BACKGROUND

METHODS

• The Asian Pacific Health Foundation has been implementing hepatitis B screening from 2001 to present date, responding to the need in San Diego County, which has a large population of Asians and Pacific Islanders of 339,299 or 10.89% of total population.1

• Beginning at the Asian Pacific Health Center, a community clinic, the Hepatitis B Prevention Project was geared to screen Asian and Pacific Islander adolescents in San Diego, under a California Endowment grant. In 2008, the center was changed to a Foundation with a 501-C3 tax entity, focusing on Hepatitis B screening at health fairs and outreach events in the community.

• Since 2011, APHF collaborated with UCSD to screen at-risk individuals for hepatitis B in San Diego County in the community clinic setting, in a major grant by the Centers for Disease Control and Prevention on Early Identification and Linkage to Care of Persons with Chronic Hepatitis B Virus infection.2

• At the event, participants filled out a consent and HIPAA forms, a registration form complete with family history, immigration status, and socio-economic factors.

• Blood samples drawn by venipuncture were sent to Quest Diagnostics to test for HBsAg, anti-HBs, and anti-HBc.

• Results were entered in the REDCap software program, generating 5 profiles to categorize infectivity status, need for vaccine and to determine the next level of care.3

• Novel point-of-care tests were also performed onsite as part of a cost-effectiveness analysis. 4

RESULTS

Pearls Gained From Hepatitis B Screening At the Community Setting

CONCLUSIONS

B.N. Tran1,2, K. Nguyen1, D.S. Adler2, R.G.Gish3

1 Skaggs School of Pharmacy, University of California, San Diego, US; 2 Asian Pacific Health Foundation (APHF), San Diego, US; 3 Center for Management Science in Health, UCSD, San Diego, US; 4 Robert G Gish Consultants LLC, La Jolla, US

• Pairing Hepatitis B screening with an event boosts the number of persons screened and testing at community clinics further boosts the patients-per-year tested.

• Adding hypertension, diabetes, cholesterol, glaucoma screenings and bone densitometry may further attract people to the HBV testing site.

• Work is being planned to expand the screening activities by pharmacists in pharmacies and prove that POC testing is more cost-effective and leads to higher linkage-to-care.

ACKNOWLEDGEMENTS

OBJECTIVES

• To organize health fairs and outreaches featuring Hepatitis B screenings, utilizing staff and volunteer resources and materials available in an independent community facility.

• Present results obtained at 25 screening events in the community

• Share lessons learned from the work performed over 13 years.

REFERENCES1. San Diego County Demographics Profile. Health &Human Services Agency. March 2013.2..Beckett GA, Ramirez G et al. Early Identification and Linkage to care of persons with chronic Hepatitis B Virus infection.-Three US Sites, 2012-2014. MMWR: May 9, 2014/63 (18); 399-401.3. Phan X, Tran BN, Fontanesi J, Gish RR. Screening population at risk for Hepatitis B using the REDCap program.Poster at HepDart and Singapore Hepatitis Conference.4. Nguyen L, Tran BN, Fontanesi J, Gish RR. Cost-effectiveness Analysis of Point of care vs. Standard of care for Hep B in AA and PI in San Diego County. Poster at HepDart and Singapore Conference.

Table 1: Number of persons screened for Hepatitis B from 9-1-2011 to 8-31-2013

Contact potential site and

collaborators 3-6 months ahead

Confirm attendance of workers, print

flyers, instructions

Planning session with volunteers

Advertise event in

newspapers radio

Early set-up on Event Day..

Label stations.Watch traffic flow

This study was supported in part by Gilead Foundation, Bristol Myers Squibb, the UCSD Antiviral Research Center, and Skaggs School of Pharmacy and Pharmaceutical Sciences. The authors acknowledge the work by members and volunteers of the Asian Pacific Health Foundation and pre- and current pharmacy student volunteers from UCSD.

Date Event Location #Screened # Positive

9/11/11 1 Tzu-Chi Foundation 23 0

9/25/11 2 Hsi Fang Temple 39 2

10/2/11 3 Vietnamese Federation SD 82 7

5/19/12 4 Taiwanese Cultural Center 16 2

8/27/12 5 Wesley United Methodist Church 21 2

8/29/12 6 Wesley United Methodist Church 19 0

10/14/12 7 Holy spirit Catholic Church 51 2

10/28/12 8 Phat Da Temple 16 2

11/16/12 9 Sovannkiry Temple 22 0

12/16/12 10 Colina Park 12 0

1/12/13 11 Good Shepherd Catholic Church 22 3

1/27/13 12 Holy Family Catholic Church 55 4

2/17/13 13 Mira Mesa New Year Festival 31 4

3/16/13 14 San Diego Chinese School 24 1

3/17/13 15 Wesley United Methodist Church 38 7

4/14/13 16 Vietnamese Federation SD 43 4

4/27/13 17 Chinese C Benevolent Assoc 25 2

4/28/13 18 Our Lady of Sacred Heart Church 59 0

5/11/13 19 Asian Cultural Festival 11 0

5/19/13 20 Nhu Lai Temple 72 5

6/8/13 21 Mabuhay Festival 40 0

6/23/13 22 7th Day Adventist Church 47 0

6/29/13 23 Zion Market 14 0

7/20/13 24 Lantern Festival 27 1

7/27/13 25 Vietnamese Catholic Center 13 2

Total     822 45 (5.47%)

METHODS

REFERENCES

Table 2: Number of persons screened for Hep B per year

Total # Screened

Time period Screened per year Rate (%)

2003-2010 2884 384 6.80%

2011-2013 822 411 5.48%

2011-2013 w/UCSD 1071 535 7.70%