The Canadian Co-infection Cohort (CCC) is a prospective observational study that actively follows people living with both HIV and Hepatitis C (HCV). Established in 2003 by Dr. Marina Klein, the CCC has been operating for over 18 years and is one of the largest cohorts focused on HIV-HCV co-infection in the world.
In Canada, there are approximately 250,000 Canadians living with Hepatitis C, 65,000 Canadians living with HIV, and 13,000 Canadians living with both HCV and HIV. The CCC recruits from 18 centers across Canada and is active in the provinces of British Columbia, Alberta, Saskatchewan, Ontario, Quebec, and Nova Scotia. Sites are, in large urban centers and smaller cities, in hospital clinics, community care, and outreach settings, making the CCC participants a diverse real-world HIV-HCV population.
Collecting both health and social information semiannually over time has made it possible for the CCC investigators and collaborators to study a wide range of health issues related to HIV-HCV co-infection and track the revolution of the new era of HCV treatments introduced in 2013 known as direct-acting antivirals (DAAs).
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LAND ACKNOWLEDGMENT
LAND ACKNOWLEDGMENT
The Canadian Co-infection Cohort (CCC) acknowledges that Indigenous peoples are the traditional guardians of this land we call Canada.
The CCC Coordinating Center is situated on the traditional territory of the Kanien’kehá:ka Nation. Tiohtià:ke/Montréal is historically known as a gathering place for many First Nations. Today, it is home to a diverse population of Indigenous and other peoples.
The CCC operational centers are also situated on traditional territories, including the traditional unceded territory of the Huron-Wendat people (Québec City, QC); the Mi’kmaq (Halifax, NS); the Algonquin Anishnaabeg People (Ottawa, ON); the Atikameksheng Anishnaabeg in Robinson-Huron Treaty territory (Sudbury, ON); the Wendat, the Anishnaabeg, Haudenosaunee, Métis, and the Mississaugas of the New Credit First Nation (Toronto, ON); the Attawandaron (Neutral), Anishnaabeg, and Haudenosauonee peoples (Windsor, ON); Treaty 4 and Treaty 6 territory of the Cree and Saulteaux, Assiniboine and Métis (Regina, SK); Treaty 6 territory of Cree Peoples, and on the homeland of the Métis Nation (Saskatoon, SK); the Blackfoot Confederacy (Siksika, Kainai, Piikani), the Tsuut’ina, the Îyâxe Nakoda Nations, the Métis Nation, and all people who make their homes in the Treaty 7 region (Calgary, AB); and the traditional, ancestral and unceded territory of the Coast Salish peoples–Sḵwx̱wú7mesh (Squamish), Stó:lō and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) and xʷməθkʷəy̓əm (Musqueam) Nations (Vancouver, BC).
We respect the continued connections with the past, present and future in our ongoing relationships with Indigenous and other peoples across.