Hepatitis B Prevention for Asian Americans in New York City Charles B. Wang Community Health Center Thomas Tsang, MD, MPH Hepatitis B Training for Substance Abuse and Social Service Providers, October 26 th 2006 Agenda Demographics Epidemiology Community Prevention Models Results
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Hepatitis B Prevention for Asian Americans in New York City
Charles B. Wang Community Health Center
Thomas Tsang, MD, MPH
Hepatitis B Training for Substance Abuse and Social Service Providers, October 26th 2006
Source:US Census Bureau 2000. The Asian Population: 2000.Website: http://www.census.gov/prod/2002pubs/c2kbr01-16.pdf
Asian American Federation of New York. New York City Asian American Census Brief.Website: http://www.aafny.org/cic/briefs/newyorkbrief.pdf
Innovative ServiceDelivery Models:
Asian American Hepatitis B Project
As Reflection of Distribution of API populations in NYC
AAHBP Screening Site
Source: US Census 2000
Developing an effective coalition involves trust and overcoming many potential obstacles, including:
This required a collaborative effort involving health specialists, community-based organizations, local governments and health departments
Asian American Hepatitis B Program funded by the City Council of New York. The following is a partial list of partners and contributors to the AAHBP program:
American Cancer Society: Ming-Der Chang, PhD, Li Ma
Bellevue Hospital: William Bateman, MD, Chris Cho, Edith Davis, Judy Aberg, MD, Scott Fuller, Janice Charles, Thomas Jasper, Robert Boyd
Charles B. Wang Community Health Center: Thomas Tsang, MD, Alan Tso, MD, Christina Lee, Regina Lee, Esq, Phyllis Kwok, MD
Community Healthcare Network: Kameron Wells, RN, Catherine Abate, ED, Gloria Leacock, MD
Korean Community Services: Jinny Park, Shin Son, PhD
Gouverneur Healthcare Services: Pearl Korenblit, MD, Lily Yiu, L Chiang, PA, S Shi, MD
NY Downtown Hospital: William Wang, Waiwah Chung, RN, Charles Ho, Eric Poon, MD
NYU School of Medicine: Kejia Wan, MPH, John Nolan, Paige Baker, Rona Luo, Jenny Bute, Gemma Rochford, Ming Xia Zhan, Ruchel Ramos, MPA, Alex Sherman, MD, Hillel Tobias, MD, Helene Lupatkin, MD, Chau Trinh,DrPH, Henrietta Ho-Asjoe, Gerald Villaneuva, MD, Mariano Rey, MD, Henry Pollack, MD.
To be a leader in providing quality, culturally relevant, and affordable health care and education, and advocate on behalf of the social needs of underserved Asian Americans.
History and Description
Public–Private collaboration provided efficiency and necessary resources
How can we better ensure that carriers return for follow-up care?
How can we provide hepatitis B vaccinations for patients at risk for infection?
13% of uninsured patients specifically indicated that lack of insurance was a barrier to seeking F/U care at MD office
Need to vaccinate at risk patients
How can we maintain resources (e.g., vaccines) and support for the program?
Need to increase marketing and outreach
Lack of insurance continues to be a barrier to seeking F/U care
* Wagner EH. Chronic disease management: What will it take to improve care for chronic illness?Effective Clinical Practice. 1998;1:2-4.
*Observations by CBWCHC staff from past hepatitis B programs