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Improving Hepatitis B Testing and Linkage to care in
San Diego County
Binh Tran, PharmD, MBAAsian Pacific Health Foundation
May 22, 2014
Asian Pacific Health Foundation
• Previously Asian Pacific Health Center providing low cost medical care for API since 2001.
• California Endowment Grant (2003-2005) on Hepatitis B prevention
• APHF Foundation since 2008 to provide health education and health services, focusing on Hepatitis B
• Collaboration with UCSD on CDC grant to improve Hepatitis B Testing and Linkage to care.
Activities of APHF
• Hold screening events at community centers, churches, temples,
• Testing for HBsAg (infectivity) anti-HBcore (exposure) and anti-HBs (immunity)
• Results from Quest Diagnostics Labs are sent to UCSD which enters into RED Cap program.
Hepatitis B screening Results
• 2003 to 2010: 2884 persons (384 per year) screened, with 6.8% positive rate.
• 2011 to 2013 822 persons (411 per year) screened at 25 community events with a 5.48% rate.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 250
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Blue = Total Screened
Red = # Positive
Graph 1: Outreach Results
Event
# Pe
ople
Graph 2: Number of persons screened for Hep B per year.
2003-2010 2011-2013 2011-2013 w/UCSD0
500
1000
1500
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Total persons screened # screened per year
Collaboration with UCSD
• CDC grant 1st year (Oct 2012 – Sept 2013) Category A: Early Identification and Linkage to Care for Foreign-born Persons with Hepatitis B. Total of 1071 persons screened with a 7.7% positive rate. MMWR report in May 2014
Linkage to care
• Through UCSD HealthCare Systems • Case manager looks for agencies that have
assistance programs for the positive tested patients
Objective #1: Increasing Education and Awareness
• UCSD School of Pharmacy Students participated in Barriers Study: Sandy Chong since 2011
• CDC In 2013: Thuy Nguyen, Lillian Nguyen, Xuan Phan on demographics of persons screened for Hepatitis B, Point of Care tests for Hep B and C at clinical sites vs. community settings.
• CDC 2nd year extension was approved.
Objective #2:
• Continue collecting surveys to better understand API behavior, and connect to hepatitis B.
• The goal here is to better understand barriers involved in screening and treatment and how to mitigate them so that more high-risked individuals can be helped.
Objective #3
• By including other screenings at our events, the turnout rate for hepatitis B screening increases substantially.
• We collaborate with UCSD School of Pharmacy and UCSD School of Medicine to provide free screenings for diabetes, glaucoma, cholesterol and hypertension concurrently with hepatitis B screening.
Thank you
Binh N. Tran, PharmDExecutive DirectorAsian Pacific Health Foundation4844 University Ave, Ste CSan Diego, CA 92105Ph: 619-640-6404; Mobile: [email protected] Tested for Hepatitis B!
