INTEGRATED HCV SCREENING AND TESTING IN SUBSTANCE ABUSE TREATMENT
|
|
- Allison Mathews
- 6 years ago
- Views:
Transcription
1 INTEGRATED HCV SCREENING AND TESTING IN SUBSTANCE ABUSE TREATMENT
2 HEPATITIS Hepatitis is the name for a family of viral infections that affect the liver. The most common types are Hepatitis A, B, and C. Hepatitis C is a blood-borne infectious disease that is caused by the Hepatitis C Virus (HCV) and primarily affects the liver. The impact of Hepatitis C varies widely from a mild illness lasting only a few weeks to a serious, lifelong illness that attacks the liver. Most people do not know that they are infected, because they often do not look or feel sick until they have developed liver problems. Hepatitis C is considered to have two stages: Acute and Chronic.
3 DIFFERENCES BETWEEN HEPATITIS A, B, & C Hepatitis A, B, and C are diseases caused by three different viruses. Hepatitis A only appears as an acute infection and is usually spread through fecal matter. Hepatitis B can be acute or chronic and is spread through body fluids. While all three can cause similar symptoms, they all have different methods of transmission and can affect the liver differently. There is a vaccination for Hepatitis A and B, but there is none for Hepatitis C. If a person has one type of Hepatitis, it is still possible to get the other types.
4 WHO IS AT RISK FOR HCV Current or former injection drug users, including those who injected only once many years ago Recipients of clotting factor concentrates made before 1987, when more advanced methods for manufacturing those products were developed Recipients of blood transfusions or solid organ transplants before July 1992, when better testing of blood donors became available Chronic hemodialysis patients Persons with known exposures to HCV, such as health care workers after needlesticks involving HCV-positive blood recipients of blood or organs from a donor who tested HCV-positive Persons with HIV infection Children born to HCV-positive mothers
5 STATISTICS The CDC estimates that there are 3.5 million people currently infected with Hepatitis C, with million people living with chronic HCV. However, studies estimate that 75% of those living with Hepatitis C have never been tested and are unaware of their diagnosis. These may be underestimates since incarcerated and homeless individuals are high prevalence populations but are rarely tested. CDC estimates that there were actually 33,900 new cases in 2015.
6 TRANSMISSION Hepatitis C is a blood-borne disease spread primarily through blood-to-blood contact. The most common methods of transmission are: Injection drug use Sharing drug paraphernalia Improperly sterilized medical equipment Blood transfusions Unsterilized tattoo and piercing equipment Being born to a mother with Hepatitis C Less method common methods of transmission include: Sexual contact with a person with Hepatitis C Sharing personal care items that may have come in contact with a person s blood such as razors or toothbrushes
7 TRANSMISSION Methods that Hepatitis C cannot be spread include: Food Water Sharing eating utensils Breastfeeding Hugging or kissing Holding hands Mosquitos and other bug bites
8 BLOOD SPILLS The Hepatitis C Virus can survive outside of the body at room temperature for up to three weeks. Even if the blood is dry, it can still be infectious. The best method for cleaning up any blood spills is to use a dilution of 1part bleach and 10 parts waters. Gloves should always be worn when cleaning up blood spills.
9 ACUTE INFECTION The initial stage of a Hepatitis C infection is an Acute Infection. An Acute Infection is a short-term illness that occurs within the first six months after someone is exposed to the Hepatitis C Virus. Only 20% - 30% of newly infected individuals will have symptoms. When symptoms do manifest at this stage, they are often varied. Most common symptoms of an acute infection are jaundice, abdominal pain, poor appetite or fatigue. Serious complications are very rare in this early stage. Acute infections are resolved without treatment in about 15% - 25% of cases.
10 CHRONIC INFECTION Approximately 75% - 85% individuals infected with HCV will develop a Chronic Infection. A Chronic Infection is a long-term illness that occurs when the virus remains in a person's body. Symptoms often do not develop until a person has been infected for many years and liver problems have developed. A Chronic Infection can last a lifetime and lead to serious liver problems including cirrhosis (scarring of the liver) or liver cancer.
11 LONG-TERM EFFECTS Of every 100 people infected with Hepatitis C, about: will develop a chronic infection will develop chronic liver disease 5-20 will develop cirrhosis 1-5 will die from liver cirrhosis or liver cancer More than 19,000 people die every year from Hepatitis C- related liver disease.
12 CIRRHOSIS Cirrhosis is a process in which damaged or dead liver cells are replaced with scar tissue, altering the structure of the liver. As a result, the liver's smooth texture becomes nodular and lumpy. The spread of the scar tissue impedes the proper functions of the liver by blocking the flow of blood through the liver. This slows the production of proteins and processing of nutrients, hormones, drugs, and naturally produced toxins. The rate of progression of cirrhosis is different in different people, but different factors such as alcohol consumption can accelerated progression. Symptoms are still rare in the early stages and vary significantly. The most common symptoms include tiredness and weakness, loss of appetite, nausea and vomiting, weight loss, easy bruising, itchiness, and jaundice
13 END STAGE LIVER DISEASE Cirrhosis is irreversible so the treatment focuses on keeping the condition from worsening. Compensated Cirrhosis means that the liver is heavily scarred but can still perform many important bodily functions. Decompensated Cirrhosis occurs when the liver is so extensively scarred that it is unable to function properly. At this stage, people often begin to develop symptoms and complications that can be life threatening. The goal at this stage is to try and manage complications due to deteriorating liver through treatment. When the liver breaks down and can no longer perform its job, it is called End-Stage Liver Disease. At this point, the only treatment available is a liver transplant.
