- Approximately 500 million people around the world are currently infected with chronic hepatitis b or c
- 1 in every 3 individuals will be exposed to hepatitis b or c in their lifetime
According to a recent report from the Institute of Medicine (IOM), “Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and Hepatitis C” up to 5.3 million people, or 2% of the US population, are infected with hepatitis B or C. The IOM report attributes the lack of viral hepatitis awareness in the United States to inadequate education and inadequate funding. For example, in 2008 the CDC’s National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention had a budget of almost $1 billion and only 2% of it was allocated to viral hepatitis initiatives. The recommendations put forward in the report frequently site increasing the amount of laboratory testing conducted as a vital step in increasing the awareness of infection status and decreasing transmission rates.
In the event that the recommendations from the IOM report are implemented, it is likely that public health laboratories will play a key role in those initiatives. In 2009 APHL surveyed 51 public health laboratories to determine their viral hepatitis testing capabilities and capacities. The survey found that 88% of state public health laboratories (SPHLs) in the US perform or refer some level of hepatitis testing, indicating that SPHLs continue to play an important role in the diagnosis and surveillance of viral hepatitis infection in the United States. However, 58% of responding laboratories reported that the funding they currently receive is not enough to meet hepatitis testing needs in their state.
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