Infectious Disease

Hepatitis C Birth Cohort Testing Communications Toolkit

ASTHO is working to enhance the role of state health agencies in addressing hepatitis and demonstrate the value of infrastructure and funding at the state public health level.

On Aug. 16, 2012, CDC released expanded screening recommendations for identifying persons with hepatitis C virus (HCV) chronic infection. The new recommendation that all baby boomers (people born from 1945-1965) be tested once is intended to increase the proportion of persons with chronic HCV who are diagnosed and ensure they receive appropriate prevention services and are linked to needed care and treatment.

To help state health officials communicate about CDC's updated recommendations with providers and the public, ASTHO has collected helpful tools and background materials. Other resources will be posted as they become available.

Public Education Tools

Sample op-ed
Los Angeles Times op-ed “Hepatitis C Test for Baby Boomers Saves Lives.”

Know More Hepatitis
CDC's national hepatitis C campaign.

Hepatitis C: Why Baby Boomers Should Get Tested
Two-page CDC factsheet highlighting the new birth cohort recommendations and why they are important. 

Hepatitis C Testing Recommendation Radio Scripts
Scripts for brief, live radio PSAs on CDC's new HCV testing recommendations.

Provider Education Tools

Sample "Dear Colleague" letter
New York City commissioner of health’s letter to medical providers about HCV prevention and testing recommendations.

Training materials

  • Hepatitis Web Study: Interactive, case-based modules for web-based study from the University of Washington and the Seattle STD/HIV Training Center.
  • Hepatitis C Online Course: Interactive self-study course on hepatitis C infection from the University of Washington and the International Viral Society-USA.
  • Florida Hepatitis 101 Webinar 
    Educational webinar features testing recommendations, and provides nurses with continuing education units (CEUs).

ASTHO Showcases State Successes & Innovative Approaches

Meeting report: CDC's Recommendations for One-time Hepatitis C Virus Testing for Persons Born During 1945-1965: Public Health's Role and Key Elements for Effective Implementation

CDC's Recommendations for One-time Hepatitis C Virus Testing for Persons Born During 1945-1965
Meeting report on public health's role and key elements for effective implementation. View document »

State-Level Implementation of the Birth Cohort Hepatitis C Testing Recommendations
State successes and approaches for leveraging collaborations in care and surveillance for implementation of CDC's testing recommendations. View document »

Arkansas Promotes Hepatitis C Testing Among Baby Boomers
State story highlights the Arkansas Department of Health's innovative strategies to implement the testing recommendations. View document »

Wisconsin Promotes Hepatitis C Testing Among Baby Boomers
State story highlights the Wisconsin Division of Public Health's efforts around stakeholder education and partner engagement to implement the testing recommendations. View document »

New York Hepatitis C Testing Law
New York implements the first state hepatitis C testing law in the nation.

Florida Hepatitis Prevention Comprehensive Plan (2011-2015)
Comprehensive plan guides program goals and activities, and includes a key strategic objective to increase viral hepatitis education amongst providers.

Florida Hepatitis Resource Guide
Resource guide lists organizations that provide hepatitis and related support services.

Presentation Videos

"Understanding CDC's Recommendations for Baby Boomer HCV Testing," John Ward, CDC


"New Developments in Hepatitis C Care and Treatment," Donald Jensen, University of Chicago Medical Center


"Public Health Leadership's Role in Hepatitis C Testing and Care," Judith Monroe, CDC

Testing Recommendations

Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement

Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born During 1945-1965
Article published in Morbidity and Mortality Weekly Report Recommendations and Reports, April 17, 2012.

Testing for HCV Infection: An Update of Guidance for Clinicians and Laboratorians
Article published in Morbidity and Mortality Weekly Report, May 10, 2013.

Interpretation of Results of Tests for Hepatitis C Virus (HCV) Infection and Further Actions
One-page table outlining interpretation of initial test results to determine whether or not a patient needs additional testing and clinical evaluation.

Recommended Testing Sequence for Identifying Current Hepatitis C Virus (HCV) Infection
One-page flow chart outlining the serologic testing process, beginning with anti-HCV testing.

Expanded Hepatitis C Virus Screening Recommendations Promote Opportunities for Care and Cure
Editorial from Annals of Internal Medicine, June 25, 2013.

Health Department Programs

CDC Adult Viral Hepatitis Prevention Coordinators
Resource center for CDC's funded state, local, and territorial programs that focus on preventing viral hepatitis transmission in adults.

Investing in Health Department HCV Testing - 2013 Survey Results
NASTAD issue brief on state health department supported HCV testing activities.