woncaaprjpca2019/The 10th Annual Conference of the Japan Primary Care Association

Session information

Print

Export as PDF

Symposium

WONCA APR Conference 2019 » Symposium

[SY2-10] Management of Hepatitis: What is the role for primary care team?

Thu. May 16, 2019 3:30 PM - 5:00 PM Room 5 (1F Room D)

Organizer: Po-Lin Chan(World Health Organization Western Pacific Regional Office, Philippines)
Chair: Po-Lin Chan(World Health Organization Western Pacific Regional Office, Philippines), William CW Wong(The University of Hong Kong, China)

A recent systematic review on hepatitis interventions showed that only one of 56 studies included was from an Asian country but the experience from Western countries show that engaging primary care providers through issuing hepatitis testing policies, making system adjustments, training of primary care physicians and education of patients increased uptake and yield of Hepatitis C virus (HCV) and improved linkage to care. Hepatitis testing combined with liver cancer screening for 2489 individuals in primary care clinics in rural Mongolia found 25% positive for HCV.
Up to 10 million people in China are infected with HCV and many unknown to their status. The China CDC found 70% of community health centres (CHCs) have capacity to conduct HCV antibody testing but only half of them would offer it. Patients having to pay and lack of awareness were major barriers. Strong evidence exists that targeted active case finding in primary care in older age groups with a history of injecting drug use, plasma donation and received unscreened blood or blood products in the past was cost-effective for HCV screening.
Our national representative survey found that many CHCs do not have any written policies for hepatitis screening despite testing guidelines for HCV is available in China since 2008. This workshop aims to review the evidence of HCV testing in primary care and WHO guideline on HCV testing and management. The delegates will share their home experience on HCV management and there will be exercise to help them familarise HCV management.

×

Authentication

Abstract password authentication.
The password has been announced for Pre-registered participants by email.
You can also find the password in the Pocket program distributed at the venue.

×

Please log in with your participant account.
» Participant Log In