Hepatitis B prevention in Victoria, Australia – the potential to protect

Williams, Stephanie; Vally, Hassan; Fielding, James E; Cowie, Benjamin C

doi:10.2807/ese.16.22.19879-en

Cited by 11 publications

(16 citation statements)

References 26 publications

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“…A more concerted action on the part of medical educators and policymakers is needed to address the many missed opportunities to screen for CHB, vaccinate those susceptible, and prevent disease complications 25. Since hepatitis B treatment has changed radically in the last two decades (ie, during the time period most of today’s practicing GPs were already in medical practice), more opportunities to learn about the modern management of CHB infection are acutely needed.…”

Section: Discussionmentioning

confidence: 99%

Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers

Robotin

Patton²,

George

2013

IJGM

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Introduction:In Australia, chronic hepatitis B (CHB) disproportionately affects migrants born in hepatitis B endemic countries, but its detection and management in high risk populations remains suboptimal. We piloted a primary care based program for CHB detection and management in an area of high disease prevalence in Sydney, Australia. Prior to its launch, all local general practitioners were invited to take part in a continuing medical education (CME) program on hepatitis B diagnosis and management.Material and methods:Preceding each CME activity, participants completed an anonymous survey recording demographic data and hepatitis B knowledge, confidence in CHB management, and preferred CME modalities. We compared knowledge scores of first-time and repeat attendees.Results:Most participants (75%) were males, spoke more than one language with their patients (91%), self-identified as Asian-Australians (91%), and had graduated over 20 years previously (69%). The majority (97%) knew what patient groups require CHB and hepatocellular cancer screening, but fewer (42%–75%) answered hepatitis B management and vaccination questions correctly. Knowledge scores were not significantly improved by seminar attendance and the provision of hepatitis B resources. At baseline, participants were fairly confident about their ability to screen for CHB, provide vaccinations, and manage CHB. This did not change with repeat attendances, and did not correlate with survey outcomes. Large group CMEs were the preferred learning modality.Discussion:Knowledge gaps in hepatitis B diagnosis and management translate into missed opportunities to screen for CHB, to vaccinate those susceptible, and to prevent disease complications. The results suggest that a range of innovative CME programs are required to update general practitioners on the modern management of CHB infection.

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Section: Discussionmentioning

confidence: 99%

Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers

Robotin

Patton²,

George

2013

IJGM

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“…5 While compliance with notification requirements is high among laboratories, historically only a minority of health practitioners complied with these regulations in relation to unspecified HBV and HCV. 16 Although laboratory notifications can provide case counts and core demographic information such as age, sex and area of residence, variables such as Aboriginal and Torres Strait Islander status, country of birth, occupation and risk factors for infection can only be provided by the diagnosing doctor. 16 Although laboratory notifications can provide case counts and core demographic information such as age, sex and area of residence, variables such as Aboriginal and Torres Strait Islander status, country of birth, occupation and risk factors for infection can only be provided by the diagnosing doctor.…”

mentioning

confidence: 99%

Epidemiology of chronic hepatitis B and C in Victoria, Australia: insights and impacts from enhanced surveillance

MacLachlan

Romero

Higgins

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: To assess the impact of an enhanced viral hepatitis surveillance program on data completeness and on epidemiological assessment of affected populations.Methods: Notified cases of non-acute hepatitis B and C were analysed to determine demographic characteristics and risk factors during the period prior , during which time doctors were contacted for information about new diagnoses. Results:During the enhanced period, completeness for country of birth and Indigenous status doubled for both hepatitis B and hepatitis C, from 18-37% to 48-65%. The incidence ratio of hepatitis C among Aboriginal and Torres Strait Islander people increased from eight-fold to 11.4fold, and the proportion of hepatitis B cases reported as born in China and Vietnam relative to other countries increased. New data fields identified that 12% of hepatitis C diagnoses occurred in a correctional facility, and 2% of hepatitis B cases were healthcare workers.Conclusions: Improved data completeness highlighted the underlying epidemiology of chronic viral hepatitis, demonstrating the increased burden of infection among specific priority populations. Implications for public health:Enhanced surveillance provides greater insight into the epidemiology of chronic viral hepatitis, identifying groups at risk and opportunities for public health action.

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“…3 We found that, although GPs working in a CHB high-prevalence area were confident with contact management and believed it was primarily their responsibility, the majority encountered difficulties when doing this. If GPs are to successfully have an increased role in preventing ongoing transmission through screening 2 , a system that facilitates contact management and addresses the barriers encountered is required.…”

Section: Discussionmentioning

confidence: 93%

“…1 The Australian National hepatitis B strategy [2014][2015][2016][2017] 2 acknowledges the increasing public health burden of CHB and emphasises the management of CHB in the primary care setting, and the testing and vaccination of priority populations, including close contacts of known cases. Close contacts are most at risk of infection; however, a previous study demonstrated that recommended screening and vaccination of close contacts is occurring suboptimally 3 , despite the availability of a free hepatitis B vaccine for contacts in Australia. The Sydney and South Western Sydney Local Health Districts (S&SWSLHDs) have the highest prevalence of CHB in New South Wales.…”

Section: Introductionmentioning

confidence: 99%

Barriers to optimal screening and vaccination of hepatitis B contacts: a survey of general practitioners in NSW, Australia

Najjar¹,

Pritchard-Jones²,

Liaw³

et al. 2017

Public Health Res Pract

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Hepatitis B prevention in Victoria, Australia – the potential to protect

Abstract: Binary file ES_Abstracts_Final_ECDC.txt matches

Cited by 11 publications

References 26 publications

Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers

Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers

Epidemiology of chronic hepatitis B and C in Victoria, Australia: insights and impacts from enhanced surveillance

Barriers to optimal screening and vaccination of hepatitis B contacts: a survey of general practitioners in NSW, Australia

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