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WorkingTogether:Newhepa22sCtherapiesandensuringop2malaccessforindigenouscommuni2esPaulSu=onManager,GovernmentAffairs
Agenda
2WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
1. Updateonaccesstonewhepa22sCtherapiesonNIHBandotherpublicdrugplans
2. LessonslearnedfromAbbVie’sengagementwithFirstNa2ons,InuitandMé2sorganiza2onsandpeoplewithlivedexperience
3. Ongoingpolicyneedsandupcomingadvocacyopportuni2esforIndigenousPeoplelivingwithand/oraffectedbyhepa22sC
4. AbbVieCare:Doingourparttoempowersafe,accessibleandculturallycompetenthepa22sCcareforIndigenousPeople
5. SharedVisionsandGoals:Workingtogethertoeliminatehepa22sC
Ournamewaslaunchedin2013butourstorybeginsin1888
125yearsofcare
Addressingcomplexandseriousdiseases
Makingaremarkableimpactonpeoples’lives
3WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
Weworktounderstandwhatsurroundspeople
4
Understandingtheen2reexperience
Understandingdiseaseateverystage
Understandingthedevelopment,manufacture,anddeliveryofmedicinetoprovideconvenient,reliabletherapeu2cs
Understandingthehealthcaresystem
Supportprograms
People
Disease
Manufacture
Experience
System
Delivery
Support
WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
New,interferon-sparingHCVregimens:Summary
5WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
§ Alloralanddoesnotrequirepeg-interferon.
§ Treatmentdura2onisonly12weeksformajorityofpa2ents.
§ HighSVRRates(over90%,someaveraging97%)
§ Welltolerated(lowratesofdiscon2nua2onsduetoadverseevents).
Interferon-freehepa22sCtherapies:publicaccessupdate
Source:CommonDrugReview,availableonlineatwww.cadth.ca/cdr.
13WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
CDECFINALRECOMMENDATIONIndica2on:ChronicHepa22sCVirusGenotype1Infec2oninAdultsListedforthetreatmentofadultswithgenotype1chronichepa22sCvirus(CHC)infec2on,includingthosewithcompensatedcirrhosis,ifthefollowingclinicalcriterionandcondi2onsaremet:Clinicalcriterion:Liverfibrosisstageof≥2.Condi2ons:Treatmentshouldbeini2atedbyphysicianswithexperienceinthemanagementofCHCpa2ents.
Whataresomechallengeswiththislimita1on?
Hepa22sC&IndigenousCommuni2es:ChallengesandLessonsLearned
7WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
§ Largeburdenwithinmanyindigenouscommuni2es
§ Scaleofhepa22sCinfec2onsnotwellunderstood
§ Screeningiswidelyunavailable,andevenwhenitis,itmaynotbesafeoraccessible
§ Majorbarriersinhepa22sCcare,especiallyinremotecommuni2esoronreserve
§ F2andaboveliverdamagerestric2onmeansthatinsteadoftrea2ngpeople,peoplemustwaitun2lthey’reverysicktogetcured
AllNa2onsHopeHepa22sCWorkshop:LessonsLearned
8WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
§ SRgmaanddiscriminaRon:Livingwithandmanaginghepa22sCisverydifferentfrompersontoperson
§ Accesstoscreeningandscreeningprogramsmustberootedinrespect
§ Trauma–bothsystemic,historical,andpersonal–isthekeydeterminantofhepa22sCvulnerability
§ ImprovedcommunicaRonbyorganiza2onsandindustryaroundimprovementsintherapies
§ HepaRRsCtreatmentandcareforindigenouspeoplemustbepartofahealingjourney,connec2ngindividualpeoplewithindigenousorganiza2onsandresourcessothattherapyisgroundedintradi2onalhealing–andtreatmentitselfbecomesanopportunityforotherdeterminantsofhealthtobeaddressed
OngoingPolicyIssuesandUnmetNeeds
§ PublicHealthAgencyofCanadacon2nueddelayinnewna2onalstrategyontes2ng,previouslyexpectedDecember2014
§ Understandingthatscreening,formanyindigenouscommuni2es,isanongoingprocessofbuildingtrustandcapacitywithincommuni2estoensuresupportsareavailableincaseofposi2vediagnosis§ AbbVieissuppor2ngpilotprogramsacrossthecountrysuppor2ngclinicianstoworkwithindigenousleadershiptoproviderespeclul,culturallycompetentscreeningprograms
WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015 9
Screening
OngoingPolicyIssuesandUnmetNeeds
§ 2016FirstNa2onsandInuitHealthBranchHIV,Hepa22sCandSTBBIStrategy§ Crucialtoincludemeaningful,measurabletargets(i.e.
screening,linkagetocare,treatmentoffereddespiteliverfibrosisscore)
§ CAANandPauktuu2tHepa22sCStrategies§ EngagingIndigenousLeadership(i.e.AFN,ITK,Mé2sNa2on)
§ Na2onalAboriginalHepa22sCAwarenessMonthhasestablisheditselfasacrucialengagementopportunity
WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015 10
OpportuniRes
AbbVieCare:Op2mizingforIndigenousPeoplewithHepa22sC
WhatisAbbVieCare?Acomprehensiveprogramaimingtoensurepa2ents,physiciansandnursesaresupportedthroughoutthetreatmentprocess.Includes: DedicatedCareCoach(availablebyphone)
Reimbursement/coverageandfinancialsupport Pharmacycoordina2on/support(esp.relevantforNIHB) Adherencetools
HowareweopRmizingforIndigenousPeoplewithHepaRRsC?§ Learninguniqueneedsforpeoplewithlivedexperience§ Recogni2onthat1-on-1supportiskey§ Undertakingaflexibleapproachtohelpempowerclinicsandpeoplewithhepa22sConop2malwaystoconnectforsupport§ Moreconsulta2onsahead…
WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015 11
12WorkingTogether–WisePrac2cesV|July2015|CompanyConfiden2al©2015
HepaRRsCDiagnosis
&Treatment
StabilizedHousing
MentalHealthServices
TradiRonalMedicines
andHealing
FoodandIncomeSecurity
MentalHealth
PhysicalHealth
SpiritualHealth
EmoRonalHealth
Whatneedstobeinplacetobuildaholis2chealingjourney?
Presenta2onTitle|Datexx.xx.xx|CompanyConfiden2al©2013 13
