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