BOX 5-3

Components of Comprehensive Viral Hepatitis Services

Community Outreach

  • Community-awareness programs

  • Provider-awareness programs


  • Vaccination

  • Harm reduction

  • Needle-exchange programs

    • Drug and alcohol treatment services

    • Vaccination of hepatitis B virus-susceptible contacts

Identification of Infected Persons

  • Risk-factor screening

  • Laboratory testing

Social and Peer Support

  • Positive prevention services

  • Education and referral to other related services and care

Medical Management

  • Assessment for and provision of long-term monitoring for viral hepatitis and selection of appropriate persons for treatment (in accordance with American Association for the Study of Liver Diseases guidelines)

  • Psychiatric and other mental-health care

  • Adherence support

edgeable about viral hepatitis and should have mechanisms for identifying infected people and referring them to followup medical management.

The committee has defined a two-step process for identifying infected people:

  1. Risk-factor screening. Risk-factor screening is the process of determining whether a person is at risk for being chronically infected or becoming infected with HBV or HCV. Risk factors include being born in a country where the disease is prevalent, and behavior such as illicit-drug use and having multiple sexual partners.

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