全球首個消除肝炎基金

The Hepatitis Fund, 全球

The Hepatitis Fund (以下簡稱THF)乃全球性資助組織,於2017年由擇善基金會成立。前身名為「消除肝炎2030」的THF 於2019年11月正式脫離Rockefeller Philanthropy Advisers (RPA)之贊助,並在日內瓦註冊成為非牟利機構。病毒性肝炎威脅大眾健康,影響波及全球,死於肝炎的人數每年高達一百四十萬人。THF矢志協助各國克服種種困難,透過資助,支援行之有效的肝炎對治方法,以妥善應對此全球健康威脅。

隨着2016年在香港舉行的肝炎高峰會完滿結束,擇善基金會即大力支持籌組THF。本會自2010已開展肝炎計劃,是次對THF的贊助,標記着我們消除肝炎工作的里程碑。

了解更多資料,請瀏覽我們合作夥伴之網頁:

 https://endhep2030.org/

the hepatitis fund

相關連結

Global Hepatitis Resource Mobilization Conference (只有英文版本)

項目文章:

肝炎:可以逆轉的危機

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When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

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  • Tab 1
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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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量化亞洲的乙型和丙型肝炎負擔

亞洲, CDA基金會

量化亞洲的乙型和丙型肝炎負擔

病毒性肝炎仍然是工作中最致命的傳染病之一,大約每25秒就有1人死亡。同時病毒性肝炎也是引起世界上肝癌的主要原因。亞洲為乙型肝炎病毒(HBV)和丙型肝炎病(HCV)高發地區,因此量化亞洲的疾病負擔有助於國際機構,公共衛生和決策者制定相關策略消除這些傳染病。

乙肝可以通過安全有效的疫苗進行預防,也可在妊娠期間通過抗病毒藥物預防方法加以預防,許多國家都採取有效的預防,比如中國積極的為所有嬰兒接種疫苗。乙肝治療也適用於在獲得疫苗之前已被感染的人群,但是現今任然有很多患者未被治療。此外,丙型肝炎的治療可以在12周或更短的時間內治癒患者。綜上所訴,我們已經掌握了許多消除病毒性肝炎所需的必備條件和資源。

此專案的目標是為了研究並且發佈亞洲的乙型和丙型肝炎負擔。為此實現了這一目標, CDA基金會與亞洲相關國家緊密合作聯繫,並收集了大量有關感染,診斷和治療人數的資料,採用數學模型估分析和評估病毒性肝炎在亞洲的影響。結果摘要如下所示。在亞洲約有1.88億人感染了乙型肝炎(圖1),另有3400萬人感染了丙型肝炎(圖2)。詳細資料查看網站 。

本基金會提供了資金用於支持本國消除肝炎戰略。通過這項資助,我們與世界衛生組織合作,為吉林大學同時也為中國疾病預防控制中心工作者提供了各種資料,資料和模型用於評估中國五個省(雲南,吉林,安徽,湖北和重慶)的肝炎負擔。此外,我們與巴基斯坦衛生部簽署了諒解書,幫助政府評估巴基斯坦及其兩個省(旁遮普邦和信德省)的肝炎負擔。我們同樣與尼泊爾合作,幫助他們評估他們的肝炎負擔。目前,我們正在與越南,菲律賓和馬來西亞合作,以説明這些政府決定需要採取哪些措施來消除本國的病毒性肝炎。

本基金會幫助了亞洲國家更好的瞭解乙型和丙型肝炎在該地區的影響。這些分析將有助於優先考慮將亞洲作為主要區域,獲得國際機構和全球捐助者的支援。

An estimate 188 million people in Asia were infected with hepatitis B

圖1 預算在亞洲有1.88億人感染乙型肝炎

34 million people in Asia were infected with hepatitis C

圖2  亞洲有3,400萬人感染丙型肝炎

CDA fig 3

圖 3

研究發現大多數與HBV和HCV相關的肝癌病例以及與肝相關的死亡都集中在亞洲(圖3)。該分析將能幫助亞洲國家獲取更多的資助用於在消除病毒性肝炎,並得到本國政府的支援,測試和治療其相關人群並且擴大HBV疫苗接種。

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Heading 02

Heading 02 (H3)

When an unknown printer took a galley of type and scrambled it to make a type specimen book.

