Of the 13 counties our ECHO project is targeting over 3 years, Humboldt County was the first I visited. The objective of the Project ECHO program is to build infrastructure to treat hepatitis C (HCV) by teaching primary care providers to treat, locally, rather than refer out to an academic medical center to see a hepatologist. When I arrived in Eureka, in January of 2018, I didn't know how long I'd be there. I only knew that Humboldt had the highest rate of HCV in the entire state of California, and there were only 3 healthcare providers who knew how to treat. I dove into the work, getting to know the local healthcare providers, the organizations they work for, and the culture of the commu
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