Hepatitis B workshop on Identifying Aims, Goals, Gaps, and Priorities for a National Strategy Chronic hepatitis B and associated liver diseases, including liver cancer, represent the greatest health disparity between APIs and non-API Americans. UNITE AGAINST HBV

Aims Get all APIs tested for hepatitis B Get all APIs tested for hepatitis B Reduce the long-term complications of hepatitis B infection through appropriate follow-up and clinical management Reduce the long-term complications of hepatitis B infection through appropriate follow-up and clinical management Prevent new HBV infections Prevent new HBV infections UNITE AGAINST HBV

Top 3 short-term goals 1. Test all APIs for HBV 2. Establish standard models for hepatitis B education and management for health care providers and medical students 3. Have hepatitis B treatment covered by Medicare/Medicaid (CMS) UNITE AGAINST HBV

Top 3 long-term goals 1. Reduce the morbidity and mortality due to chronic HBV infection 2. Develop global eradication strategies 3. Simplify HBV vaccination (e.g., by developing a one-shot vaccine or shortening the vaccination schedule) UNITE AGAINST HBV

Strategies: Overall Identify current resources that are unused Identify current resources that are unused Advocate for additional resources (e.g., Hepatitis B bill) Advocate for additional resources (e.g., Hepatitis B bill) Improve current resources through better coordination and communication Improve current resources through better coordination and communication UNITE AGAINST HBV

Strategies: Prevention Develop comprehensive prevention networks at state and local levels Develop comprehensive prevention networks at state and local levels Increase funding for prevention Increase funding for prevention Advocate for federal mandate for universal HBV vaccination for all APIs Advocate for federal mandate for universal HBV vaccination for all APIs UNITE AGAINST HBV

Strategies: Screening Establish a HEDIS quality indicator for HBV screening and management in APIs Establish a HEDIS quality indicator for HBV screening and management in APIs Collaborate with/educate HMOs and health care providers Collaborate with/educate HMOs and health care providers Focus on young adults Focus on young adults UNITE AGAINST HBV

Strategies: Research 1. Research and clinical trials to improve early detection and treatment of liver cancer and chronic hepatitis B 2. Develop a single-shot vaccine 3. Investigate whether reduction of HBV viral load in pregnant women will reduce vertical transmission 4. Develop point-of-service testing for HBV UNITE AGAINST HBV

Strategies: Education & Awareness 1.Provide early education & training of health care providers during medical school 2.Develop national, culturally appropriate awareness campaign 3.Establish a national hepatitis B and liver cancer support network UNITE AGAINST HBV