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  • 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. 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. 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. 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. 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. 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. 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. 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