14 TESTING GUIDELINES Persons for Whom HCV Testing is Recommended by the CDC: Adult born between 1945 to 1965 regardless of risk factors Current and former injection drug users Individuals treated for a blood clotting problem before 1987 Individuals that received a blood transfusion prior to July 1992 Individuals that were ever on long-term hemodialysis treatment Individuals with liver disease Health care and public safety workers exposed to blood through needle stick or other sharp object injury HIV-positive individuals Children born to HCV-positive women
15 TESTING GUIDELINES Persons for whom HCV testing is of uncertain need according to the CDC: Recipients of transplanted tissue Non-injection drug users Persons with a history of tattooing and body piercing Persons with a history of multiple sex partners or sexually transmitted diseases Long-term sex partners of HCV-positive persons Persons for whom HCV testing is not recommended according to the CDC: Health care, emergency medical, and public safety workers Pregnant women Household (nonsexual) contacts of HCV-positive persons General population
16 INFECTIONS OVER TIME 7,000 Reported New Cases of Hepatitis C in the United States by year 6,000 5,000 4,000 3,000 2,000 1,
17 NEW TRENDS For the first time in two decades, new Hepatitis C infections are on the rise. Between 2011 and 2015, new infections have increased 197% nationally. The new infection rate is fastest growing among America s youth, a group that was previously rarely exposed to Hepatitis C. This group is now twice as likely to be newly infected than the national average. Several early investigations of newly acquired HCV infections reveal that most occur among young, white persons who live in non-urban areas In their latest surveillance report, the CDC has labelled the increase in Hepatitis C an emerging epidemic.
18 CORRELATION BETWEEN HEPATITIS C AND HEROIN Most researchers attribute this startling increase in new HCV infections to the nation s Heroin Epidemic and associated high risk behavior. The rate of new Hepatitis C infections between 2003 and 2013 is closely correlated with the rate of heroin overdoses over the same period. 2,500 2,000 1,500 1, Reported New HCV Infections 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - Heroin Overdoses r = 0.97, r2 = 0.94
19 INJECTION DRUG USERS AND HEPATITIS While infection rates for HIV, another blood-borne virus, among injection drug users has declined significantly as a result of efforts such as needle exchange programs, Hepatitis C has not. This is because the Hepatitis C Virus is more infectious and can survive outside of the body for a longer time: The rate of IDUs with HIV is 2,147 per 100,000, or 2% The rate of IDUs with HCV is 43,126 per 100,000, or 43% HCV is also three times more prevalent than HIV, and there is a much lower awareness among the target population. Thus, many researchers are concluding that needle exchange programs while effective for HIV are not enough to contain the spread of HCV.
20 INJECTION DRUG USERS AND HEPATITIS CDC reports that recent surveys of active IDUs indicate that approximately one third of young (aged years) IDUs are HCV-infected. Older and former IDUs typically have a much higher prevalence (approximately 70% 90%) of HCV infection, reflecting the increased risk of continued injection drug use
21 CHICAGO: HEPATITIS C AND HEROIN The dramatic resurgence of Hepatitis C has been particularly noticeable in Chicago. This is largely the result of Chicago being the epicenter of the nation s heroin epidemic: Chicago leads the nation in heroin-related emergency room visits with 24,627, more than doubling the number of New York City The percentage of substance abuse treatment admissions for heroin in Chicago (35.1%) is more than double the national average (18.6%). Chicago arrestees test positive for opioids at the highest rate in the nation (18.6%). Chicago is the number one destination for heroin shipments in the nation.
22 CHICAGO STATISTICS It is estimated that there are 70,000 individuals with Hepatitis C in Chicago, many of them current and former substance abusers. Fewer than 15% are aware of their status and less than 1% are engaged in medical care. This disparity is the result of several synergistic factors: Substance users rarely seeks out health care services due to their active drug and alcohol abuse Lack of insurance Insufficient knowledge of the disease and treatment availability An absence of symptoms A fear that treatment does more harm than good A distrust of the health care system.
23 HEPATITIS C AND SUBSTANCE ABUSE Today, nearly 90% of all new HCV infections are occurring among current substance abusers. Due to the increase in heroin use and associated high risk behaviors, there is a clear need to target and engage this population in HCV screening and care. However, efforts to test and engage substance abusers have had limited success. Any effort to accomplish this would face significant barriers. This population is often marginalized and medically underserved.
24 HEPATITIS C AND SUBSTANCE ABUSE One of the primary challenges Chicago faces in responding to Hepatitis C is that substance abusers are inadequately screened and tested, because they rarely access health care resources through traditional methods. For example, 78% of Haymarket s clients report never having received a comprehensive medical examination prior to admission. Substance abusers first point of entry into medical care is often through substance use disorder treatment. Unfortunately, only 15% of treatment agencies nationwide provide HCV antibody testing, and less than 2% provide quantitative and qualitative testing. This is because HCV testing, unlike HIV testing, has not been well funded and widely emphasized, and there are limited community-based testing locations.
25 INTEGRATED HCV SCREENING AND TESTING PROJECT As a result, Haymarket launched its Integrated HCV Screening and Testing Project in The project is designed to reduce HCV infection and transmission among substance users through: Expansion of screening and testing Increased knowledge and awareness of HCV Linkage to care and care coordination for HCV-positive individuals.
