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Adria Travel
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Meet the owner
You know you're in a family business when the family dog wants to play fetch with you. Such is the case with Adria Travel , which was founded in 1959 and moved to its current location in Bloor West Village in 1971.
As she pets Riley, the resident Yorkshire terrier, owner Gloria Cavlovic recalls how her mother catered to her fellow Croatian immigrants. "We brought families over to Canada, and then their relatives came over, and then the next generation went back to Croatia to see family or go on vacation. That's how the business has thrived."
Adria 's Croatian connections also account for its name, which riffs off the Adriatic Sea that laps up against the country's idyllic Mediterranean shoreline. Toronto's Croatian community, which is centred on the surrounding neighbourhood, still makes up much of its business. "We speak the language and know the country extremely well, so when people come here, they feel at home," Gloria says.
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Adria Travel Service Ltd
Information about Adria Travel Service Ltd
Opening hours
- Monday: 10:30 AM – 5:00 PM
- Tuesday: 10:30 AM – 5:00 PM
- Wednesday: 10:30 AM – 5:00 PM
- Thursday: 10:30 AM – 5:00 PM
- Friday: 10:30 AM – 5:00 PM
- Saturday: Closed
- Sunday: Closed
Adria Travel Service Ltd: Reviews
Fantastic experience: Excellent service!
Positive experience: I was really put off by the sail agents overbearing attitude.
Fantastic experience: Gwan to Jamaica!. Got my trip and insurance covered. Thank you Adria.
Fantastic experience: Great service as always. Tha k you Anna
Fantastic experience: Excellent!
Fantastic experience: Great staff, and excellent insurance prices.
Fantastic experience: If your looking to book a plane ticket vist the ladys at adrai travel the best place book a get away
Fantastic experience: It has more than travel services! Fast and efficient!
Fantastic experience: Very professional people, trying to find best possible deal.
Fantastic experience: Really nice, booked our trip to Cuba here, first time travelers and they really made the whole trip easy! And the puppy is cute too !
Fantastic experience: Very accommodating, but you do have to pay close attention to details as they do miss some things and you want to stay on top of them. Gloria takes care of my Mum as she has so many issues like making sure she gets a wheelchair, travel insurance etc. Gloria stays calm under pressure. I couldn't do her job.
Fantastic experience: My mom has been going here since we came to Canada. The ladies are friendly and will make your trip work for you! Go see them!!! Oh there's free parking all around - in the front if you're lucky, 1 hr on most side streets and you could always park at no frills.
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- Adria Travel Service Ltd
Adria Travel Service Ltd – Travel agency in Toronto, ON – 2175 Bloor Street West, Toronto, Ontario. Read verified and trustworthy customer reviews for Adria Travel Service Ltd or write your own review.
Contact Info
Opening hours.
Monday: 10:00 AM – 6:00 PM
Tuesday: 10:00 AM – 6:00 PM
Wednesday: 10:00 AM – 6:00 PM
Thursday: 10:00 AM – 6:00 PM
Friday: 10:00 AM – 6:00 PM
Saturday: 9:30 AM – 1:00 PM
Sunday: Closed
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- Everything Croatia
Experts in ALL things Croatia since 1974!
Sunny beaches, fantastic cuisine, amazing towns, wonderful events and relaxation beyond expectations! Let us show you how to truly enjoy Croatia!
1-800-CROATIA
WHAT WE OFFER
As our name implies, we specialize in Croatia and the surrounding areas. Let our decades of experience help you create your own custom tour of Croatia, assure a knowledgeable tour guide or driver, provide comfortable scenic motorcoach tours, cruises to explore the amazing Croatian coastline, select the most convenient airline and contracted rates with major car companies in Croatia. Your one stop shop for ALL things Croatia!
Adriatic Sea Cruises
With Croatia’s beautiful coastline, our small ship cruises have become the most popular way to visit the islands and coastal cities.
Air Tickets
Our special contracted rates for travel to and from Croatia have allowed us to consistently beat competitors prices.
