pavitri dwivedi, mph public health program manager hepatitis b foundation december 22, 2014 ready...
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PAVITR I DWIVEDI , MPHPUBL IC HEALTH PROGRAM MANAGER
HEPAT IT IS B FOUNDATIONDECEMBER 22 , 2014
READY FOR SOME PUBLIC HEALTH FUN?
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TODAY’S AGENDA
•Overview of Hepatitis B• Public Health•My journey from high school to now!
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WHAT IS HEPATITIS?
Hepatitis – “inflammation” of the liver Viral Hepatitis – caused by a virus There are many different viruses that can cause
hepatitis Hepatitis A, B, C, D, E
Liver performs 500+ functions Stores vitamins Fights infections Regulate the body’s energy
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HBV VIRUS
The world’s most common, serious liver infection At least 100 times more virulent (ability to
invade) than the HIV Virus Can survive on surface up to 2 weeks
Found in liver, blood, and sexual fluids Results in both acute (short-term) and chronic
(lifelong) infections Causes 80% of liver cancer worldwide
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TRANSMISSION METHODS & MYTHS
Direct Contact with Someone’s Blood Close household contact: sharing razors, toothbrushes,
earrings, nail clippers with infected person Blood transfusions prior to 1992 screening protocols Unsterile medical or dental equipment Sharing IV drug equipment Unclean needle sticks, piercings or tattoos
Sexual Transmission From Infected Mother to Newborn Baby
During the labor and delivery process
Hepatitis B CANNOT be transmitted through hugging, coughing, sneezing, urine, tears, breast-milk, eating food prepared by an infected individual, or casual contact.
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HBV IMPACT IN OUR WORLD!
Worldwide: 2 billion infections (1/3 of all people) 400 million chronic infections 67% in Asia and Pacific Islands 1 million new infections annually 1 million deaths each year
(10th leading cause of death)
In the U.S.: 2 million Americans chronically infected 50,000-70,000 new infections annually 1,500 Perinatal infections annually
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HEPATITIS B IN PHILADELPHIA
Approximately 5,000 new infections in PA each year
Prevalence breakdown: Chinese community: up to 23.5% Korean community: up to 4% Vietnamese community: up to 8% Cambodian/Indonesian/Laotian communities: up to 8%
AAPIs in Philly: 61% need vaccine
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HBV INFECTION SYMPTOMS
Most individuals have NO symptoms!
About 30% will have some symptoms, including: Feeling like you have the flu Very tired, fever, sore muscles, headache,
nausea Loss of appetite and weight loss Yellowed skin and eyes (jaundice) Itchiness, rash Dark urine and/or clay-colored stools
70% of those infected will have no symptoms
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CHRONIC INFECTION
One in 4 infected could develop severe consequences
Chronic HBV infection greatly increases the risk/need of: Fibrosis, cirrhosis, liver failure Primary liver cancer (hepatocellular carcinoma, HCC) Liver Transplantation Premature Death
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PRIMARY PREVENTION: VACCINATION!
There is a safe and effective vaccine Three-doses of the vaccine Given over 6 months
Offers safe and effective life-long immunity The first “Anti-Cancer” vaccine Routinely given to all babies and children in the
U.S. Does not help someone who already has hepatitis
B infection
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SECONDARY PREVENTION: TESTING!
A single blood test will tell if you have hepatitis B
Contact Hep B United Philadelphia to find out where you or a friend/family/classmate/neighbor can get a free or reduced cost hepatitis B blood test: [email protected]
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DRUG TREATMENTS
Not everybody needs drug treatments! 3 criteria have to be met
Active virus Certain amount of liver damage (possibly) family history of liver cancer
Continuous disease management is important for identifying whether a patient needs drug treatment
Treatments are all expensive $10,000-$30,000 each year Drug assistance program can help!
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LIVING WITH CHRONIC HEPATITIS B
•It is important that infected individuals:
1.Know their status HBV is a silent infection, so those at risk must be tested
to see if they are infected!
2.See a knowledgeable physician for medical care3.Learn about living with chronic HBV
Healthy lifestyle to keep your liver healthy Prevent the spread to others (i.e. vaccinate close
contacts)
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HEPATITIS B FOUNDATION
The only national nonprofit organization dedicated to finding a cure and improving the quality of life for those affected by hepatitis B worldwide Biomedical Research Outreach & Education Public Health Research National Advocacy
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HEP B UNITED PHILADELPHIA
• Goals: All high-risk people in Philadelphia are tested All non-infected high-risk people are vaccinated All people who have hepatitis B see a doctor and stay
healthy Establish infrastructure so doctors will routinely test high-
risk patients for hepatitis B
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CAMPAIGN COMPONENTS
Education and Awareness (like right now!) Improve correct knowledge about hepatitis B Help people to talk about hepatitis B with family, friends
and doctors Screening, Vaccination, and Linkage to Care
Offer free hepatitis B testing at community events Help doctors to test and vaccinate their patients Help infected individuals find good healthcare
Community Partnerships Everyone can help: community members, corporate
partners, businessmen and women, community leaders
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NATIONAL EFFORTS
CDC National Demonstration Site May 2012-May 2013 Community Based Hepatitis B Care Over 1,000 unique, high risk foreign-born
individuals screened Community vaccine clinics
All 3 doses for free Provided at community sites instead of health centers
In-language patient navigation National Capacity Building
HBF leading the national Hep B United coalition Organize national capacity building webinars,
panels, mentorship program, and mini-grants.
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RESOURCES
CDC’s Know Hepatitis B Campaign http://www.cdc.gov/knowhepatitisb/ Knowledge for general population Promotional materials
Hepatitis B Foundation http://hepb.org/ Technical Knowledge – medical, pharmaceutical Resources for the infected
@HepBUnitedPhila, @cdchep, @HepBFoundation Facebook fan pages
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GAME TIME!
• How do you define health?• What are some of the fields you believe are
in the healthcare field?• Why are you interested in the healthcare
field?
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PUBLIC HEALTH
• “Public health refers to all organized measures (whether public or private) to prevent disease, promote health, and prolong life among the population as a whole. Its activities aim to provide conditions in which people can be healthy and focus on entire populations, not on individual patients or diseases.” – WHO
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PUBLIC HEALTH UMBRELLA
• Community health• Health policy and management• Environmental health• Occupational health• Toxicology• Epidemiology• Patterns, causes, effects of diseases
• Global health • Biostatistics• Lots of coding
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MY ROLE AS A MANAGER
Philadelphia• Coordinate screening & vaccine events• Conduct linkage to care• Maintain communication among coalition
partners• Establish relationships and partnerships• Provide health education*• Organize volunteers• Social & traditional media
National Coalition• Information dissemination – webinars,
panels, newsletter• Know Hepatitis B campaign• Policy initiatives
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NOW AND THEN
• Newington High School• University of Connecticut• Molecular Cellular Biology- Major• Medical Anthropology- Minor
• Boston University School of Public Health• Global Health, Monitoring and
Evaluation Emphasis• Pharmaceutical Program
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WORDS OF WISDOM
• DISCOVER• Personal interests, hobbies, marketable skills
• TRAVEL• Learn about the life beyond your backyard
• STUDY• Stay in school and do well, grades matter!
• ENGAGE• Internships, jobs, volunteering opportunities
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TIME IS ESSENCE
• https://www.youtube.com/watch?v=a5SMyfbWYyE
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QUESTIONS?