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Recommended Public Health Strategies for Hepatitis B in China

Lei, Junmin (2023) Recommended Public Health Strategies for Hepatitis B in China. Master Essay, University of Pittsburgh.

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Hepatitis B virus attacks the liver, which is also one of the most serious liver infections worldwide. Currently for chronic hepatitis B patients, only functional cure can be achieved when the viral load is low if the patient has good adherence with antiviral treatment. Several effective interventions in hepatitis B prevention include the three-dose hepatitis B vaccine that is given at infancy and pregnancy screening. In China, the overall percentage of hepatitis B carriers has been reduced significantly with the successful universal vaccination program. However, due to the large population, the absolute number of chronic hepatitis B carriers in China is still large and this is of great concern. The World Health Organization proposed a goal to eliminate hepatitis B in 2030, including reducing new infections by 90% and mortality by 65%. There are some remaining gaps in hepatitis B care because of the age distribution of hepatitis B carriers, the association between low-income regions and high hepatitis incidence, the discrimination and stigma against hepatitis B carriers, and lagging standards in diagnosis and initiation of hepatitis B treatment. To help China achieve the WHO goal of elimination of hepatitis B by 2030, this essay will propose two major improvements from a public health standpoint that could be done to improve the hepatitis B screening, prevention, and treatment programs, strategies, as well as policies, increasing awareness about hepatitis B among all people in China, will lead more hepatitis B carriers to undergo screening for hepatitis B and start the antiviral treatment sooner. Furthermore, the discrimination and stigma against hepatitis B carriers will be reduced.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Lei, Junminjul153@pitt.edujul153
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairHa, Toantoan.ha@pitt.edutoh33UNSPECIFIED
Committee MemberSnyder, Grahamsnydergm3@upmc.edugrs68UNSPECIFIED
Date: 5 January 2023
Date Type: Completion
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 39
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 05 Jan 2023 14:39
Last Modified: 05 Jan 2023 14:39


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