26 PROJECT HISTORY Between 2011 and 2015, the project offered group-level Hepatitis C education sessions, individual risk assessments, and rapid HCV testing to clients admitted Haymarket. Due to funding limitations, tests were only offered to clients that were screened to be at high risk for contracting and transmitting HCV. While the project identified a large number of HCV-positive individuals, we were only able to test a small fraction of our service population.
27 MEDICATION TREATMENT The launch of this program coincided with the release of a new, highly effective treatment for Hepatitis C. Previously, the only treatment for Hepatitis C was accompanied by painful side effects and was only effective half of the time. The new treatment therapy offered a cure nearly 100% of the time with minimal side effects. However, this new therapy is very expensive. Currently, one course of treatment can cost as much as $100,000 per patient, and some patients will need two courses of treatment.
28 ACCESS TO TREATMENT Illinois became of the few states to cover these new, very expensive treatment therapies through Medicaid. However, it introduced tough restrictions on who could receive the medication. For Medicaid to cover the costs of treatment, patients would have to pass a drug test and not have been diagnosed with a substance use disorder in the past year. Considering almost all new HCV infections are among substance users, this created a significant barrier to treatment sobriety. Thus, collocating testing and treatment at the same site became even more essential.
29 FOCUS PROJECT In 2016, Haymarket partnered with Gilead Science s FOCUS Program in order to redesign and expand our project. Through this partnership, Haymarket has implemented an opt-model testing model where all clients entering Haymarket could be tested. Tests would now be offered using a HCV antibody blood test at the time of their physical examination. The project also implemented a health navigation model that combined evidence-based linkage to care and recovery coaching practices.
30 MODEL DESIGN: LINKAGE TO CARE The linkage to care protocol is based on the evidence-based practice ARTAS (Anti-Retroviral Treatment and Access to Services). ARTAS uses strength-based case management and intensive motivational counseling that is designed to link clients to medical care and keep them engaged in medical care. Clients are linked to care within 14 days by health navigators who meet with the clients regularly to: Build a trusting relationship Identify their strengths, abilities, needs, and barriers to care Help clients overcome their fears
31 MODEL DESIGN: RECOVERY COACHING This is then combined with the evidence-based practice Manual for Recovery Coaching and Personal Recovery Plan Development. Recovery coaching is a manual-driven recovery management and health navigation program for people in substance use disorder treatment. Recovery coaches follow the client for up to a year providing intensive case management aimed at identifying their specific needs and developing step-by-step plans to address those needs. This model is designed to regularly follow-up with clients to ensure that they are still on the path to recovery, are still engaged in care, and adhering to their treatment. At the completion of services, the client will be a year sober and eligible for the most effective treatment of Hepatitis C within a year of diagnosis.
32 PROJECT OUTCOMES * Number of HCV Tests New Positives Identified Out-of-Care Positives Identified * Results through May Since 2011, Haymarket has tested and identified 414 new HCV-positive individuals. Since 2013, Haymarket has identified and reengaged 129 out-of-care HCV-positive individuals. Over 95% of our HCV-positive clients have been linked to medical care. The project s positivity rate is over 8%. According to the Illinois Department of Public Health, there are 2,615 HCV-positive individuals in Chicago. Given this number, Haymarket has identified 10% of Chicago s HCV-positive population.
33 SUCCESSES Linkage to care has been extremely successful. Support Group Peer support and education Services provide safety net for clients that would normally not receive support services. Passionate response from the clients encountered in the project.
34 CHALLENGES AND LESSONS LEARNED Haymarket is not a medical setting making the implementation of an opt-out testing model very difficult to coordinate. There is extremely limited funding available for Hepatitis C services. Despite being more prevalent, infectious, and deadly than HIV, HCV receives less than four cents for every dollar devoted to HIV services in the federal budget. There is a massive need for services among this population. Haymarket has only begun to graze the surface of this problem, and we have already found a massive underserved population. Access to treatment limited to our population. We still have yet to have a client meet criteria for treatment and be prescribed the cure. State policies continue to stigmatize substance use and impede access to treatment. Changes to ACA could limit access to health insurance, without which clients could not access specialty care.
35 NEXT STEPS Explore opportunities to implement laboratory-based testing and shift away from point of care testing. Explore 3 rd party billing. * Work with partners to increase testing and make it part of routine medical services provided to Haymarket Center clients.???? (What do you think we should do next?)
36 THANK YOU TO OUR FUNDERS We would like to thank the funders of our Integrated HCV Testing and Screening Project: Gilead Sciences U.S. Substance Abuse and Mental Health Service Administration Gibbs Family Foundation
37 CONTACT Jessica L Dubuar, LCPC Assistant Clinical Director Haymarket Center jdubuar@hcenter.org ext. 373
Welcome to Your Reading Assignment
Welcome to Your Reading Assignment This workbook contains four reading assignments. It is filled with easy-to-read articles you can use to help keep yourself and those you care about safe. After each reading
More informationCommonly Asked Questions About Chronic Hepatitis C
Commonly Asked Questions About Chronic Hepatitis C From the American College of Gastroenterology 1. How common is the hepatitis C virus? The hepatitis C virus is the most common cause of chronic viral
More informationWhat is Hepatitis C Virus (HCV)?