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit…Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Photos Grid for Heading 02

Placeholder image
  • Tab 1
  • Tab 2
  • Tab 3

Inside Tab Heading 01 H4

It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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愛滋病、乙型肝炎和梅毒母嬰傳播綜合預防(iPMTCT)國際圓桌峰會

中國,海南省衛生廳

擇善基金會與海南省衛生廳及國家婦女兒童衛生中心合作,於2014 年 1 月,在海南舉辦了關於愛滋病、乙型肝炎和梅毒母嬰傳播綜合預防(下稱iPMTCT)國際圓桌峰會。

是次高峰會聚集專才,組成藍絲帶小組,集中討論公私營機構合作關係,並探討創新方式務求取得顯著工作成果。小組成員包括專家、學者、從業人員、政策制定者和衛生組織的代表;組織包括世界衛生組織中國辦事處、西太平洋區域辦事處、聯合國兒童基金會、聯合國愛滋病聯合規劃署、亞倫戴蒙德愛滋病聯合研究中心和中國疾病預防及控制中心。

與會者分享了在該領域實際工作中累積的經驗教訓及見解心得。辯論焦點之一乃在文化多樣和人口眾多的環境中實施愛滋病、乙型肝炎和梅毒母嬰傳播綜合預防時遇到的挑戰。海南的愛滋病感染率相對較低而乙型肝炎感染率則相對較高(超過全國平均水平的兩倍),順應高峰會所在地,討論側重如何預防母嬰傳播乙型肝炎。

三亞高峰會結束後,與會者考察當地母嬰醫院和附近村莊的診所。當地衛生官員和從業人員分享了他們在醫療保健系統方面的經驗和觀點,特別是如何在愛滋病感染率低而乙型肝炎感染率高的環境中提升iPMTCT的效用。

是次高峰會的成果乃聯合國中國網絡成員達成協議,決定將中國iPMTCT 的實踐經驗在全球推廣,作為預防相關疾病的創新工作方針。這項協議於海南高峰會結束一周後,由聯合國中國衛生相關組織協調委員會會議所決定

https://zeshanfoundation.org/wp-content/uploads/2021/04/Innovative-Partnerships-for-High-Impact-OutcomesHainan-2-640x480.jpg
https://zeshanfoundation.org/wp-content/uploads/2021/04/Innovative-Partnerships-for-High-Impact-OutcomesHainan-5-640x480.jpg

西太平洋地區擊退肝炎

亞洲, 世界衛生組織西太平洋辦事處(WPRO)

2013年起,擇善基金會已鼎力支持世界衛生組織西太平洋辦事處(WPRO)。本會資助WPRO在地區內擊退肝炎的工作,包括分派特定支援到中國辦事處。

全球每年有一百四十萬人死於病毒性肝炎。僅於西太平洋地區,即估計有一億一千五百萬人感染慢性乙型肝炎 (HBV)以及一千四百萬人感染慢性丙型肝炎(HCV) ,佔全球慢性乙型及丙型肝炎患者百分之四十。

慢性乙型及丙型肝炎隨時間推移,可導致肝硬化及肝癌。全球百分之六十的感染人士當中,西太平洋地區佔有最高因肝癌而導致的死亡率,肝癌亦為該區第六大死亡原因。全球肝癌發病率(年度新增病例)最高的首十個國家之中,六個分別為越南、老撾、柬甫寨、中國及南韓。儘管如此,早期檢測及治療可有效減少肝炎病症惡化,從而降低肝病演變成肝癌的風險。

病人故事 (菲律賓): https://www.who.int/philippines/news/feature-stories/detail/surviving-hepatitis-b-and-liver-cancer-vhal-s-story

新聞專題: https://www.montsame.mn/en/read/136120   

世界肝炎日在蒙古,2018

擇善基金會的捐助使 WPRO 躍升為西太平洋地區對治病毒性肝炎的領導者,並使該組織能夠在區域層面制定措施;2016-2021 年全球衛生部門在消除病毒性肝炎戰略草案中概述了病毒性肝炎之流害,相關措施即務求根絕此病。

2030 年可持續發展目標重申消除病毒性肝炎之重要;與此同時, 2016-2020 年西太平洋區域病毒性肝炎行動計劃亦獲得區內國家認可。此計劃訂明應當採取的具體行動,力求全面認識肝炎之傳播。

