Chronic hepatitis B: management challenges in resource-poor countries.

摘要: Sylvester Chuks Nwokediuko, Department of Medicine, University Nigeria Teaching Hospital, Ituku OzallaChronic infection with hepatitis B virus (HBV) is a global public health problem because its worldwide distribution and potential to cause sequelae. HBV most prevalent in China, South East Asia, sub-Saharan Africa, the Amazon basin America where care resources are limited. Numerous challenges exist for effective management chronic infection, particularly resource-limited regions. These include lack accurate prevalence data, absence surveillance program, poor political will governments resource-poor countries enforce measures control disease. There understanding regarding infec-tion by both general providers. A better pathogenesis treatment this condition necessary. The acute shortage trained medical manpower necessary diagnosis hepati-tis (CHB) formidable challenge. com-plicated continuing efflux graduates from low-income economies richer countries. critical CHB high cost laboratory tests drugs. Drugs also not readily available. Other manage-ment stigmatization patients, co-infection other viruses, guidelines, an patient referral system. To address these challenges, nations must be committed budg-etary allocation implementation programs. It provide awareness campaigns, education, proper screening blood products transfusion, active screening, intensification existing childhood immunization, technical financial assistance wealthier nations, recommendations outlined Global Hepatitis Policy (2010).