HEPATITIS C VIRUS (HCV) What is Hepatitis C Virus (HCV)? Hepatitis is an inflammation (swelling or tenderness) of the liver. Hepatitis C virus (HCV) is the most common form of viral hepatitis and usually
More informationHepatitis C Best Practice Guidelines For Local Health Departments
Hepatitis C Best Practice Guidelines For Local Health Departments LHDs are responsible for investigating and reporting all physician reported cases of acute hepatitis C (HCV). For clients known to have
More informationHepatitis C. Living with a Silent, Chronic Disease
Hepatitis C Living with a Silent, Chronic Disease Is Hepatitis C Like Other Kinds of Hepatitis? Hepatitis means inflammation of the liver. Hepatitis can be caused by many things, such as alcohol or certain
More informationX-Plain Hepatitis B Reference Summary
X-Plain Hepatitis B Reference Summary Introduction Hepatitis B is the most common serious liver infection. It is caused by the hepatitis B virus that attacks the liver. The virus is transmitted through
More informationSUBJECT: Hepatitis C Virus (HCV) Counseling/Education, Testing, Referral, and Partner Notification
SUBJECT: Hepatitis C Virus (HCV) Counseling/Education, Testing, Referral, and Partner Notification Hepatitis C virus (HCV) infection is the most common chronic bloodborne infection in the United States.
More informationHepatitis is an epidemic disease that can be caused by different viruses including hepatitis viruses A, B, C, D or E.
What is Hepatitis? Hepatitis is an epidemic disease that can be caused by different viruses including hepatitis viruses A, B, C, D or E. Hepatitis A and E are not chronic and are mostly present in areas
More informationHepatitis C. Kim Dawson October 2010
Hepatitis C Kim Dawson October 2010 Objectives: You will learn: More about Hepatitis C. The importance of the liver. Risk factors and prevention. Signs and symptoms. Hepatitis C Virus: Is a virus that
More informationHEPATITIS C. General Information. Can Hepatitis C be prevented? Is there a vaccine for Hepatitis C? Will Develop Chronic Infection
Basic Hepatitis C HEPATITIS C General Information Can Hepatitis C be prevented? Yes. To reduce the risk of becoming infected with the Hepatitis C virus: Do not share needles or other equipment to inject
More informationHEPATITIS C, ACUTE CRUDE DATA. Number of Cases 5 Annual Incidence a LA County 0.05 California b 0.10 United States b 0.68 Age at Diagnosis Mean 38
2016 Annual Morbidity Report HEPATITIS C, ACUTE a Rates calculated based on less than 19 cases or events are considered unreliable b Calculated from: CDC. Notice to Readers: Final 2016 Reports of Nationally
More informationHow does HBV affect the liver?
Hepatitis B Why is the liver important? Your liver is a vital organ that performs many essential functions. It s the largest solid organ in the body and is located under your rib cage on the upper right
More informationBlood Borne Pathogens. Becky Walch, R.N. Micheel Valdez, L.V.N.
Blood Borne Pathogens Becky Walch, R.N. Micheel Valdez, L.V.N. Examples of Blood Borne Pathogens Hepatitis B Hepatitis C Other Hepatitis HIV Hepatitis Hepatitis means inflammation of the liver. Hepatitis
More informationHepatitis C in Massachusetts Michael Gaucher and Shauna Onofrey MA Department of Public Health Bureau of Infectious Disease & Laboratory Sciences
Massachusetts Department of Public Health Bureau of Infectious Disease and Laboratory Sciences Hepatitis C in Massachusetts Michael Gaucher and Shauna Onofrey MA Department of Public Health Bureau of Infectious
More informationHEPATITIS C. The Facts
HEPATITIS C The Facts Your liver keeps you healthy in many ways, such as by removing toxins from your blood and transforming nutrients from food into energy. Hepatitis means inflammation of the liver.
More informationGreater Glasgow and Clyde. Blood Borne Viruses: Some important basic facts
Greater Glasgow and Clyde Blood Borne Viruses: Some important basic facts Greater Glasgow and Clyde Blood Borne Viruses: Some important basic facts A programme developed by Greater Glasgow and Clyde Health
More informationTransmission/Prevention
Transmission/Prevention Section Three Transmission/Prevention Hepatitis C is transmitted by blood-to-blood contact. Any break in the skin may allow HCV to enter the body, even if no blood is visible. The
More informationContents: 7. Transmission 8. Prevention 9. Testing 10. Living with Hepatitis C 11. Treatments 12. Co-infection 13. Support
Contents: 1. Definitions 2. Facts and Figures 3. History 4. The Liver 5. Progression 6. Symptoms 7. Transmission 8. Prevention 9. Testing 10. Living with Hepatitis C 11. Treatments 12. Co-infection 13.
More informationWHAT IS HEPATITIS C? 2 DOES HEPATITIS C AFFECT PREGNANCY? HOW DO I GET TREATED FOR HEPATITIS C?
1 TABLE OF CONTENTS WHAT IS HEPATITIS C? 2 HOW DO PEOPLE GET INFECTED WITH HEPATITIS C? 4 HOW DOES HEPATITIS C AFFECT MY BODY? 6 DOES HEPATITIS C AFFECT PREGNANCY? 8 HOW DO I GET TESTED FOR HEPATITIS C?
More informationHEPATITIS C AND CHRONIC KIDNEY DISEASE
Learning About HEPATITIS C AND CHRONIC KIDNEY DISEASE kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease
More informationyour liver Care for Think about hepatitis
your liver Care for Think about hepatitis World Hepatitis Day 2015 What is hepatitis? Hepatitis is the common name for all inflammatory diseases of the liver. Liver inflammation is most often caused by
More informationHepatitis STARS Program. Geri Brown, M.D. Associate Professor Department of Internal Medicine October 4, 2003
Hepatitis 2003 STARS Program Geri Brown, M.D. Associate Professor Department of Internal Medicine October 4, 2003 Outline n Hepatitis A Epidemiology and screening Transmission n Hepatitis B Epidemiology
More informationThe facts you need to know
Hepatitis B The facts you need to know Patient information booklet Know it. Test it. Treat it. Table of contents About this booklet 3 What is hepatitis? 3 What is chronic hepatitis B? 3 Can someone be
More informationADDRESSING VIRAL HEPATITIS IN PEOPLE WITH SUBSTANCE USE DISORDERS: A THREE (3) PART SERIES
ADDRESSING VIRAL HEPATITIS IN PEOPLE WITH SUBSTANCE USE DISORDERS: A THREE (3) PART SERIES David Njabulo Whiters, PhD, MSW, NCAC II Consultant, Great Lakes Addiction Technology Transfer Center Setting
More informationHepatitis B. What is hepatitis B? How is HBV spread?