計劃行動包括培養持分者關注肝炎的意識和知識,並加強公共政策與數據產生。這一連串行動乃對治肝炎的重要一環,可鞏固預防策略並容許更多人能夠負擔乙型和丙型肝炎之篩查、診斷和治療。

圖 1 說明西太平洋區域肝炎應對計劃的目前進展,強調以下三方面的重要: 國家領導、制定國家應對計劃以及為政策和決策累積數據。

資料來源:世界衛生組織西太平洋區域辦事處,2021 年 1 月。

支持各國加強干預措施以消除肝炎

西太平洋區域引領全球合力消除肝炎。該區域工作的成功例子包括同時消除愛滋病毒、梅毒與乙型肝炎三方面的母嬰傳播,以及擴大「全民健康覆蓋」範圍內肝炎檢測和治療。

查看更多國家案例研究[1] [2] – 中國、三重消除、蒙古、馬來西亞

連結:

WPRO 肝炎網站連結:

 https://www.who.int/westernpacific/health-topics/hepatitis

醫療衛生提供者的能力建構

能否提供適切優質的肝炎護理和治療,醫療衛生提供者的培訓,猶為關鍵。 WPRO 與世衛組織東南亞區域和其他世衛組織中心合作,出版了關於乙型和丙型肝炎篩查、診斷和治療的培訓單元[1]。

提升公眾對病毒性肝炎的認識

為加強公眾對防範病毒性肝炎的意識,世界衛生組織的多國辦事處與當地衛生部及其合作夥伴密切合作,向公眾提供資訊。每年 7 月 28 日的世界肝炎日,亦會提升大眾對肝病的認識。

影片連結:(截圖)

肝炎影片連結(混搭)https://youtu.be/Xl1hRjm-Uhk

WPRO-SEARO 臨床培訓單元,2020 年 7 月 28 日發布

https://www.who.int/southeastasia/publications-detail/9789290227472

菲律賓:在 COVID-19 封鎖期間擴大乙型肝炎服務(2020 年世界肝炎日影片):  https://www.youtube.com/watch?v=D-6T-J0Sd10

https://www.facebook.com/whophilippines/videos/291155845324695

馬來西亞 – Yap 的故事:康復之路(2020 年世界愛滋病日關於 HIV 和 HCV 的故事):  https://www.youtube.com/watch?v=5aBstAHJ-0M&feature=youtu.be

越南 – Chiến thắng bệnh viêm gan C |成功擊退丙型肝炎(2020 年世界肝炎日): https://www.youtube.com/watch?v=KjT3r6OCxdY&t=48s

世界衛生組織中國辦事處 – 面對肝炎,做好檢測,及早治療,活出最好的自己 (2020 年世界肝炎日): https://v.qq.com/x/page/o0530ahwxel.html

世界衛生組織中國辦事處 –消除歧視,消除肝炎 (2020 年世界肝炎日): https://v.qq.com/x/page/d0530xpdu1y.html

世界衛生組織蒙古辦事處——2020 年世界肝炎日: https://www.facebook.com/WHO.MGL/videos/981267499003176

https://zeshanfoundation.org/wp-content/uploads/2021/04/WPRO-fig.jpg

支持亞裔肝臟中心

美國與香港,史丹福大學醫學院

擇善基金會一直鼎力支持亞裔肝臟中心 (ALC) 。該中心於 1996年由史丹福大學醫學院外科系蘇啟深教授創辦,為美國國內第一所專為亞洲人以及亞裔美國人治療乙型肝炎和肝癌高病發率的非牟利機構。自創立以來,亞裔肝臟中心即在乙型肝炎及肝癌的預防與治療方面,擔當外展教育和政策倡議的前線工作,為公眾及醫護從業員提供寶貴資源。

亞太消除病毒性肝炎聯盟及亞裔肝臟中心聯同香港乙肝基金會於 2011 年 7 月 28 日在香港發起第一次世界肝炎日媒體宣傳活動,在電台、報紙、雜誌和公共交通廣告牌上發布公益廣告,令接受檢測以及接種疫苗的訊息遍佈全城。

https://zeshanfoundation.org/wp-content/uploads/2021/05/asianLiverCentre800600.jpeg

