城市社区行为预防 HBV 传播,实现 2030 年全球消除肝炎:系统综述

Fiya Diniarti, Mohamed Saifulaman Mohamed Said, Norhashima Abd Rashid, Sandeep Poddar
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摘要

乙型肝炎在全球范围内严重威胁着公众健康。乙型肝炎病毒(HBV)可垂直和水平传播,任何人都很容易感染。据世界卫生组织估计,2020 年全球将有 2.57 亿人感染乙型肝炎,每年有 90 万人死于乙型肝炎。根据世界卫生组织(2021 年)的数据,东南亚约有 3940 万慢性乙型肝炎死亡患者,41 万人死于该病。 HBV 可通过注射、水平传播、输血和器官移植传播。我们利用 Cochrane、Science Direct、PubMed、Elsevier、Sage、Willey、DOAJ 和 Google Scholar 数据库资源,搜索有关如何在城市社区预防肝炎病毒传播的支持性研究。15 篇出版物涉及城市环境中乙型肝炎传播的一级和二级预防。预防可使患者保持良好的健康状况,防止病情恶化。鉴于乙型肝炎病毒可感染任何人,不分年龄,而且它影响着全世界人们的健康,以及他们的家庭、社区和社区内的家庭。为了根除乙型肝炎病毒,社会必须认识到通过健康宣传活动、乙型肝炎病毒筛查运动、健康教育、咨询、以社区为基础的乙型肝炎疫苗接种活动,以及通过肝移植后患者的综合疗法进行二级预防,持续、长期地实施预防措施的重要性。
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Behavioral prevention of HBV transmission in urban communities toward global elimination of hepatitis in 2030: a systematic review
Hepatitis B is a serious threat to public health on a global scale. The Hepatitis B virus (HBV), which spreads both vertically and horizontally, is easily contracted by anyone. In 2020, the World Health Organization estimates that 257 million people worldwide have hepatitis B, and 900,000 people die from it each year. According to the World Health Organization (2021), there are approximately 39.4 million people in Southeast Asia living with chronic hepatitis B mortality, with 410,000 deaths caused by the disease.  HBV can spread through injections, horizontal transmission, blood transfusions, and organ transplants. Cochrane, Science Direct, PubMed, Elsevier, Sage, Willey, DOAJ, and Google Scholar database sources were used to search for supported research on how to prevent hepatitis virus transmission in urban communities. 15 publications address the primary and secondary prevention of hepatitis B transmission in urban settings. Prevention keeps a person in good health and prevents them from progressing to a later, worse stage. Given that the hepatitis B virus can infect anyone, regardless of age, and that it affects people's health worldwide, as well as their families, communities, and families within them. In order to eradicate the hepatitis B virus, society must be aware of the importance of implementing preventive measures on a continuous and long-term basis through health advocacy activities, hepatitis B virus screening campaigns, health education, counseling, hepatitis B vaccination with community-based activities, and secondary prevention through combination therapy treatment in post-liver transplant patients.
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