BACKGROUND

1. Pearls Gained From Hepatitis B Screening At the Community Setting 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 BACKGROUND RESULTS • 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 Contact potential site and collaborators 3-6 months ahead Planning session with volunteers Advertise event in newspapers radio Confirm attendance of workers, print flyers, instructions Early set-up on Event Day..Label stations.Watch traffic flow Table 1: Number of persons screened for Hepatitis B from 9-1-2011 to 8-31-2013 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. METHODS METHODS CONCLUSIONS • 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 • 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. REFERENCES ACKNOWLEDGEMENTS REFERENCES 1. 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. 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.