Community-Based Services to Improve Testing and Linkage to Care Among Non-U.S.-Born Persons with Chronic Hepatitis B Virus Infection - Three U.S. Programs, October 2014-September 2017.

MMWR. Morbidity and Mortality Weekly Report
Aaron M HarrisNoele P Nelson

Abstract

Among an estimated 850,000 to 2.2 million persons with chronic hepatitis B virus (HBV) infection in the United States, 70% are non-U.S.-born (1,2). All patients require linkage to care, and approximately 20%-40% require antiviral treatment (3). Without treatment, one in four persons chronically infected with HBV will die prematurely from liver failure, liver cirrhosis, or hepatocellular carcinoma (4). To mitigate morbidity and mortality, CDC funded a cooperative agreement to develop hepatitis B testing and linkage-to-care programs serving non-U.S.-born persons during October 2014-September 2017. This report describes each program's operational services and partnerships with primary care centers, community-based organizations, and public health departments to recruit non-U.S.-born persons for HBV testing using the hepatitis B surface antigen (HBsAg) and link those whose test results were positive to HBV-directed care (medical visit attendance with monitoring of HBV DNA and liver enzyme tests). Among 10,152 program participants, 757 (7.5%) were HBsAg-positive, indicative of chronic HBV infection; among these, 643 (85%) attended ≥1 medical visit, 587 (78%) received HBV-directed care, and 137 (18%) were prescribed antiviral treatme...Continue Reading

References

Apr 29, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Brian J McMahon
Dec 15, 2010·Journal of Viral Hepatitis·C CohenT M Block
Nov 23, 2011·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Kris V KowdleyCarol L Brosgart
Aug 8, 2015·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Henry RobertsScott D Holmberg

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Citations

May 8, 2019·Clinical Liver Disease·Tatyana KushnerDouglas Dieterich
Mar 10, 2021·Journal of Immigrant and Minority Health·Patricia D JonesOlveen Carrasquillo
Jun 24, 2021·Journal of Immigrant and Minority Health·Amit S ChitnisRobert J Wong

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