中央電視台:公眾教育運動

中央電視台:公眾教育運動

國家電視網絡影響力觸及全國上下;有見及此,擇善基金會在國家人口和計劃生育委員會支持下,於 2010 年贊助中央電視台人口計劃製作一部關於預防乙型肝炎母嬰傳播的紀錄片。於 2010 年 11 月在國家衛生廳及清華大學合辦的第五屆全國公共衛生與媒體會議上榮獲特別獎。該紀錄片於 2010 年 11 月 18 日在中央電視台第一頻道首播。本會正計劃籌備該片詳盡版,完成後發放到省級電視網絡,令訊息能更廣泛傳播。

https://zeshanfoundation.org/wp-content/uploads/2021/05/cctv800600.jpeg

擴大愛滋病、乙型肝炎和梅毒母嬰傳播綜合預防(iPMTCT)示範計劃

中國,疾病預防控制中心

有見測試計劃成功,擇善基金會於 2010 年加強對母嬰傳播綜合預防 (PMTCT) 的支援。其中一項強化計劃於湖北、河北、新疆和山西等省分中染病率高而收入低的地區推行,預計在兩年內為 24,000 名孕婦進行乙型肝炎病毒、愛滋病毒和梅毒篩查,同時為 42,000 人提供婚前身體檢查。

另一項計劃亦將會在雲南省内26個縣繼續舉行,加強既有規模,把乙型肝炎、愛滋病和梅毒納入預防母嬰傳播。預計這項工作可為多達 146,000 名孕婦提供乙型肝炎和梅毒篩查。檢測呈陽性人士之配偶和子女亦會接受篩查和諮詢服務。

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支持亞太消除病毒性肝炎聯盟(APAVH)

支持亞太消除病毒性肝炎聯盟(APAVH)

擇善基金會為亞洲及太平洋消除病毒性肝炎聯盟 (以下簡稱APAVH) 的創始捐助者,該聯盟為一項全球性倡議,由史丹福大學亞裔肝臟中心、美國疾病預防控制中心和世界衛生組織於 2008 年共同發起。作為全球首個以消除病毒性肝炎為宗旨的組織,APAVH 致力建立可持續的公私營機構合作關係,務求消除病毒性肝炎感染的傳播並減輕慢性病毒性肝炎感染的污名和併發症。

2010年4月,由擇善主辦的APAVH首屆區域會議《向中國學習,加強亞洲防控工作》在香港召開。多位專家分享在中國內累積的工作經驗和學習成果,以及 APAVH 如何補足未盡完善的工作,由為大學生、醫護人員和流動人口等高危人士注射疫苗,到為大約 3500 萬名乙型肝炎患者提供抗病毒治療。首份 APAVH 2010 區域會議報告已經發布,成為中國在西太平洋地區如何擔當領導角色的參考指南。

作為示範項目,APAVH 與山東省疾病預防控制中心合作開發實證為本在線培訓課程,以提高乙型肝炎意識並增進醫護人員的專業知識和工作實踐。該課程包括三個模組,涵蓋肝炎知識和疫苗接種、安全注射實踐守則以及醫護與病患教育。在線教育工具於 2011 年 7 月在http://knowhbv.org   開放註冊。評估課程已通過效率和價值的初步測試,測試表明培訓對象在乙型肝炎知識方面獲得顯著提高。

作為宣傳和教育法案的一部分,APAVH官方網站經已推出,滙集資訊,提供全球病毒性肝炎和肝癌數據、報告和出版物。另外,又在西太平洋和東南亞地區的國家開展對乙型肝炎和相關肝病的研究,並整理資料,在https://www.stanfordapavh.org/ 網站展示國家概況。西太平洋區域辦事處第一個關於乙型肝炎的網站於 2011 年底創建;與此同時,在該區 8 個國家製作並派發傳乙型肝炎疫苗接種的宣傳小冊子和海報。

中國感染率高,高危人口眾多,對乙型肝炎的誤解及病毒攜帶者的歧視相當普遍。為中國公民而設的教學材料可惠及廣泛民眾。 APAVH 完成了中文版在線動畫中文版在線動畫的開發,務求令中國 人民更全面認識乙型肝炎。動畫涵蓋公眾對疾病的常見問題,例如傳播方式、預防和治療方法。動畫可在 APAVH 中國版網站取得,乃消除誤解和歧視的重要教材。

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When an unknown printer took a galley of type and scrambled it to make a type specimen book.

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit…Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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