2015 Hepatitis B Hepatitis B What is hepatitis B? Hepatitis B is a liver condition caused by the hepatitis B virus (HBV). HBV can be chronic, in which case it can lead to liver failure, liver cancer, or
More information"Hepatitis" means inflammation of the liver and also refers to a group of viral infections that
Understanding Viral Hepatitis in African Americans Health Note Viral Hepatitis "Hepatitis" means inflammation of the liver and also refers to a group of viral infections that Viral hepatitis is the leading
More informationYou WILL survive Blood Borne Pathogens. Joanne Hathorn RN IL/NCSN Sheri Boress RN IL/NCSN Health Services WPS 60
You WILL survive Blood Borne Pathogens Joanne Hathorn RN IL/NCSN Sheri Boress RN IL/NCSN Health Services WPS 60 At first you may be afraid of children getting sick, bleeding knees and bloody noses in your
More informationThe National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015
The National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015 December 21, 2015 2 December 21, 2015 3 Can we eliminate hepatitis C? Treatments December 21, 2015 4 We Have the Roadmap
More informationWhat You Must Know about Hepatitis C. Facts, Symptoms, Treatment and Cures
What You Must Know about Hepatitis C Facts, Symptoms, Treatment and Cures Hepatitis C can be life threatening. Today the hepatitis C virus kills more Americans than HIV. And it has become alarmingly widespread,
More informationThe Syndemics of HIV, Hepatitis, and Overdose
The Syndemics of HIV, Hepatitis, and Overdose Sara Zeigler Associate Director for Policy Office of Policy, Planning and Partnerships (proposed) Centers for Disease Control and Prevention National Center
More informationWelcome to the Hepatitis C Education Class
Welcome to the Hepatitis C Education Class Topics of the Class Your liver Types of hepatitis How hepatitis C is spread How to protect your liver Treatment for hepatitis C What is the Liver? Makes chemicals
More informationHepatitis C What is it? Should I get tested?
Hepatitis C What is it? Should I get tested? Everything you need to know about hepatitis C Mazzoni Center Hepatitis A, B, and C are different diseases, and the viruses are spread in different ways. liver
More informationBlood borne Pathogen
Blood borne Pathogen Training For Certified Nursing Assistants Meets the Blood borne Pathogens & Infection Control Update (Formerly HIV/AIDS) 1 0 In-service Hour Meets the Blood borne Pathogens & Infection
More informationPHILLY HEPATITIS ANSWERS ABOUT HEPATITIS
PHILLY HEPATITIS ANSWERS ABOUT HEPATITIS TABLE OF CONTENTS WHAT IS HEPATITIS B? 2 HOW DO PEOPLE GET INFECTED WITH HEPATITIS B? 4 HOW DOES HEPATITIS B AFFECT MY BODY? 6 DOES HEPATITIS B AFFECT PREGNANCY?
More informationConfirmed (Laboratory Tests) Serum positive for IgM anti-hbc or, hepatitis B surface antigen (HbsAg).
Hepatitis B Hepatitis B is a liver disease that results from infection with the Hepatitis B virus. It can range in severity from a mild illness lasting a few weeks to a serious, lifelong illness. Hepatitis
More informationHepatitis B. What Is Hepatitis? What Are The Two Stages Of Hepatitis? Published on: 5 Oct 2010
Published on: 5 Oct 2010 Hepatitis B What Is Hepatitis? Hepatitis is an inflammation of the liver. Inflammation causes soreness and swelling. Hepatitis can be caused by many things. Hepatitis is most commonly
More informationHepatitis : A Visual Guide to Hepatitis
Hepatitis : A Visual Guide to Hepatitis What Is Hepatitis? Hepatitis is an inflammation of the liver. It may be caused by drugs, alcohol use, or certain medical conditions. But in most cases, it's caused
More informationQuestion 1. Blood Borne Viruses: Some important basic facts 6. What does BBV stand for? A. Blood Based Virus. B. Blood Borne Viruses
Question 1 What does BBV stand for? A. Blood Based Virus B. Blood Borne Viruses C. Basic Blood Viruses Blood Borne Viruses: Some important basic facts 6 Question 1 What does BBV stand for? A. Blood Based
More informationWhat is hepatitis? What is hepatitis A? How is it spread? What are the symptoms? How soon do symptoms appear? How is hepatitis A diagnosed?
