Hepatitis B prevention and control:Lessons from the East and the West

被引:1
作者
Monica C Robotin [1 ]
机构
[1] NSW Cancer Council,School of Public Health University of Sydney
关键词
Hepatitis B; Hepatocellular cancer; Hepatitis B surveillance; Vaccination; Screening;
D O I
暂无
中图分类号
R512.62 [];
学科分类号
100401 ;
摘要
Despite being ten times more common than HIV infection,viral hepatitis has so far not commanded the same public health response worldwide,so a global viral hepatitis treatment program is still a long way from becoming a reality.However,much progress has occurred over the last few decades,with the screening of blood products,sound infection control practices and the introduction of disposable needles and syringes leading to signif icant reductions in nosocomial hepatitis B transmission in the developed world and increasingly in other countries.The introduction of hepatitis B vaccination in the 1980s and its integration into the Expanded Immunization Program have led to substantial reductions in chronic hepatitis B infection rates in children and to millions of lives saved.The availability of effective antiviral treatment has revolutionized treatment prospects,although access to treatment remains a significant challenge for most developed countries and re mains out of reach for developing nations.Some of these breakthroughs have occurred in Asian countries,others in the West,but their unifying features are innov ative research,timely clinical translation and a com mitment to apply their findings to improve the healt h of populations,not just individuals.This paper reviews some of the challenges and opportunities for hepat itis B control at the end of the f irst decade of the third millennium and argues for closer East-West collaborations,to bring in fresh perspectives,avoid dupl ications of effort and in order to help answer many of the remaining challenges in making hepatitis B history.
引用
收藏
页码:31 / 37
页数:7
相关论文
共 19 条
[1]   Screening and Early Treatment of Migrants for Chronic Hepatitis B Virus Infection Is Cost-Effective [J].
Veldhuijzen, Irene K. ;
Toy, Mehlika ;
Hahne, Susan J. M. ;
de Wit, G. Ardine ;
Schalm, Solko W. ;
de Man, Robert A. ;
Richardus, Jan Hendrik .
GASTROENTEROLOGY, 2010, 138 (02) :522-530
[2]  
Antiviral therapy for hepatitis B-related liver cancer prevention is more cost-effective than cancer screening[J] . Monica C. Robotin,Melanie Kansil,Kirsten Howard,Jacob George,Steven Tipper,Gregory J. Dore,Miriam Levy,Andrew G. Penman.Journal of Hepatology . 2009 (5)
[3]   Hepatitis B in China [J].
Liu, Jie ;
Fan, Daiming .
LANCET, 2007, 369 (9573) :1582-1583
[4]  
Knowledge, Attitudes, and Behaviors of Hepatitis B Screening and Vaccination and Liver Cancer Risks Among Vietnamese Americans[J] . Grace Xueqin, Ma,Steven E. Shive,Carolyn Y. Fang,Ziding. Feng,Lalitha. Parameswaran,Anny. Pham,Che. Khanh.Journal of Health Care for the Poor and Underserv . 2007 (1)
[5]  
Chronic hepatitis B: current epidemiology in the Americas and implications for management[J] . R. G.Gish,A. C.Gadano.Journal of Viral Hepatitis . 2006 (12)
[6]   Hepatocellular carcinoma and hepatitis B virus [J].
Chan, HLY ;
Sung, JJY .
SEMINARS IN LIVER DISEASE, 2006, 26 (02) :153-161
[7]  
Surveillance Programs for Chronic Viral Hepatitis in Three Health Departments[J] . Douglas T. Fleming,Amy Zambrowski,Felicia Fong,Andrea Lombard,Lynne Mercedes,Claudia Miller,Jan Poujade,Aaron Roome,Amy Sullivan,Lyn Finelli.Public Health Reports (1974-) . 2006 (1)
[8]  
Epidemiological study of hepatitis B virus infection in Manitoba, Canada, 1992–2003[J] . Z. Hong,G. Smart,G. Zaniewski,H. Wu,J. Wu,N. Goedhuis,A. Giulivi,K. Kaita,M. Dawood.European Journal of Clinical Microbiology & Infectious Diseases . 2005 (7)
[9]  
Hepatitis B Awareness, Testing, and Knowledge among Vietnamese American Men and Women[J] . Victoria M. Taylor,John H. Choe,Yutaka Yasui,Lin Li,Nancy Burke,J. Carey Jackson.Journal of Community Health . 2005 (6)
[10]  
Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures[J] . D.Lavanchy.Journal of Viral Hepatitis . 2004 (2)