Charter Cruises
Cruising on the best gullets, mini cruisers, catamarans and motor yachts in Croatia.
Escorted Tours
A great way to experince Croatia, its cuisine and meet new friend by enjoying a travel itinerary set by our agents.
In 1974 – 50+ years ago, Niko Hazdovac, after a career as a merchant marine officer, started Adriatic Travel in hopes of fulfilling his dream of owning his own travel agency. He wanted Croatians to have a reliable way to visit their homeland, but especially to share the beauty and culture of Croatia for everyone else to see. With his wife, Luci, taking a major role in the agency, together they built, what is now a family-run, world-renowned travel company.
Capture The Memory
Enjoy awesome gallery of beautifully captured moments from Croatia and the Adriatic coast. Each photo will give you a glimpse of Croatian beautiful landscapes, cities, islands, national parks, and the coast. Contact us to help you plan your itinerary to Croatia.
The biggest adventure you can take is to live the life of your dreams
What others say about us.
As our name implies, we specialize in Croatia and the surrounding areas. We let decades of our experience in the travel industry speak for itself and the level of our service.
Over the years we served countless satisfied travelers who are often our repeat customers. Read what they have to say about us, our service, and Adriatic Travel and Tours.
What Other Say About Us
Testimonials, years in business, of satified customer.
Adriatic, the trip was great! Great boat, crew, meals, guides and hotels in Zagreb and Plitvice. Would definitely recommend this trip to my friends. Thanks for putting this together for us.
Thank you for helping make our recent vacation the most memorable. You professionally arranged our trip to Dubrovnik & the rest of Croatia. It was truly a wonderful experience – thank you!
Thank you so much for all of your help to us and our guests last year in preparations for our wedding in Croatia. Everyone commented on the friendly and helpful service your company offered.
The entire experience was great. The hotel in Zagreb was perfectly located and nice. Driver to Nat Park – great and tour guide, too. The hotel there was really neat, nice restaurant next door.
Your Itinerary Our Experience
Create your journey.
Let the decades of our experience help you create your own custom tour of Croatia, assure a knowledgeable tour guide or driver, provide comfortable scenic motorcoach tours, cruises to explore the amazing Croatian coastline, select the most convenient airline, and contracted rates with major car companies in Croatia .
Get Exclusive Updates
As our name implies, we specialize in Croatia and the surrounding areas. Let our 50+ years of experience help you create your own custom tour of Croatia, assure a knowledgeable tour guide or driver, provide comfortable scenic motorcoach tours, cruises to explore the amazing Croatian coastline, select the most convenient airline and contracted rates with major car companies in Croatia.
Quick Links
- 1-800-CROATIA (276-2842)
- 1-310-548-1446
- [email protected]
- Adriatic Travel Inc, 777 West 9th Street San Pedro, CA 90731, USA
© Copyright 1998-2024 Adriatic Travel Inc., CST #200288-40
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Choose from over 12.000 vacation rentals in Croatia
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Croatia apartment and houses with pool
The culture and tradition of building stone houses across the Adriatic coast is what makes Croatia special, and a holiday in an authentic stone house is a special experience you could have by choosing this type of accommodation.
Accommodation near the sea in Croatia
Looking for a room, apartment, vacation house or villa by the sea? From our rich offer of seafront accommodation, choose an ideal one for yourself and spend an unforgettable vacation on the Adriatic coast with your loved ones! Enjoy summer activities at nearby beaches while the warm sun caresses your body.
Beautiful luxury villas in Croatia
From the magical Istria to the world-famous Dubrovnik, Adriagate offers more than 300 villas for your ideal vacation. Stone villas in Istria that are decorated with traditional charm, or modern villas located along the Adriatic coast – the choice is yours.
Cruises Croatia
Go on a seven-day adventure to get to know the Adriatic coast and enjoy a unique holiday! Cruise on a wooden sailing boat along the coast, discover the top tourist destinations, meet new friends, swim in the crystal-clear sea of hidden coves and enjoy the spectacular dawns and sunsets. Choose a cruise on the Adriatic and make your vacation unforgettable.