Hepatitis A Massachusetts Department of Public Health, 305 South Street, Jamaica Plain, MA 02130 What is hepatitis? Hepatitis is any kind of inflammation (a reaction which can include swelling and pain)
More informationYou, Your Liver and Hepatitis C
You, Your Liver and Hepatitis C Hilda Ortiz-Morales NP, PhD Montefiore Medical Center HIV-HCV Program Coordinator New York State Department of Health Anatomy Function Absorbs good nutrients Stores sugar
More informationHepatitis C (Hep C) By Joshua Rollins. Transmission/Reservoirs
Hepatitis C (Hep C) By Joshua Rollins Etiological Agent: Hepatitis C virus (HCV) Transmission/Reservoirs Reservoir: Human The infection stems from the Hepatitis C virus (HCV), which is Blood borne pathogen
More informationThe epidemiology of hepatitis C in Canada
The epidemiology of hepatitis C in Canada FACT SHEET Published 2017 This fact sheet provides a snapshot of the hepatitis C epidemic in Canada. It is one of a series of fact sheets providing epidemiological
More informationBloodborne Pathogens. Kathleen Stefek, RN, MSN
Bloodborne Pathogens Kathleen Stefek, RN, MSN What are Bloodborne Pathogens? Infectious agents carried in the blood and other body fluids that are capable of infecting a host (people like you and me) with
More informationInfection Control in the School Setting. It s In Your Hands
Infection Control in the School Setting It s In Your Hands What is an Infection? A condition resulting from the presence of, and invasion by, germs (microorganisms) For Infection to Occur an Organism Must:
More information5 th Grade Curriculum HIV and Communicable Diseases
5 th Grade Curriculum HIV and Communicable Diseases HIV and Communicable Diseases Serious subject Mature enough Consequences Informational Prevention Hypochondriac Disease HIV-AIDS HIV Human Immunodeficiency
More informationPromoting hepatitis B vaccination
Promoting hepatitis B vaccination Introduction Hepatitis B is a serious blood borne infection that can exacerbate hepatitis C infection, can cause serious liver damage and sometimes results in death. Hepatitis
More informationCOURSE DESCRIPTION. Copyright Information
COURSE DESCRIPTION This continuing education course will review six types of hepatitis: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, and Hepatitis G. Information about symptoms, diagnosis,
More informationHIV Prevention, Hepatitis Programming, and Drug User Health An Integrated Service Model at SFDPH. Protecting and Promoting Health and Equity
HIV Prevention, Hepatitis Programming, and Drug User Health An Integrated Service Model at SFDPH Protecting and Promoting Health and Equity CHE&P 3/12/15 Presented by: Katie Burk, MPH 1 San Francisco Department
More informationHepatitis B and C Basics
Hepatitis B and C Basics What is the liver? The liver is the largest internal organ that performs many important functions. Stores nutrients and vitamins Fights infection Stores energy Removes harmful
More informationTargeted Outreach & Other Strategies for Increasing HCV Testing
Targeted Outreach & Other Strategies for Increasing HCV Testing Working in Settings that Serve High-Risk Populations Webcast 2.4 Presented By: Denise Stinson, MN, RN Tacoma-Pierce County Health Department
More informationUniversal Precautions
Universal Precautions James Madison University Brought to you by Office of Health Promotion, JMU Health Center (2007) Purpose of this Training Teach the principles behind the prevention of disease transmission.
More informationHepatitis C Virus (HCV)
Clinical Practice Guidelines Hepatitis C Virus (HCV) OBJECTIVE The purpose is to guide the appropriate diagnosis and management of Hepatitis C Virus (HCV). GUIDELINE These are only guidelines, and are
More informationFor Residence Hall Students Only
Immunization Record 2016-2017 Please print all information. PLEASE MAIL OR FAX COMPLETED FORMS (TWO PAGES) TO: Mount St. Joseph University, Wellness Center, 5701 Delhi Road, Cincinnati, OH 45233-1670 ATTN:
More informationSTI & HIV PRE-TEST ANSWER KEY
Name: STI & HIV PRE-TEST ANSWER KEY 1. You can catch a STI or HIV from door knobs, toilet seats, or FALSE drinking fountains. STIs are transmitted sexually, requiring sexual contact. Some STIs can be transmitted
More informationAwareness Support Information Prevention
#CThis #CureThis Awareness Support Information Prevention For more information visit: www.hepinfo.ie What is Hepatitis C? Hepatitis C is a viral infection that affects the liver, causing it to become inflamed
More informationHepatitis C SYMPTOMS COMPLICATIONS
Hepatitis C Hepatitis simply means "inflammation of the liver". Hepatitis C is a virus that was isolated in 1989. Since then, a tremendous amount has been learned about the virus. SYMPTOMS Hepatitis C
More informationIT IS NOT OUR FEET THAT MOVE US ALONG IT IS OUR MINDS. Ancient Chinese proverb. 2/5/ :22 c2009 Eva Gregory, MA, 1
IT IS NOT OUR FEET THAT MOVE US ALONG IT IS OUR MINDS. Ancient Chinese proverb. 2/5/2012 12:22 c2009 Eva Gregory, MA, 1 TO DEVELOP A PLAN FOR POSITIVE LIFESTYLE CHANGE. This is not therapy or counseling.
More informationViral Hepatitis. Background
Viral Hepatitis Background Hepatitis or inflammation of the liver can be caused by infectious and noninfectious problems. Infectious etiologies include viruses, bacteria, fungi and parasites. Noninfectious
More informationLIVING WITH HEPATITIS B
LIVING WITH HEPATITIS B Welcome What is hep B? Hepatitis B (or hep B) is a serious liver disease that affects millions of people across the world. This brochure is here to help you better understand hep
More informationHepatitis C The facts
Hepatitis C The facts 2 Hepatitis C The facts What is hepatitis? Hepatitis means inflammation of the liver. The liver is a vital part of the body. If it does not work properly, it can cause serious illness.
