With the highest rate of hepatitis C globally, Egypt has developed an expertise in treating it. Now it is looking to share its know-how, as well as locally produced low-cost drugs, with foreigners having trouble getting treatment at home.

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After launching an aggressive campaign to fight the debilitating hepatitis C virus domestically, Egypt launched a program to help the estimated 71 million people afflicted with the disease worldwide. In May, 2016 the country launched the Tour n’ Cure programme, which has been promoted by football celebrities Lionel Messi and Dani Alves. For €5,900 or $8,000, European patients can spend a week in Egypt and tour the country at the same time they receive treatment for the virus.

“That includes everything flights, five-star accommodation, medical analysis, drugs,” said Mostafa El Sayed, managing director of Tour n' Cure. “It also includes three days of tourism.” Visitors can choose to spend their sightseeing days in Cairo, Luxor, or Sharm el-Sheikh.

Patients take the first few rounds of medication while in the country, then bring the remainder of the medication home with them. They do the final test with their local doctor to determine if they have been cured. If not, they will be treated again at no additional cost, but all of the roughly 200 foreigners who have taken part in the programme, so far, have had successful outcomes.

The weak spot in Tour n’ Cure, experts say, is not the treatment itself but rather that, firstly, a lot of people don’t see Egypt as a desirable vacation spot and, secondly, there are several reliable Indian pharmaceutical companies that not only manufacture the drugs but allow them to be ordered online.

“Tour n’ Cure is a bit weird in that it’s ‘come see the sites and get cured,’” said Charles Gore, president of the World Hepatitis Alliance. “Egypt is not the safest place, to be honest, at the moment. It’s an extremely illiberal regime.”

El Sayed said that the company realises that there are people who don’t want to travel to Egypt, so he set up a regional treatment hub in Moldova, which has already treated more than a dozen patients, and is looking at doing the same somewhere in Asia, likely Indonesia or Malaysia.

Sherine Helmy, CEO of Pharco, the company manufacturing the lion’s share of the generic drugs being used to treat the virus in Egypt, acknowledged that mail order is a good option for patients who don’t want to travel. He doesn’t see the companies providing that service as competitors, rather as fellow warriors in the fight to wipe out the virus.

“Last year we covered around 700,000 patients, but we are ready to produce in the millions,” he said. “Our plan is to cure 37 percent of patients worldwide by 2030.”

Shortcomings aside, the programme has been a lifesaver for people like documentary filmmaker and photographer Tim Coleman. He went through two unsuccessful rounds of interferon treatment in his native UK and had grown so weak from the disease that he could hardly work. Because of his previous failed treatments, he was low on the list to receive the drugs from the National Health Service, if he would have been able to get them at all. The only option available to him in England at that point was to pay the £120,000 the drugs cost in the UK.

“I had no energy, I had to get out of London and rest a lot,” the photographer and documentary filmmaker said. “I would go to Egypt to rest.”

It was during one of those visits that, while on an internal flight, Coleman saw an advertisement for Tour n’ Cure in the inflight magazine. He made the phone call as soon as he got to Cairo.

That was a year and a half ago. Today he is entirely virus free. “It is truly miraculous, what they’ve managed to do,” he said. “It’s such a success story. The whole thing is something the Egyptians can be really proud of.”

To read part one of the series and see what Egypt is doing to cure its own citizens of hepatitis C, click here.

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