Professional Documents
Culture Documents
Project Name
Hepatitis (B and C) Awareness and Testing in Minority Ethnic Populations
(HATMEP)
Sponsor
Lothian Viral Hepatitis Managed Care Network
Project Leads
Mina O’Hara, Lindsay Bowden, Karen Matthews, in conjunction with MEHIS
Start Date
January 2013
Completion Date
March 2015
Aims
To work with minority ethnic groups in Lothian representing
high/intermediate prevalence countries (for viral hepatitis) to educate,
inform and raise awareness about hepatitis B and C, including
awareness about prevention and prevention of onward transmission.
To offer testing following education sessions to those over 16 years 1,
for hepatitis B and C, and HIV if appropriate.
Collaborate with GPs to raise awareness about potential need for
testing in these populations.
Offer referral to secondary care to those with a positive result.
Explore feasibility of offering a regular community-based outreach
testing clinic in conjunction with MEHIS
Gather together a stock of resources in translation including audio
visual
Objectives
1
People under 16 years of age will be signposted to their GP if appropriate
1
Work with GPs to discuss why Polish people may be requesting testing
for hepatitis B.
Advise that those placing themselves at risk when abroad can seek
hepatitis B immunisation at a private travel clinic or GP. Immunisation
for travel purposes will most likely incur a fee in general practice.
Work with GPs to discuss why people from South Asia may be
requesting testing for hepatitis B and C.
Advise that those placing themselves at risk when abroad can seek
hepatitis B immunisation at a private travel clinic or GP. Immunisation
for travel purposes will most likely incur a fee in general practice.
Advise those identified as positive who have children to seek testing for
children at RHSC and hepatitis B immunisation for household contacts
at GP
Chinese communities
Make available materials in Chinese languages encouraging people
from China to get tested for hepatitis B and to use existing services e.g.
GPs and other testing clinics.
2
Work with GPs to discuss why people from China may be requesting
testing for hepatitis B.
Advise that those placing themselves at risk when abroad can seek
hepatitis B immunisation at a private travel clinic or GP. Immunisation
for travel purposes will most likely incur a fee in general practice.
Advise those identified as positive who have children to seek testing for
children at RHSC and hepatitis B immunisation for household contacts
at GP
African communities
In the longer term it is hoped that joint work can be carried out with African
communities in conjunction with Waverley Care.
Deliverables
Information for communities in translation
Operational policy describing service delivery and follow-up
Information and awareness raising sessions, developed with
community/faith groups
On-site testing sessions
Materials for general practice e.g. local AIDS sheets
The HPA migrant health site suggests screening all Polish people for hepatitis
B and only to screen for hepatitis C if other risk factors apply (injecting drug
use is biggest risk in Poland). The same advice applies to Latvia, Bulgaria and
Estonia.
The HPA migrant health site says that for Romania, Slovenia, Lithuania have
an intermediate prevalence of hepatitis B and consideration should be given
to screening for hepatitis B, particularly among those who have recently
arrived. These countries also have a considerably higher prevalence of
hepatitis C than the UK and consideration should be given to screening for
hepatitis C.
3
The Scottish Government’s Sexual Health and Blood Borne Virus Framework
(2011-15) sets out the following actions in relation to viral hepatitis and
minority ethnic populations:
And
Prevalence
4
The prevalence of hepatitis C in these countries is estimated to be 1.90% in
Poland, 0.75% in the Czech Republic, 1.50% in Slovakia, and 3.5% in
Romania. This compares with 0.9% prevalence in Scotland.
Chinese populations
The Chinese Hepatitis B Education Project, started in Lothian in 2002,
established that 10% of Edinburgh’s Chinese population were chronically
infected with hepatitis B.
MELA
Hepatitis C Trust stall/ testing van at MELA in Sept 2012, and stall only in Sept
2010
English
BBV testing leaflet (NHS Lothian)
Take Control (for new hepatitis C diagnoses) NHS Health Scotland, 2011
Hepatitis B: pioneering liver health (British Liver Trust)
Polish
Awareness raising leaflet (Hepatitis C Trust)
5
Take Control (for new hepatitis C diagnoses) NHS Health Scotland, 2011
Urdu
Hepatitis C: The more you know the better (NHS England, Hepatitis C Trust,
2009)
Chinese languages
Knowing about Hepatitis B (NHS Lothian, MEHIP 2005)
Hepatitis B in Cantonese (British Liver Trust)
All available from Lothian Viral Hepatitis Managed Care Network, Laura
Weddell Tel 0131 465 5450
Hepatitis Scotland and Glasgow and Greater Clyde Health Board are working
to develop patient information in translation for new diagnoses of hepatitis B
and C, for all health boards to use.
Costs
Assumptions
Risks
Stakeholders
6
Viral Hepatitis Managed Care Network Testing and Referral Action
Group
Christine Evans, NHS Lothian Executive Lead for Viral Hepatitis
Hilda Stiven
Lothian Hepatitis MCN Co-ordinator
07/03/2018