Cruises Delux Croatia
Seven days of holiday cruising on the Adriatic on a luxury ship sounds interesting? Do not miss the opportunity to get to know the pearls of the Adriatic, coastal towns and islands, while enjoying your sea adventure.
Looking to rent a car in Croatia?
- Rent a car Split
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Party and nightlife
- Split Ultra
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Tourist guide
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Why Adriagate?
Spend a carefree vacation in Croatia with Adriagate! Adriagate has been your best partner for a vacation on the coast and islands in Croatia since 2001. From the central office in Split and seven outlets located in Crikvenica, Biograd na Moru, Vodice, Primošten, Omiš, Trogir and Jelsa on the island of Hvar, Adriagate offers full customer support to all guests 7 days a week in several world languages. Fully aware of the importance of your vacation, our team of professionals actively takes care of the overall planning and realization of your journey. Using a personalized approach, we want to make sure each guest finds the ideal accommodation, and with quick tips and recommendations we try to enrich your stay in Croatia.
Allow Adriagate experts who understand your wishes and will be happy to help you achieve an unforgettable holiday to take care of planning your vacation.
Telephone: +385 21 271 870
Working hours Monday-Saturday 08:00 - 20:00 h
Get to know Croatia through our bloggers fascinating stories!
- Book & Save up to 150€
- No booking fees
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- Pay upon arrival
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The best of Croatia delivered to your inbox!
1. INTRODUCTION
Adriagate Travel Agency d.o.o. (hereinafter: the Agency) recognizes and appreciates your right to data confidentiality and commits itself to preserving security of data collected through the website https://www.adriagate.com
The Agency collects, processes and stores your personal data in accordance with the EU's General Data Protection Act (GDPR) and other applicable regulations. The data will not be forwarded to third parties or brought to third countries, with the exception of situations where it acts as a prerequisite for the fulfilment of contracted services (eg accommodation, airline, carrier, insurance).
We will consider that the continued use of https://www.adriagate.com represents your acceptance of terms listed bellow.
2. USE OF PERSONAL DATA
Your personal data is collected and used only on the basis of data that you have voluntarily given to the Agency, either by way of registration (personal data such as: name, country, address, city, e-mail, date or simply the year of birth) or using our website https://www.adriagate.com
Collected personal data is stored in electronic form and all appropriate technical and organizational measures are applied to prevent personal data breach. Received e-mails with your personal information will only be used by the Agency for the purpose of completing your requests.
3.RESERVATION
When booking accommodation, travel or other services offered by the Agency, personal information of the reservation holder, who must be of age will be required (eg name, address, contact telephone and e-mail address) as well as data regarding other service users (eg name, date of birth) . Only the data necessary for the execution of the service will be available exclusively to the partners taking part in the service execution (accommodation, transportation, insurance and travel companion).
Payment information (e.g., bank card number, expiration date) is particularly protected and will only be available to banks or credit card companies with the purpose of payment authorisation. Please note that the registration at https://www.adriagate.com is only possible for adults of 18 years of age and older. When registering at https://www.adriagate.com the user chooses the password independently and in accordance with this is held responsible for its protection and prevention of abuse by third parties.
Cookies allow the Agency to collect statistical data with relation to user behavior at https://www.adriagate.com (for example, on which parts of the site the user spends the longest or the shortest amount of time), which Internet browser (e.g. Internet Explorer, Opera, Safari, Google Chrome,Firefox) is used and similar.
Cookies are a small set of data sent from the https://www.adriagate.com/ server to the user's computer, and serves as an anonymous identifier. Cookies are also used to facilitate navigation through web pages (for example, you do not need to enter registration data each time). Cookies are not used to access user data or to track user activity after leaving https://www.adriagate.com.
The agency reserves the right to use cookies at https://www.adriagate.com but each user may prohibit receiving cookies by editing / changing the settings in their Internet browser.
