Copyright ©2011 Baishideng Publishing Group Co.
World J Hepatol. Feb 27, 2011; 3(2): 31-37
Published online Feb 27, 2011. doi: 10.4254/wjh.v3.i2.31
Table 1 Challenges and solutions in the public health response to hepatitis B
ChallengesPossible solutions
Lower HBV immunization rates in remote/ marginalized populationsDevelop effective outreach vaccination programs
Community education
Unresponsive HBV surveillance systemsDevelop uniform, pragmatic case definitions for acute HBV infection
Redesign surveillance systems
Low rates of HBV screeningReduce stigma and discrimination
Increased awareness and education about HBV
Replace once-off screening with systematic follow up
Cost of screening and treatment programsDevelop more cost-effective programs
Access to treatmentIncrease treatment access and reduce cost of drugs
Seek innovative ways of providing treatment access and know-how for less developed countries
Table 2 Ways to improve outcomes in hepatitis B
Ways forward
Develop Registry model of hepatitis B surveillance, linked to health service delivery and education
Integrate CHB surveillance with surveillance for other chronic diseases
Develop responsive HBV surveillance systems
Create international networks for hepatitis B monitoring
Integrate surveillance and clinical data
Develop collaborations to enhance sharing of information