This measure helps us estimate our group's effort in eliminating HCV in the city and reducing the number of deaths associated with HCV. This measure can be used to estimate the health status of people with HCV infection and it can be used to inform how our programs and strategies should be modified to systematically improve the health of people with HCV infection. 

Description of Data: The age-adjusted rate (per 100,000) HCV-related deaths among San Francisco residents. 

Time:

• Data time frame: 1999-2018
• Based on data as of 09/17/2020

Inclusion/Exclusion Criteria: 

Hepatitis C related mortality was identified by using two MCD-ICD-10 codes:

1. B17.1 - Acute hepatitis C
2. B18.2 - Chronic viral hepatitis C

Description of Data Source: Multiple Cause of Death data in CDC Wonder was used for this measure. Data are based on death certificates for U.S. residents. Non-residents (e.g. nonresident aliens, nationals living abroad) are not included. Each death certificate contains a single underlying cause of death, up to twenty additional multiple causes, and demographic data. The data includes cause of death (4-digit ICD 10 code) and place of residence. More information can be found here: https://wonder.cdc.gov/

*Note that it has been clearly demonstrated that estimates of causes of death using death certificates are almost always an undercount of the true numbers of deaths from that condition, and this is specifically true for HCV, see: Mahajan, R., et al. (2014). "Mortality among persons in care with hepatitis C virus infection: the Chronic Hepatitis Cohort Study (CHeCS), 2006-2010." Clin Infect Dis 58(8): 1055-1061.