5. CONNECTIONS
https://www.adriagate.com contains links to other websites that are not owned by the Agency. Accordingly, we warn and ask the users take into consideration the fact that the Agency can not be held responsible for matters regarding privacy protection on the stated internet websites. Therefore, users are encouraged to read the Privacy Statement of each web site they access.
6. DIGITAL MARKETING
Contact information, such as your name and e-mail address, is necessary when you want to use the services of receiving promotional materials from the Agency. Promotional materials include information about service, special offers and newsletter.
The service can be disabled at any time by activating the "Logout" link at the end of an email or by sending a delete request from the digital marketing list at [email protected]
The Agency undertakes all security measures to ensure data protection, during input, transfer, data processing, and storage. Data access is limited and the only employees in possession of it are those who require it in order to perform business activities.
The personal data transferred to the Agency upon registration shall be kept during the existence of the website or during the registration of the user. Any information provided to the Agency upon registration on the Internet site will be destroyed at the latest when shutting it down or until the user requests otherwise.
Users have the right to ask for information about their personal data being processed by the Agency as well as modify or delete them at any time by sending a request to [email protected]
8. NOTIFICATION OF CHANGES
In case of changes related to the privacy rules, the notice will be posted on the cover page of the website with the aim of informing the user.
Adriagate Travel Agency d.o.o.
Vukovarska 156, 21000 Split
t: +38521 271 870
Split, May 23th, 2018
Krajnji primatelj financijskog instrumenta sufinanciranog iz Europskog fonda za regionalni razvoj u sklopu Operativnog programa "Konkurentnost i kohezija"
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Adria Travel
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Questions & Answers
What is the phone number for adria travel.
The phone number for Adria Travel is (204) 982-1200.
Where is Adria Travel located?
Adria Travel is located at 883 Notre Dame Ave, Winnipeg, MB R3E 0M4, Canada
What is the internet address for Adria Travel?
The website (URL) for Adria Travel is: https://adriatravel.ca/
What days are Adria Travel open?
Adria Travel is open: Monday:10:00 AM – 5:00 PM Tuesday:10:00 AM – 5:00 PM Wednesday:10:00 AM – 5:00 PM Thursday:10:00 AM – 5:00 PM Friday:10:00 AM – 5:00 PM Saturday:Closed Sunday:Closed
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Adria Line Travel agency Montenegro
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Tel: + 382 78 119 110 Cell. + 382 67 733 177
E-mail: [email protected]
www.adria.travel
Adria Line DMC Travel agency is honored to welcome you at our website.
We hope that travel to Montenegro with our agency will be full of positive impressions.
All tourist information presented here will help you to get acquainted with rich culture and ancient history of Montenegro, to find important travel tips, to make a right decision of travel package type and duration.
You may choose one of the Montenegrin tours presented and developed by our experienced team or send us a request to create a tailor made itinerary especially
Montenegro is undiscovered gem in the South of Europe.
Even though we are small country, we have a lot to offer.
You will be amazed by diversity and cleanliness of nature. Our stunning landscapes and friendly locals are closer than you think.
Wake up in a place where something new awaits you every day.
Greetings to you, our visitors, wherever you travel in Montenegro we have rich tales to share with you - our history, our legends and our future.
After several months of hard work and dedication, we are thrilled to officially announce the launch of our new mobile-friendly website on April 23, 2017! We invite you to visit us also at www.adria.travel
ADRIA LUXURY TRAVEL - Dubrovnik - croatia
Let us be your concierge.
We will take you beyond your expectations
Adria Luxury Travel
Adria Luxury Travel is a leading specialist in all private tourist services in the Dubrovnik area providing transfers, day trips, excursions, boat tours, charters and more… We focus on quality, which requires us to offer a high level of professionalism, knowledge, and hospitality. We acknowledge that our clients are unique and we want them to have experiences that go above and beyond their expectations.
