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Canadian Journal of Gastroenterology
Volume 18, Issue 12, Pages 715-728
Special Article

The Management of Chronic Viral Hepatitis: A Canadian Consensus Conference 2004

Morris Sherman,1 Vincent Bain,2 Jean-Pierre Villeneuve,3 Robert P Myers,4 Curtis Cooper,5 Steven Martin,3 and Catherine Lowe6

1University of Toronto, Toronto, Ontario, Canada
2University of Alberta, Calgary, Alberta, Canada
3University of Montreal, Montreal, Quebec, Canada
4University of Calgary, Calgary, Alberta, Canada
5University of Ottawa, Ottawa, Ontario, Canada
6Queen’s University, Kingston, Ontario, Canada

Received 9 September 2004; Accepted 9 September 2004

Copyright © 2004 Canadian Association for the Study of the Liver. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (, which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.


Several government and nongovernment organizations held a consensus conference on the management of acute and chronic viral hepatitis to update previous management recommendations. The conference became necessary because of the introduction of new forms of therapy for both hepatitis B and hepatitis C. The conference issued recommendations on the investigation and management of chronic hepatitis B, including the use of lamivudine, adefovir and interferon. The treatment of hepatitis B in several special situations was also discussed. There were also recommendations on the investigation and treatment of chronic hepatitis C and hepatitis C-HIV coinfection. In addition, the document makes some recommendations about the provision of services by provincial governments to facilitate the delivery of care to patients with hepatitis virus infection. The present document is meant to be used by practitioners and other health care providers, including public health staff and others not directly involved in patient care.