Egypt, Georgia, Germany, Iceland, Japan, The Netherlands, Australia, Qatar and Brazil are the only countries taking steps to overcome the disease, a liver inflammation which kills 1.3 million people every year.
The three-day summit in Sao Paulo -- organised by the World Health Organisation (WHO) and the World Hepatitis Alliance -- welcomed representatives from 80 governments and around 200 experts to discuss diagnosis and treatment.
Host Brazil promoted its successful widespread testing strategy, which has seen 28 million screenings carried out in the last six years, aiming to reach 200 million by 2030 to cover almost its entire population.
Access to treatment was also discussed, after the WHO said on Tuesday a record three million people received hepatitis C treatment in the last two years, and 2.8 million received type B treatment in 2016.
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But millions are still denied breakthrough treatments such as sofosbuvir and daclatasvir -- which have a 95 per cent success rate and work in 12 weeks.
For humanitarian organisation Medecins Sans Frontieres (Doctors Without Borders), the solution is comparable generics.
There are 325 million confirmed hepatitis cases worldwide -- but the estimated diagnosis rates for hepatitis B and C, two of five types, are just 10 and 20 per cent respectively.
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