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Departmental Perspectives on Viral Hepatitis . Frew Benson World Hepatitis Day Commemoration. Introduction. Importance of Viral hepatitis Caused by several types of viruses (Hepatitis A, B, C, D and E). Hepatitis A, B and C ― the most common type

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departmental perspectives on viral hepatitis

Departmental Perspectives on Viral Hepatitis

Frew Benson

World Hepatitis Day Commemoration

  • Importance of Viral hepatitis
    • Caused by several types of viruses (Hepatitis A, B, C, D and E).
    • Hepatitis A, B and C ― the most common type
    • Hepatitis B, C, and D viruses frequently progress to chronic hepatitis
    • 240 million people worldwide chronically infected with hepatitis B
    • around 150 million people chronically infected with hepatitis C.
    • Chronic hepatitis can lead to cirrhosis, liver cancer and sometimes death.
    • 1.4 million deaths annually due to hepatitis
  • Viral hepatitis in South Africa
    • Several possible risk factors exist in the country, which could result in transmission of viral hepatitis
    • Hepatitis A and B are highly endemic in South Africa
    • There is limited data on hepatitis C, D and E (sporadic cases due to hepatitis E have been reported as a result of travel to high-risk areas outside South Africa).
relation with departmental vision
Relation with Departmental Vision
  • A long and healthy life for all South Africans
  • Aim of the Programme
      • Decrease morbidity and mortality due to Hepatitis
role of ndoh
Role of NDoH
  • Primary prevention through vaccination
  • Policy and guideline formulation and facilitate process of implementation
  • Monitor and Evaluate and provide reports according to set norms and standards
  • Assist in resource mobilisation for policy implementation
  • Establish early warning systems and improve surveillance and reporting
  • Ensure legal compliance and epidemic preparedness and response
  • Strengthen cross border and regional collaboration
  • Strengthen communication, advocacy, social mobilisation and partnerships
  • Training and capacity building at provincial level
  • Hepatitis B vaccination part of EPI programme since 1995
  • World Hepatitis Day adopted by WHO
    • Resolution WHA63.18 in 2010
    • Calling for a comprehensive approach to the prevention and control of viral hepatitis.
  • Policy and guidelines drafted 2011
world hepatitis day
World Hepatitis Day
  • 28 July chosen for World Hepatitis Day - birthday of Baruch Samuel Blumberg who discovered hepatitis B
  • Provides an opportunity to focus on specific actions, such as:
    • strengthening prevention, screening and control of viral hepatitis and its related diseases;
    • increasing hepatitis B vaccine coverage;
    • coordinating a global response to viral hepatitis.
  • Theme this year:
    • "This is hepatitis. Know it. Confront it." 
  • Weak Surveillance systems
    • Late detection and reporting of outbreaks
    • Lack of reliable data to inform policy and actions
  • Health Promotion weak
    • Lack of community awareness
  • Competing priorities
  • Lack of continuous training of health care workers
  • Adherence to adequate infection control measures in health care facilities and institutions
way forward
Way forward
  • Adoption of policy and guidelines
  • Protection of those at risk of infection eg health care workers, people with multiple sexual partners, intravenous drug users, hemophiliacs
  • Strategies need to be implemented against risk factors for viral hepatitis
    • Focus on water and sanitation, and health promotion on basic hygiene for hepatitis A and E.
    • Focus on increasing public awareness and improving infection control practices for hepatitis B and C.
  • Programme against Hepatitis presently not as strong as it should be – all opportunities need to be used to strengthen it , including World Hepatitis Day.
  • We need to do much more to increase community awareness of the disease
  • Thanks to the organisers of the event
  • “Together we can do more” President Zuma