More informationBloodborne Pathogens. General
Bloodborne Pathogens General Session Objectives Identify bloodborne pathogens (BBPs) Understand how diseases are transmitted Determine your risk of exposure Protect yourself from exposure through prevention
More informationEpidemiology of Acute Hepatitis C Infection in Canada Results from the Enhanced Hepatitis Strain Surveillance System (EHSSS)
Epidemiology of Acute Hepatitis C Infection in Canada Results from the Enhanced Hepatitis Strain Surveillance System (EHSSS) At a Glance Reported rates of acute HCV declined from.5 per, population in to.
More informationBefore we begin. If you received a white card when you came in please read it and answer this question: What is the risk of Hep C with this activity?
Before we begin If you received a white card when you came in please read it and answer this question: What is the risk of Hep C with this activity? Put your white card under the appropriate sign at the
More informationHepatitis C: Let s Talk About It. Causes of Hepatitis
Hepatitis C: Let s Talk About It Susan Thompson, RN, MPH Technical Assistance and Training Program NC Communicable Disease Branch July 2012 Causes of Hepatitis any swelling, inflammation, or irritation
More informationAs a result of this training, participants will be able to:
Addressing Sexual Risk with Drug Users and their Partners 1 Day Training This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users.
More informationF REQUENTLY A SKED Q UESTIONS
F REQUENTLY A SKED Q UESTIONS page 1 Viral Hepatitis Pain in the stomach Skin and whites of the eyes turning yellow, also called jaundice Q: What are the types of viral hepatitis? A: Hepatitis A Q: What
More informationCMC Annual Review of BLOODBORNE DISEASES. Prevention of Transmission for School Staff
CMC Annual Review of BLOODBORNE DISEASES Prevention of Transmission for School Staff Standard on Bloodborne Pathogens OSHA sets the standard of care We must have standards to follow in schools for everyone
More informationSECTION 1: ABOUT HEPATITIS
SECTION 1: ABOUT HEPATITIS Hepa33s means swollen liver Many things can cause your liver to become swollen, including drinking a lot of alcohol; taking certain medica3ons or herbs; inhaling toxic fumes;
More informationDigestive & Liver Disease Wellness
Digestive & Liver Disease Wellness Colorectal Cancer Screening & Prevention According to the American Cancer Society, this year 136,830 people in the U.S. According will be to diagnosed the American with
More informationIntroduction and Background
Table of Contents Preface and Acknowledgements... i Introduction and Background... 1 Testing Session... 10 Antibody Negative/Nonreactive Test Results... 18 Antibody Positive/Reactive Test Result... 25
More informationAs a result of this training, participants will be able to:
Addressing Prevention with HIV Positive Clients 1 Day Training This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result
More informationBloodborne Pathogens. Penn State University Environmental Health & Safety
Bloodborne Pathogens Penn State University Environmental Health & Safety Diseases of Concern Hepatitis B (Serum Hepatitis) Hepatitis C (non-a non-b Hepatitis) HIV (Human Immunodeficiency Virus aka the
More informationHIV 101. San Joaquin AIDS Foundation 4330 N. Pershing Ave., Ste. B3 Stockton, CA (209) Fax
HIV 101 Presented By: Daniel Corona San Joaquin AIDS Foundation 4330 N. Pershing Ave., Ste. B3 Stockton, CA 95207 (209) 476-8533 Fax 476-8142 www.sanjoaquinaidsfoundation.org This presentation brought
More informationHIV/AIDS. Communication and Prevention. Davison Community Schools Grade Six June 2018
HIV/AIDS Communication and Prevention Davison Community Schools Grade Six June 2018 Discussing Sensitive Matters with Your Parents Parents: A child s first and most important teacher Parent s role is to
More informationDHMH Activities toward Implementing Requirements of Md. Code Ann., Health-General , Hepatitis C Prevention and Control within Maryland
DHMH Activities toward Implementing Requirements of Md. Code Ann., Health-General 18-1001, Hepatitis C Prevention and Control within Maryland Submitted by: Maryland Department of Health and Mental Hygiene
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #400 (NQF 3059): One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS F INDIVIDUAL MEASURES: REGISTRY ONLY
More informationBloodborne Pathogens
Bloodborne Pathogens Session Objectives Identify bloodborne pathogens (BBPs) Understand how diseases are transmitted Risk of exposure Protecting yourself from exposure through prevention Responding appropriately
More informationBlood Borne Viruses (BBV) & What You Need To Know
Blood Borne Viruses (BBV) & What You Need To Know P R E S E N T E D B Y Dee Smith WHAT YOU LL LEARN What are the 3 BBVs? S&S of each of the BBVs Transmission of BBVs What infection prevention & control
More informationHEPATITIS C LESSONS PART 1
What Is Hepatitis C, How Does It Spread and What Are the Symptoms? PURPOSE To provide people in your community some basic facts about hepatitis C, and to educate them about the liver in general; to teach
More informationOur Liver & Hepatitis
Hepatitis C November 2015 The Liver Hepatitis: A, B & C Outline Epidemiology (Who? How many?) How Hep C Works Transmission & Prevention Testing Treatment 2 What does the liver do? Our Liver & Hepatitis
More informationViral Hepatitis. WHO Regional Office for Europe July 2013
Viral Hepatitis WHO Regional Office for Europe July 2013 What is Hepatitis? Hepatitis is a viral infection that causes inflammation of the liver There are five main types of viral hepatitis: A, B, C, D,
More informationHepatitis C COLVILLE FOCUSED DIAGNOSIS, MANAGEMENT, TREATMENT
Hepatitis C COLVILLE FOCUSED DIAGNOSIS, MANAGEMENT, TREATMENT Background and affiliations BS (MIT); 3 years in international health (Mexico City and Honduras with Peace Corps); MS (Colorado State University);
More informationBLOODBORNE PATHOGENS. San Antonio Independent School District Student Health Services
BLOODBORNE PATHOGENS San Antonio Independent School District Student Health Services References: Champion, C, Occupational Exposure to Bloodborne Pathogens, Implementing OSHA Standards in the School Setting.