Our Services
Boat Excursions
SPEEDBOATS – BOATS – YACHTS
Join us and choose one of our boats for a private day trip or excursion departing from Dubrovnik with English-speaking crew. Visit some of the most popular destinations such as Elaphite Islands , Mljet , Korcula, or Montenegro …
Land Excursions
PRIVATE DAY TRIPS
Private tours from Dubrovnik available with luxury vehicles and optional local guides. Popular excursions include Montenegro , Mostar, Peljesac , Medjugorje and more… All excursions are fully customizable to include detours, and supplements.
Private Transfers
AIRPORT & INTERCITY TRANSFERS
Private transfers offered between Dubrovnik and other cities and/or neighboring countries, executed with luxury vehicles and professional English-speaking drivers. Each transfer can include stops, detours or even a walking tour along the way.
Tailor Made Trips
CUSTOMISED TOURS & DAY TRIPS
We offer customization options for all services from our offer. Turn your intercity transfer into a road trip, or tailor one of our excursion to suit your needs or even design your own tour. Let us know what we can do to make your trip unforgettable.
Client Testimonials
A spectacular day trip to Montenegro with Ivan and Marianja
Bucket list - tick, top rate service on an extraordinary tour, day for the record books, what an amazing boat day, magical day island hopping, superb private boat tour , amazing boat excursion around the elaphite islands, a highlight of our trip, amazing private tours, outstanding experience, exquisite experience, wonderful boat day, 1 million stars best of the best , sunset proposal, 8 hour boat trip in dubrovnik, a day we will never forget, perfect day on the elaphite islands, a brilliant day out in mostar, the best travel experience in croatia, great luxury experience, excellent travel agency, professional and turnkey operation to make your trip to croatia special, great organization and amazing tour, superb, flawless service, a fantastic five star experience, multiple private tours, great experience, so glad i used these guys, holiday highlight.
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Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.
Tales of Adria
Tales of Adria is travel agency that provides private and group tours through our car transport. Relax and enjoy the comfort of private transport to your chosen destination!
MOST POPULAR GROUP TOURS
What's your next destination.
Explore the history and nature of Bosnia and Herzegovina on this excursion in which we will visit the iconic bridge of Mostar and Kravica waterfall.
- Transportation by air-conditioned vehicle
- English speaking driver/host
Experience beautiful Bay of Kotor through scenic views of the Adriatic sea, mountains, and islands.
- Ferry ticket
Meet a unique blend of beautiful nature, millennial cultural tradition and history, and modern tourism.
- Boat ride from Orebić to Korčula
Private Tours
Having a personal driver on vacation is a relief and a treat for your adventurous spirit. Our private tours are designed for individuals, families and small groups to provide maximum comfort and flexibility. All our vehicles are clean, comfortable and correctly insured, and child seats can be provided at no extra charge. Our experienced and friendly drivers are at your disposal throughout the tour, making sure you don't miss anything important. Take a look at our offer and choose something for yourself or tell us what you would like.
Get In Touch
Send us an e-mail or call us for any question or inquiry or just use contact form on the right.
- +38599 493 3165
- [email protected]
- [email protected]
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Tales of Adria is travel agency that provides private and group tours through our car transport. Relax and enjoy the comfort of private transport to your chosen destination. SMART JOURNEY j.d.o.o. Zavrelje 46, Zavrelje OIB:89695884573
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Montenegro Travel Agency Adria Line
- RESERVATIONS
- EXCURSION KOTOR BAY
- EXCURSION MONTENEGRO TOUR
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U.S. Lags Behind Other Countries in Hepatitis-C Treatment
Despite an arsenal of drugs, many Americans are still unaware of their infections until it’s too late. A Biden initiative languishes without Congressional approval.
By Ted Alcorn
In the 10 years since the drugmaker Gilead debuted a revolutionary treatment for hepatitis C, a wave of new therapies have been used to cure millions of people around the world of the blood-borne virus.
Today, 15 countries, including Egypt, Canada and Australia, are on track to eliminate hepatitis C during this decade, according to the Center for Disease Analysis Foundation, a nonprofit. Each has pursued a dogged national screening and treatment campaign.
But the arsenal of drugs, which have generated tens of billions of dollars for pharmaceutical companies, has not brought the United States any closer to eradicating the disease.
