Lei, Junmin
(2023)
Recommended Public Health Strategies for Hepatitis B in China.
Master Essay, University of Pittsburgh.
Abstract
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Unpublished |
| Creators/Authors: |
|
| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Chair | Ha, Toan | toan.ha@pitt.edu | toh33 | UNSPECIFIED | | Committee Member | Snyder, Graham | snydergm3@upmc.edu | grs68 | UNSPECIFIED | | Committee Member | Wu, Xiaoling | UNSPECIFIED | UNSPECIFIED | UNSPECIFIED |
|
| 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 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/43897 |
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