CDC Recommendations for Hepatitis C Screening Among Adults-United States, 2020

Published date28 April 2020
Citation85 FR 23519
Record Number2020-08960
SectionNotices
CourtCenters For Disease Control And Prevention,Health And Human Services Department
Federal Register, Volume 85 Issue 82 (Tuesday, April 28, 2020)
[Federal Register Volume 85, Number 82 (Tuesday, April 28, 2020)]
                [Notices]
                [Page 23519]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-08960]
                [[Page 23519]]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Disease Control and Prevention
                [Docket No. CDC-2019-0094]
                CDC Recommendations for Hepatitis C Screening Among Adults--
                United States, 2020
                AGENCY: Centers for Disease Control and Prevention (CDC), Department of
                Health and Human Services (HHS).
                ACTION: Notice of availability.
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                SUMMARY: The Centers for Disease Control and Prevention (CDC) announces
                the availability of the final CDC Recommendations for Hepatitis C
                Screening Among Adults--United States, 2020.
                DATES: The final document was published as an MMWR Reports &
                Recommendations on April 10, 2020.
                ADDRESSES: The document may be found in the docket at
                www.regulations.gov, Docket No. CDC-2019-0084 and at https://www.cdc.gov/mmwr/volumes/69/rr/rr6902a1.htm?s_cid=rr6902a1_w.
                FOR FURTHER INFORMATION CONTACT: CDR Sarah Schillie, MD, MPH, MBA,
                Centers for Disease Control and Prevention, 1600 Clifton Rd., NE U12-3,
                Atlanta, GA 30329. Telephone: (404) 639-8000; email: [email protected].
                SUPPLEMENTARY INFORMATION: In 2019, CDC determined that CDC
                Recommendations for Hepatitis C Screening Among Adults--United States,
                2020 constituted influential scientific information (ISI) that will
                have a clear and substantial impact on important public policies and
                private sector decisions. Under the Information Quality Act, Public Law
                106-554, agencies are required to conduct peer review of the
                information by specialists in the field who were not involved in the
                development of these recommendations. CDC solicited nominations for
                reviewers from the American Association for the Study of Liver Diseases
                (AASLD), Infectious Diseases Society of America (IDSA) and the American
                College of Obstetricians and Gynecologists (ACOG). Six clinicians with
                expertise in hepatology, gastroenterology, internal medicine,
                infectious diseases and/or obstetrics and gynecology provided
                structured peer reviews. Peer reviewers were supportive of the
                recommendations and raised comments about the benefit of screening
                pregnant women and inclusion of a prevalence threshold. Feedback
                obtained during the peer review process was carefully reviewed and
                considered by CDC. Ultimately no changes to the recommendation
                statement were made; however, additional references and justification
                for the recommendation to screen during every pregnancy and maintaining
                the prevalence threshold were added to the document. A summary of the
                peer review comments, CDC's response, and changes made to the document
                in response to the comments can be found in the Supporting Materials
                tab of the docket and at https://www.cdc.gov/hepatitis/policy/isireview/PeerReviewCR.htm.
                 In addition, on October 28, 2019, CDC published a notice in the
                Federal Register (84 FR 57733) announcing the opening of a docket to
                obtain public comment on the draft recommendations for hepatitis C
                screening among adults. The comment period closed December 27, 2019.
                CDC received response from 69 commenters on the draft recommendations
                document. Public commenters included those from academia, professional
                organizations, industry, and the public.
                 Many of the comments from the public were in support of the
                recommendations. For those comments that proposed changes, the majority
                related to removing the recommendation to screen for hepatitis C in
                every pregnancy or removing the prevalence threshold for universal
                screening. Feedback obtained during both the peer review process and
                the public comment period was carefully reviewed and considered by CDC.
                Ultimately no changes to the recommendation statement were made;
                however, additional references and justification for the recommendation
                to screen during every pregnancy and maintaining the prevalence
                threshold were added to the document. A summary of public comments and
                CDC's response is found in the Supporting Materials tab of the docket.
                 Dated: April 23, 2020.
                Sandra Cashman,
                Executive Secretary, Centers for Disease Control and Prevention.
                [FR Doc. 2020-08960 Filed 4-27-20; 8:45 am]
                 BILLING CODE 4163-18-P
                

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