More informationSIXTY-SECOND WORLD HEALTH ASSEMBLY A62/22 Provisional agenda item April Viral hepatitis. Report by the Secretariat
SIXTY-SECOND WORLD HEALTH ASSEMBLY A62/22 Provisional agenda item 12.17 16 April 2009 Viral hepatitis Report by the Secretariat THE DISEASES AND BURDEN 1. The group of viruses that cause acute and/or chronic
More informationSeek, treat and eradicate Hepatitis C. You can t recover if you re dead Jane, Marie and Tracey 03/09/2018 Jury s Inn Middlesbrough
Seek, treat and eradicate Hepatitis C You can t recover if you re dead Jane, Marie and Tracey 03/09/2018 Jury s Inn Middlesbrough What is hepatitis C? Hepatitis is a general term meaning inflammation of
More informationHepatitis C Basics. Michael Bailey Director of Programming, CATIE. Mary Choy Regional Health Education Coordinator, CATIE
Hepatitis C Basics Michael Bailey Director of Programming, CATIE Mary Choy Regional Health Education Coordinator, CATIE CATIE Our History Learning Objectives 1) To learn about the basics of hepatitis C
More informationBloodborne Pathogens Training For School Personnel
Bloodborne Pathogens Training For School Personnel OSHA Defined: Occupational Safety and Health Administration Published a standard to reduce or eliminate health risk, resulting in: Annual training of
More informationAdvice and Information about Hepatitis C For patients, carers and the public
Advice and Information about Hepatitis C For patients, carers and the public What is Hepatitis C virus (HCV)? Hepatitis means inflammation of the liver. Many things can cause Hepatitis, including excessive
More informationBEFORE THE ALASKA OFFICE OF ADMINISTRATIVE HEARINGS ON REFERRAL BY THE COMMISSIONER OF HEALTH AND SOCIAL SERVICES DECISION
BEFORE THE ALASKA OFFICE OF ADMINISTRATIVE HEARINGS ON REFERRAL BY THE COMMISSIONER OF HEALTH AND SOCIAL SERVICES In the Matter of: ) ) D T ) OAH No. 15-1115-MDX ) Agency No. I. Introduction DECISION The
More informationBLOODBORNE PATHOGENS Online Training for Buncombe County Public School Employees
BLOODBORNE PATHOGENS Online Training for Buncombe County Public School Employees Buncombe County Public Schools require employees to receive annual training for Bloodborne Pathogens. This online training
More informationMedical Case Management Training Series Module 1. Anissa Ray & Vadim Kogan
Medical Case Management Training Series Module 1 Anissa Ray & Vadim Kogan 6/9/2016 The Goal of This Training: Give you the HIV Knowledge you need to support your clients Help you Understand what these
More informationHepatitis C Cure The Invisible Epidemic
Hepatitis C Cure The Invisible Epidemic Iris House 8 Th Annual Face of AIDS Summit Hadiyah Charles Hepatitis Advocacy Manager Harm Reduction Coalition Hepatitis C Basics A virus that can cause chronic
More information4 Ways to Provide Housing and Healthcare to Homeless Persons Living with HIV/AIDS
4 Ways to Provide Housing and Healthcare to Homeless Persons Living with HIV/AIDS White Paper / October 2016 702.605.6870 / support@clarityhs.com / www.clarityhumanservices.com / www.bitfocus.com EXECUTIVE
More informationNEOMED ACADEMIC POLICY
(A) PURPOSE The purpose of this Policy is to delineate the management of incidents of exposure to blood-borne pathogens that occur to students while they are in the educational setting. (B) SCOPE This
More informationBlood Borne Pathogens
Bloomer School District Blood Borne Pathogens Developed by: Tammy Kornesczuk, RN Act Rather Than Re-act School Staff tend to be nurturing and care-taking people Don t rush to help without putting on gloves
More informationNote: Staff who work in case management programs should attend the AIDS Institute training, "Addressing Prevention in HIV Case Management.
Addressing Prevention with HIV Positive Clients This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result in transmitting
More informationPractical Solutions to Reduce Incidence of Liver Cancer. Nancy Steinfurth, Executive Director Liver Health Connection November 2017
Practical Solutions to Reduce Incidence of Liver Cancer Nancy Steinfurth, Executive Director Liver Health Connection November 2017 Prevention HBV Vaccinate for hepatitis B Costs between $120 and $370 if
More informationDetection of Hepatitis B and C in Primary Care
Detection of Hepatitis B and C in Primary Care Presentation 2 January 2016 Quality Quality Education Education for for aa Healthier Healthier Scotland Scotland 1 1 Learning Outcomes Participants will be
More informationHepatitis Case Investigation
* indicates required fields Does patient also have: Hepatitis Case Investigation West Virginia Electronic Disease Surveillance System Division of Surveillance and Disease Control Infectious Disease Epidemiology
More informationBloodborne Pathogen Refresher Training
Bloodborne Pathogen Refresher Training This program will review your occupational risks and the steps that you and the County must take to reduce your risks of exposure. Employees must report any occupational
More information