. "5 Viral Hepatitis Services." Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C. Washington, DC: The National Academies Press, 2010.
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Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C
BOX 5-3
Components of Comprehensive Viral Hepatitis Services
Community Outreach
Community-awareness programs
Provider-awareness programs
Prevention
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:
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.
