention and Control in Maryland
7. Massachusetts
   1. Hepatitis A Outbreak: 2018-2020
   2. Hepatitis B Virus Infection 2021 Surveillance Report, January 2022
   3. 2019 Integrated HIV/AIDS, STD, and Viral Hepatitis Surveillance Report (includes Hepatitis C)
8. Michigan
   1. Michigan Hepatitis A 2016-2019 Outbreak Summary
   2. 2020 Hepatitis B and C Annual Surveillance Report
9. Missouri
   1. Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri—2019
10. New York
    1. Hepatitis A Outbreak (2021)
    2. New York State Hepatitis B and C Annual Report 2019
11. North Carolina
    1. North Carolina Hepatitis A Outbreak-associated Cases (2022)
    2. 2020 North Carolina Hepatitis B/C Surveillance Report
12. Ohio
    1. Hepatitis B: Five year Status Report, 2016-2020
    2. 2020 Hepatitis C Surveillance Summary
13. Rhode Island
    1. HIV, Sexually Transmitted Diseases, Viral Hepatitis, and Tuberculosis Surveillance Report (2019)
14. Tennessee
    1. Hepatitis A Outbreak (2020)
    2. Viral Hepatitis Epidemiological Profile, 2018
15. Virginia
    1. Hepatitis C Epidemiologic Profile 2021
16. Wisconsin
    1. Hepatitis C Virus Surveillance Review 2020

C.Jurisdictional Viral Hepatitis Data Dashboards

1. Arizona
   1. Hepatitis A Outbreak (2019)
2. Delaware
   1. Delaware Environmental Public Health Tracking Network: Hepatitis C (2019)
3. Louisiana
   1. HCV Treatment Dashboard (2022)
4. New Jersey
   1. Dashboard: Viral Hepatitis in New Jersey (2010-2020)
5. New York
   1. New York State’s Hepatitis C (HCV) Dashboard (2022)
6. North Dakota
   1. Disease Report Dashboard (2021)
7. Oregon
   1. Monthly Communicable Disease Surveillance Report (2022)
8. Virginia
   1. Hepatitis C Data Dashboard (2020)