Spread through the blood including IV drug use, hepatitis C causes liver inflammation, though people may not display symptoms for years. Only a fraction of Americans with the virus are aware of the infection, even as many develop the fatal disease.
A course of medications lasting eight to 12 weeks is straightforward. But the most at-risk, including those who are incarcerated, uninsured or homeless, have difficulty navigating the American health system to get treatment.
Of those diagnosed in the United States since 2013, just 34 percent have been cured, according to a recent analysis by the Centers for Disease Control and Prevention.
“We’re not making progress,” said Dr. Carolyn Wester, who heads the agency’s division of viral hepatitis. “We have models of care that are working, but it is a patchwork.”
Dr. Francis Collins, who headed the National Institutes of Health for decades until retiring in 2021, has been spearheading a White House initiative aimed at eliminating the disease.
In an interview, he said he was motivated by memories of his brother-in-law, Rick Boterf, who died of hepatitis C just before the introduction of the new cures. An outdoorsman, Mr. Boterf endured five years of liver failure waiting for a transplant, and even that procedure wasn’t enough to save him from the destructive virus.
“The more I looked at this, the more it just seemed impossible to walk away,” Dr. Collins said.
The initiative, which was included in President Biden’s latest budget proposal , calls for about $5 billion to establish a five-year “subscription” contract. The federal government would pay a flat fee and, in return, receive drugs for every patient it enrolled for treatment.
Several states already use similar subscription contracts, with limited success. Louisiana was the first to deploy such a scheme, in 2019, and reported a significant increase in people treated through Medicaid and in correctional facilities. But the state’s treatment numbers dwindled during the pandemic, and have not rebounded. Now, nearing the end of its five-year contract, Louisiana has treated barely half the people it had proposed to reach.
Dr. Collins acknowledged that on its own, a national drug-purchasing agreement like Louisiana’s would not be sufficient to turn the tide.
“Anybody who tries to say, ‘Oh, it’s just the cost of the drug, that’s the only thing that’s gotten in the way,’ hasn’t looked at those lessons carefully,” he said. To that end the proposal also calls for a $4.3 billion campaign to raise awareness, train clinicians and promote treatment at health centers, prisons and drug treatment programs.
Carl Schmid, who directs the H.I.V. and Hepatitis Policy Institute, a nonprofit, said he worried that the White House proposal was overly focused on drug prices. “The real problem is you have to get money for the outreach, the testing and the providers,” he said.
Advocates say some states have cobbled together robust efforts, like New Mexico, which has been connecting hard-to-reach populations with treatment, largely without federal support.
“New Mexico is one of our superstars,” said Boatemaa Ntiri-Reid, a health policy expert with the National Alliance of State and Territorial AIDS Directors.
Andrew Gans, who manages the state’s hepatitis C program, said an estimated 25,800 residents needed treatment , and that multiple strategies would be required to eradicate the disease by the end of this decade. “You can’t do that through just one door.”
In the village of Ruidoso, in southeastern New Mexico, Christie Haase, a nurse practitioner, had been working at a small private clinic for just two weeks when a patient with abnormal liver enzymes tested positive for hepatitis C.
Like many primary care providers, Ms. Haase had not been trained to treat hepatitis C and offered to refer the patient to a gastroenterologist. But none practiced in the town, and the patient balked at traveling to Albuquerque, three hours away.
“I didn’t know where to go from there,” Ms. Haase said.
One of the biggest hurdles to eliminating hepatitis C is the specialists most qualified to treat the disease are often the least accessible to patients, especially those who lack insurance or stable shelter , both risk factors for infection.
Even when referrals are possible, they require follow-up visits that patients may miss and co-payments they may be unable to afford.
So instead of handing off the patient, Ms. Haase joined a video conference with other rural providers, where she presented the case, and more experienced clinicians recommended further tests and medications. The meeting was part of a program called ECHO (Extension for Community Healthcare Outcomes), which Dr. Sanjeev Arora, a gastroenterologist, developed in the early 2000s to connect primary care doctors in sparsely populated areas with specialists.
