巴基斯坦消除乙型肝炎和C型肝炎的障碍和策略
Huma Qureshi1, Hassan Mahmood2, Ahmed Sabry3
1Gastroenterologist and National Focal Point Hepatitis, Hepatitis Control, Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan.
The Journal of infectious diseases
|September 13, 2023
概括
巴基斯坦面临着乙型肝炎和型肝炎的高负担.实现世卫组织2030年消除目标需要解决疫苗接种,测试和资金方面的差距,以有效打击病毒性肝炎.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 巴基斯坦有大量的C型肝炎病毒 (HCV) 和B型肝炎病毒 (HBV) 感染.
- 为了实现世界卫生组织 (WHO) 2030年消除肝炎的目标,需要评估国家进展情况并确定障碍.
研究的目的:
- 评估巴基斯坦肝炎消除的现状.
- 确定HCV和HBV消除的障碍和策略.
- 为解决病毒性肝炎控制现有差距所需的行动提供信息.
主要方法:
- 数据来自世卫组织估计 (2020年),世卫组织区域行动计划的中期审查问卷和世卫组织免疫估计.
- 分析重点是疾病负担 (流行率,死亡率) 和治理,政策,财务,战略信息和服务提供方面的反应.
主要成果:
- 乙型肝炎的患病率为1.6% (12,000例死亡/年); 乙型肝炎的患病率为7.5% (19,000例死亡,545,000例新增病例/年).
- 治理和政策指标通常是充足的,但成本行动计划,宣传策略和及时分娩剂量乙型肝炎疫苗政策缺失.
- 只有3%的新生儿接受了乙型肝炎疫苗的出生剂量,只有22%的HCV病例被诊断出来,2%的病例得到治疗,而资金被确定为主要障碍.
结论:
- 巴基斯坦目前的速度使得消除肝炎的可能性不大.
- 实施乙型肝炎出生剂量疫苗接种和改善对测试的准入是至关重要的.
- 动员国内和国际财政对于消除肝炎的努力至关重要.
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