Inclusion Criteria:  Adults over 18yrs old Willing to undergo hepatitis C testing Able and willing to give informed consent Willing to return in 12 months time for repeat testing Resident in area and not planning to leave the region  Exclusion Criteria:  Unwilling to give consent Unwilling or unable to undergo the necessary procedures Clinically significant illness (other than HCV) or other major medical condition that may interfere with the subject's treatment, assessment or compliance with protocol. Co-morbidities limiting life expectancy to less than 12 months