Find and Treat is a specialist outreach team that helps to diagnose and treat conditions among homeless people, drug or alcohol users, vulnerable migrants and people who have been in prison. This population experiences extreme rates of morbidity and mortality and multiple barriers to accessing healthcare, resulting in high rates of undiagnosed conditions such as hepatitis C (HCV) and liver disease. We funded diagnostic equipment including pointof-care tests (for diagnosing HCV) and a portable Fibroscan (for diagnosing liver fibrosis and identifying those with scarring of the liver – cirrhosis).
From September 2016 to August 2018 the team have scanned 320 individuals - more than half of them homeless and hard to reach. One third of those scanned were found to have liver disease and 15% to have cirrhosis - all might have been missed without screening. Chronically infected HCV individuals and those with severe fibrosis or cirrhosis referred to, and supported into, specialist care.