Search publications
Title: Community-based hepatitis B screening: what works?
Authors: Robotin MC
George J
Categories: Cancer Type - Liver Cancer
Diagnosis & Treatment - Prevention & education
Diagnosis & Treatment - Screening
Population Groups - Health in Migrant Populations
Population Groups - Australia
Keywords: Australia; complications; methods; therapy
Pub. Date: 2014
Journal Title: Hepatol Int
Volume: 8
Issue: 4
Page number start: 478
Page number end: 492
Abstract: INTRODUCTION: Chronic hepatitis B (CHB) affects over 350 million people worldwide and can lead to life-threatening complications, including liver failure and hepatocellular cancer (HCC). Modern antiviral therapies could stem the rising tide of hepatitis B-related HCC, provided that individuals and populations at risk can be reliably identified through hepatitis B screening and appropriately linked to care. Opportunistic disease screening cannot deliver population-level outcomes, given the large number of undiagnosed people, but they may be achievable through well-organized and targeted community-based screening interventions. MATERIAL AND METHODS: This review summarizes the experience with community-based CHB screening programs published in the English-language literature over the last 30 years. RESULTS: They include experiences from Taiwan, the USA, The Netherlands, New Zealand, and Australia. Despite great variability in program setting and design, successful programs shared common features, including effective community engagement incorporating the target population's cultural values and the ability to provide low-cost or free access to care, including antiviral treatment. CONCLUSION: While many questions still remain about the best funding mechanisms to ensure program sustainability and what the most effective strategies are to ensure program reach, linkage to care, and access to treatment, the evidence suggests scope for cautious optimism. A number of successful, large-scale initiatives in the USA, Asia-Pacific, and Europe demonstrated the feasibility of community-based interventions in effectively screening large numbers of people with CHB. By providing an effective mechanism for community outreach, scaling up these interventions could deliver population-level outcomes in liver cancer prevention relevant for many countries with a large burden of disease
Division: Cancer Research Division
DOI: 10.1007/s12072-014-9562-4
9562
URI: http://researchpubs.cancercouncil.com.au/cancercounciljspui/handle/1/1650
Appears in Collections:Research Articles

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.