Apha slides tfah sanyal slides[1]

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Apha slides tfah sanyal slides[1]

  1. 1. Hepatitis B and C: A silent but deadly epidemic Arun J Sanyal M.D. Charles Caravati Professor of Medicine Virginia Commonwealth University Richmond, Virginia
  2. 2. Hepatitis B and C: Basic information • Virus infections of the liver: – A: acute illness – B: both acute and chronic – C: chronic illness – D: dual infection- B and D have to co-exist • Hepatitis B and C affect 5.3 million Americans
  3. 3. Hepatitis B and C is everyone’s problem • Who has it? – Seen in all segments of society – Some segments more at risk: Immigrants, Asians, African-Americans • How do you get it? – Exposure of contaminated blood – Sexual exposure – ? Unknown
  4. 4. What happens if you don’t diagnose hepatitis B or C in time? • Progression to cirrhosis: – liver failure – internal bleeding – brain malfunction – kidney failure – cancer • Other medical problems: – diabetes – kidney disease
  5. 5. Why the status quo is unacceptable • Disease diagnosed late in its course • Treatment options are more limited • Treatment not tolerated as well • Greater impact on family • More days of work loss • Greater cost of care • Strains the ability of small businesses to afford health care for its employees and their families
  6. 6. Why is the situation particularly tragic ? • Risk factors for viral hepatitis are well known • A highly effective vaccine for hepatitis B exists • Tests to diagnose the disease are available and are being improved upon- and should allow point of care testing • Highly effective treatments for both hepatitis B and C are available and getting better
  7. 7. Impediments to reducing the burden of viral hepatitis • Lack of knowledge and awareness • Lack of adequate screening, surveillance and reporting of viral hepatitis • Lack of effective immunization strategies • Lack of health services related to viral hepatitis in general-especially detection and treatment
  8. 8. The choice before us today Healthy people • immunize • educate • screen • identify and treat • surveillance Status quo • Detect disease late •High cost of care •Loss of workforce •Disruption of family THE CHOICE IS CLEAR

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