Dr. Arora, who later founded the nonprofit Project ECHO to promote the model around the world, estimated that the New Mexico program had provided hepatitis C treatment for more than 10,000 patients. “It really changed the game,” he said.
Care behind bars
Few people are at higher risk of hepatitis C infection than those who are incarcerated. A recent study estimated that over 90,000 people in U.S. state prisons are infected, 8.7 times the prevalence of people outside the correctional system.
For many years, New Mexico’s prisons did a good job of screening for hepatitis C and a terrible job treating it. More than 40 percent of prisoners were infected , the highest prevalence of any state correctional system, but no funds were available for the needed treatment. Prisons then rationed the drugs, including by denying medication to inmates accused of disciplinary infractions. In 2018, of some 3,000 infected inmates, just 46 received treatment .
That changed in 2020 when state lawmakers appropriated $22 million specifically for treating prisoners with hepatitis C. New Mexico’s corrections department also arranged to buy the medications at a steep discount through the 340 B federal drug pricing program.
But some prisoners continued to decline treatment, so the state enlisted incarcerated people to win them over. Since 2009, the Peer Education Project , a collaboration between Project ECHO and the corrections department, has trained more than 800 people to counsel others about preventing infections and getting treated.
Last May, incarcerated peer educators around the state tuned into a videoconference to discuss the reasons their fellow inmates were reluctant to seek treatment and to share their approaches for assuaging those concerns.
Daniel Rowan, who now manages the Prison Education Program, had himself formerly been incarcerated. He said the program had gone a long way toward improving the relationship between inmates and their medical providers, although it remains “a gauntlet of challenges, to say the least.”
Between 2020 and 2022, the number of imprisoned people receiving treatment for hepatitis C quadrupled, to more than 600. Last year, the New Mexico State Legislature appropriated another $27 million to sustain the effort.
Another group it is crucial to reach are people with a history of IV drug use: Two-thirds of newly infected people had previously injected drugs, according to the C.D.C.
In New Mexico, where opiate addiction is a generational scourge, harm reduction programs are deeply integrated into the state’s public health department. The state legalized needle exchanges more than 25 years ago, and was the first to allow the distribution of naloxone.
Early last year, a county public health clinic in Las Cruces paired treatment for hepatitis C with existing services including needle-exchange and prescriptions for buprenorphine, an opioid addiction treatment. Over the next year, a lower-than-expected share of patients in the buprenorphine program tested positive for hepatitis C, which health officer Dr. Michael Bell attributed, in part, to changes in drug use. People who once injected heroin now smoke fentanyl instead, limiting their exposure to unsanitary needles that could transmit the virus. The C.D.C. believes this shift also contributed to a slight decline in new hepatitis C infections nationwide, which fell 3.5 percent in 2022 .
Still not enough
Despite statewide efforts, no tracking system exists to accurately measure the number of people cured. A little more than 2,200 people were treated in 2022 by the largest providers. The state estimated it needed to treat 4,000 people that year to stay on track.
As in other states, clinicians in New Mexico also struggle to persuade patients to return and begin treatment. Some countries have approved a rapid test that makes it possible to diagnose and start treatment in one visit. The test is under accelerated review at the National Institutes of Health in the United States, with data expected to be ready this summer, an agency spokesperson said.
The president’s initiative was also in last year’s budget, but lawmakers have not yet introduced legislation to fund it, and there may be few opportunities to pass it before the election in November.
The Congressional Budget Office is evaluating a draft bill for its impact on the budget. Dr. Collins acknowledged that lawmakers in Congress might balk at the price tag, but contended that it would eventually save not just lives, but money.
In a paper published by the National Bureau of Economic Research , a group of scientists calculated that the initiative would prevent 24,000 deaths in the next decade and save $18.1 billion in medical costs for people with untreated hepatitis C.
“This is a deficit reduction program in the long term,” Dr. Collins said. “Just don’t expect it to be deficit reduction this year.”
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