Notes
Slide Show
Outline
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National Task Force on Hepatitis B for Asians and Pacific Islanders
  • scientists
  • health professionals
  • not-for-profit organizations
  • concerned citizens
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Vision
  • The National Task Force on Hepatitis B for Asians and Pacific Islanders (API) brings together scientists, health professionals, not-for-profit organizations, and concerned citizens in a concerted effort to eliminate hepatitis B-related mortality and morbidity over the next generation.
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Mission
  • Our mission is to support national, state, and local efforts to prevent new hepatitis B infections through vaccination, to identify chronically infected individuals, and to offer appropriate treatment and cancer screening.
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Our mission will be achieved by coordinating national, state, and local efforts to attain these four goals
  • Increase awareness and knowledge about hepatitis B among API
  • Achieve universal vaccination of all API children birth to 18, as well as susceptible adults
  • Identify individuals with chronic infection through hepatitis B screening of API adolescents and adults
  • Provide appropriate treatment and screening for hepatocellular carcinoma among chronically-infected individuals


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History
  • Organized in 1997
  • Initially organized to address low hepatitis B immunization rates among API school age children across the United States
  • The vision has been expanded to encompass the broader impact of hepatitis B for API
  • More than 50 members, with 12 states represented
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National Achievements
  • 1999– Task force recommendation to the Advisory Committee on Immunization Practices (ACIP) to recommend hepatitis B vaccine through age 18 was adopted


  • 2001– Task force supported the recommendation that all newborns have first dose of hepatitis B vaccine prior to discharge


  • 2001– Obtained support from the American Cancer Society to recommend universal hepatitis B vaccination for all children 0-18 years of age as protective against liver cancer
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Organizational Structure
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Organizations involved
  • NATIONAL IMMUNIZATION PROGRAM, CDC, Gary Euler, Georgia
  • SOUTH CAROLINA DEPARTMENT OF HEALTH, Don Goodwin, South Carolina
  • HEPATITIS B INITIATIVE, Leslie Hsu, Virginia, Baltimore, and Maryland
  • HEPATITIS FOUNDATION INTERNATIONAL, Thelma Thiel, Maryland
  • HEPATITIS B FOUNDATION, Chari Cohen, Pennsylvania
  • IMMUNIZATION ACTION COALITION, Janelle Anderson, Minnesota
  • ILLINOIS HEALTH EDUCATION CONSORTIUM/AHEC, Virginia Warren, Illinois
  • DIGESTIVE HEALTH ASSOCIATES OF TEXAS, Son Do, Texas
  • ASIAN LIVER CENTER AT STANFORD UNIVERSITY, Sam So, California
  • VIETNAMESE COMMUNITY HEALTH PROMOTION PROJECT (Suc Khoe La Vang), Thoa Nguyen, California
  • IMMUNIZATION COALITION, Wendy Berger, California
  • ASIAN PACIFIC HEALTH CENTER, Ton Tran, California
  • HEPATITIS B PREVENTION PROJECT, Jeff Billings, California
  • UNIVERSITY OF WASHINGTON HEPATITIS AND LIVER CLINIC, Chia Wang, Washington
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National Task Force
  • Local Project Highlights
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Centers for Disease Control and Prevention
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Centers for Disease Control and Prevention
  • National Immunization Program, CDC
    • provides leadership for the planning, coordination, and  conduct of immunization activities nationwide.
  • Division of Viral Hepatitis, CDC
    • the Public Health Service component that provides the scientific and programmatic foundation for the prevention, control, and elimination of hepatitis virus infections in the United States, and assists the international public health community in these activities.
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South Carolina Department of Health
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Don Goodwin, DrPH, South Carolina Department of Health
  • Director, Bureau of  Epidemiology.
  • SC Chronic Disease Epidemiologist.
  • Served as WHO consultant for hepatitis B immunization programs in WHO’s Asian/Western Pacific and Southeast Asian Regions.
  • Principal Investigator, CENTERED Project (health care disparities elimination) --  http://www.scdhec .gov/hs/epidata/centered/index.htm.
  • CSTE Consultant to NY State DOH AIDS Dept to develop viral hepatitis training module (CDC sponsor).
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Hepatitis B Initiative
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The Hepatitis B Initiative, founder Leslie Hsu, MPH
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The Hepatitis B Initiative
  • The Hepatitis B Initiative (HBI) is a nonprofit organization that provides free screenings and vaccinations through community centered, culturally appropriate campaigns focused on Asian Americans and Pacific Islanders.
  • Outreach materials in Chinese, English, Korean, and Vietnamese are designed through participatory learning development, which empowers the community to create their own hepatitis B campaign.
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The Hepatitis B Initiative
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The Hepatitis B Initiative
  • Award winning program founded by medical and public health students at Harvard has now expanded to graduate and undergraduate schools in the Boston area
  • 2002-At the request of the Taskforce, Hsu and Thomas Oh expands the program to the DC, Maryland, and Virginia area through faith-based hepatitis B awareness
  • For more information, visit www.hepbinitiative.org
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Hepatitis Foundation International
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Education– Hepatitis Foundation International (Thelma Thiel)
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Son Do, Chairperson
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Need info from Son Do
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Immunization Action Coalition
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Immunization Action Coalition
  • The Hepatitis B Coalition, a program of the Immunization Action Coalition, promotes hepatitis B vaccination for all children 0-18 years; HBsAg screening for all pregnant women; testing and vaccination for high-risk groups; and education and treatment for people who are chronically infected with hepatitis B.
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IAC, continued
  • Three newsletters
    • Needle Tips, Vaccinate Adults, and Vaccinate women
    • Combined circulation 335,000
  • Two Listserves
    • IAC Express and HEP Express
  • Four Websites
    • www.immunize.org
    • www.vaccineinformation.org
    • www.izcoalitions.org
    • www.hepprograms.org
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Illinois Health Education Consortium
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Hepatitis Education and Prevention Program (HEPP) of Illinois Health Education Consortium—Chicago, Illinois
  • Dr. Hong Liu, Program Director
  • Virginia Warren, Program Coordinator
  • Dr. Karen Kim, Program Consultant
  • Community Program Coordinators
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Hepatitis Education and Prevention Program (HEPP)  Chicago, Illinois
  •    --dedicated to reducing the incidence of hepatitis B and liver cancer in Chicago’s immigrant and refugee communities through:


    • Community Outreach and Education
    • HBV screening and immunization for uninsured adults
    • School Outreach and Hepatitis B Catch-Up
    • Provider Education on current hepatitis B diagnosis and treatment
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Hepatitis B Prevention Project
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Asian Liver Center
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Asian Liver Center, Stanford University--Sam So, MD
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Vietnamese Community Health Promotion Project
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Mission
  • Founded in 1986,                                      (The Vietnamese Community Health Promotion Project) develops and evaluates public health programs in collaboration with the Vietnamese community throughout the US in the areas promotion of cancer screening.
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Immunize Against Hepatitis B to Protect Future Generations
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Hepatitis B Activities
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Hepatitis B Prevention Project
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Implementation– Hepatitis B Prevention Project, San Diego, CA
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Jeff Billings, MPH
  • Hepatitis B Prevention Project, Program Director
  • Community-based project to decrease the incidence of hepatitis B among API youth in San Diego


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Immunization Coalition
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The Los Angeles County (LAC)
Asian & Pacific Islander
(API) Hepatitis B Task Force

  • Since 2002, Wendy Berger has successfully formed community based partnerships with key LA County stakeholders, e.g, community clinics, API medical and pharmaceutical student associations, schools, health plans serving Asian and Pacific Islanders to build capacity for what has now emerged as The Los Angeles County Asian and Pacific Islander Hepatitis B Task Force;


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Accomplishments
  • Developed a volunteer based outreach program that has trained over 100 medical and undergraduate API students in the facilitation of  hepatitis B community presentations at high schools and adult English as a Second Language schools;
  • Conducted two hepatitis B provider education seminars inviting nationally renowned physicians and hepatologists to cover hepatitis B related topics, e.g., interpretation of serology, importance of screening, hepatitis B vaccination birth dose;
  • To date, these Continuing Medical Education (CME) seminars have reached over 100 physicians who provide medical care for API communities in LA County.


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Future Directions
  • Secure grant funding for the Task Force to gain non-profit status (501 © 3 ) to sustain  hepatitis B education for API communities and the physicians who provide their medical care;
  • Increase access to hepatitis B related services through the coordination of clinical services among Task Force partners.
  • Advocate for health policies that support hepatitis B related services for API communities at risk for hepatitis B and liver cancer.
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University of Washington Hepatitis and Liver Clinic
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Research– University of Washington, Seattle, WA
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Chia Wang, MD, MS–
Assistant Professor of Medicine,
Division of Infectious Diseases,
University of Washington
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Multiple Hepatitis B activities
  • Research---antiviral treatment of chronic hepatitis B
  • Education---lectures and educational activities about hepatitis B
  • Vaccination---Catch-up vaccine programs at Seattle Public High Schools
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Hepatitis B and API Teens
  • Chia Wang, MD, MS
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Results
  • >85% of students approached have agreed to be tested for hepatitis B
  • 448 students screened for hepatitis B surface antigen and antibody
  • 272 immune
  • 170 with negative titers (38%)
  • 6 chronic carriers


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Sponsors
  • Centers for Disease Control and Prevention
  • Gilead Sciences, Inc


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Screen-vaccinate-prevent
  • For more information go to---
    • Go to www.hepBtaskforce.org