China News Service, July 23 (Chen Jing Xia Wen) The world's 11th "World Hepatitis Day" is coming soon. The reporter learned on the 23rd that during the "13th Five-Year Plan" period, the Shanghai Children’s Immunization Program will maintain the coverage of hepatitis A and hepatitis B vaccination at 99 %, the free hepatitis B vaccination service has covered the entire population; the reported incidence of acute hepatitis has dropped to the lowest level in history, and the incidence and mortality of liver cancer have shown a downward trend.
The Shanghai Centers for Disease Control and Prevention revealed that on the same day, since 2016, Shanghai has provided free adult hepatitis B vaccination services to 3000 high-risk groups of hepatitis B infection each year, and so far, more than 45,000 doses have been vaccinated.
At present, the first-line drugs for hepatitis B treatment have been included in Shanghai's mass procurement and the national essential drug list. The price of drugs has dropped significantly, and the burden of patients' treatment costs will be further reduced.
It is reported that in 2011, Shanghai was the first in China to explore the contract management of chronic hepatitis patients in the community. The community health service center assisted medical institutions to provide free physical examinations, disease course monitoring management, convenient medication and other services for patients with chronic hepatitis patients to facilitate patient follow-up and dispensing services, as well as adult hepatitis B. Health service management such as free vaccination, health consultation and disinfection guidance.
At present, the contracted management service for chronic hepatitis patients has expanded to 16 districts and 166 communities, and more than 6,000 households of chronic liver patients have been contracted. The scope and number of pilot communities will continue to expand, and the quality of services will continue to improve.
According to the Shanghai Center for Disease Control and Prevention, Shanghai’s experience in community management of chronic hepatitis has been included in the WHO 2021 work report as a case of elimination of viral hepatitis in China.
During the interview, the reporter learned that the onset of hepatitis C is hidden, known as the "invisible killer". After infection, only 20% of patients will develop symptoms of acute hepatitis, and 80% of patients have no obvious symptoms, and often the disease has progressed to liver fiber when the infection is found. The best time for treatment is missed due to cirrhosis or liver cirrhosis.
In 2017, oral direct antiviral drugs (DAAs) entered the Chinese market, declaring that hepatitis C has officially entered a curable era.
According to reports, at the moment when the availability of medicines is fully guaranteed, in order to detect, treat and cure hepatitis C early, Shanghai has taken a multi-pronged approach to expand the coverage of hepatitis C testing.
In 2021, nearly 150 district CDCs and community health service centers in Shanghai will provide free rapid screening for hepatitis C antibodies, health consultation, referral for diagnosis and treatment, and follow-up services in the pilot AIDS voluntary counseling and testing sites of nearly 150 district disease control centers and community health service centers. Some districts can be further tested positive for antibodies. Of patients provide hepatitis C nucleic acid testing services.
In order to find every hepatitis C patient in need of treatment, under the guidance of the Shanghai Municipal Health Commission, the Shanghai Municipal Center for Disease Control and Prevention and the "Shanghai Health Cloud" platform launched an online recruitment campaign for "Hepatitis C Cloud Elimination" to help people evaluate themselves scientifically Health status, together to resist the harm of hepatitis C virus.
The Shanghai Municipal Center for Disease Control and Prevention told reporters that the 7th “Liver-loving Public Welfare” expert free consultation activity will combine the current situation of the prevention and control of the new crown pneumonia epidemic, and the “Health Cloud” platform, through the “Internet + Medical Health” form, 18 medical institutions in Shanghai With the joint participation of institutions, more than one hundred clinical and public health experts provide online consultation services for the public and patients with hepatitis.
A number of experts will carry out live broadcasts to interpret the current status of hepatitis prevention and treatment in terms of immune prevention, clinical diagnosis and treatment, and drug availability.
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