Hepatitis B screening for which the blind do

 Hepatitis B screening for which the blind do
302 Hospital of PLA, MD, Liu Shijing (100039)
recently, a drug company to sell its pharmaceutical business for the treatment of hepatitis B drug, hepatitis B screening in the local village vigorously, with some artificial factors, many latent is a commercial, or scientific in nature, are not appropriate to act in haste, the census will find countless people living with HIV, the virus is currently no standard for the understanding and management, the community is there for its many errors, a sudden found a large number of people living with HIV, whether the case, this is a difficult problem in scientific and clinical research are not mature, it is best not to blind large-scale census, so as not to have caused numerous problems. Therefore, 1985 promulgated the necessary. of the health sector there have been several plans to organize a nationwide sample survey, to understand and grasp the prevalence of the incidence of hepatitis B, a sample survey is not accurate, but has a representative, if the current population to carry out comprehensive hepatitis B screening, theoretically feasible, but in fact not work, 9.6 million square kilometers of counting every corner, every citizen does not pull, large organization team, the new variety of instruments and reagents , huge expenditures, unable to move up the actual operation, it is possible to complete the regional census, but what is the purpose of the census? is to clear the area in the end the number of hepatitis B patients, or to prepare for the vaccination, no matter what the purpose is , the census is not necessary in our country, the overall hepatitis B surface antigen carrier rate of about 10%, to hash things out, one by one to implement, it seems useful, is actually more harm than; and hepatitis B vaccine to be immunization program by the first commonly used in all newborns, followed by high-risk groups, vaccination of everyone still difficult.
2. newly discovered more and more cases of hepatitis B, a serious social problem. It projections of hepatitis B virus surface antigen positive patients had more than 100 million 3 million people, but most of the hidden state of hepatitis B virus carriers, they and ordinary people, living and working in every corner of society, if large-scale The survey, to check out one by one, the whole society will be a series of chain reaction, a large number of newly discovered hepatitis B virus and hepatitis B patients do not need to be isolated? need not drop out, leave, laid-off? need not treatment? with what medication? cost be? can be cured? hepatitis B patients with familial aggregation of many, one is found, it may have to and family harmony naturally no longer exist, this has not just a medical problem but a serious social problem, to say the least, I am afraid is not conducive to stability and unity. Hepatitis B virus carrier in China is quite common, especially those of the coastal areas, carry a higher rate, this phenomenon is one situation, if not all forms of screening, hepatitis B patients are numerous, but did not pose any threat to society, family life, quiet, orderly life, although the hepatitis B infectious diseases, but its main mode of transmission from mother to child, parent infant vertical transmission, blood transmission, iatrogenic transmission (injections, acupuncture treatment, dental, etc.), generally will not be infected with hepatitis B exposure, so even working with hepatitis B patients and contact, rarely infected with hepatitis B, hepatitis B and the best deal, accepted measure is for all newborns, one does not pull to the hepatitis B vaccine, so that the incidence of hepatitis B will be reduced year by year, while the injection Hepatitis B vaccine is not required for large-scale census.
3. newly discovered hepatitis B was forced to seek medical advice around, because hepatitis B is currently no specific drug treatment available, treatment is often are tentative and may have been the cost of sleepwalk money wasted. if it is found who had hepatitis B or hepatitis B surface antigen positive only, treatment, and then the inevitable, regardless of who is to persuade, explain the situation to the patient, no matter how the surface antigen positive, hepatitis B will be when he is, no one will sit loss of care, is almost fixed things around the chemists, and the current treatment of hepatitis B, although tens of thousands, however, are tentative, some may have some effect, but has its own strict and narrow indications such as interferon, suitable for elevated aminotransferases, non-vertical communicators, active inflammation, chronic persistent or active hepatitis, cirrhosis of the liver in patients with HIV and should not be used, and so, even if the patient fully in line with indications that can However, since effects were also 40%, not to mention, most patients are Bingdu trying everything, as long as I heard where, who, what medicines can cure hepatitis B, it will at all costs, to a test to such a situation, very few successful Most patients will accompany his wife after bad.
4. newly discovered cases of hepatitis B virus carriers are mostly for these people, there is no standardized treatment and management measures, the emergence of excess may lead to out of control. found a large number of hepatitis B virus carriers how to do? need to register, regular follow-up, the local health and epidemic prevention department heads, in fact, this is only talking about it and found so many of hepatitis B patients, no one has to accept register, who is also Report cards are not, they either do not care, still full of activities; either fear inside, around a doctor, anyway, out of control is evident, what they are in a hurry, who do not know.
5. blind survey, may be ill-gotten gains to some criminals took the opportunity to grab the opportunity. census identified a large number of potential hepatitis B patients, a number of regular hospital treatment that can not, and some illegal, Xie Ning, who, just fancy that a good time, moving around, playing under the banner of the hepatitis B experts, preparation of a variety of , patients harmed by these countless tricks.
out the regular use of hepatitis B screening is to understand the incidence of hepatitis B, or hepatitis B vaccination to prepare for, no matter how large-scale surveys, must win the local health and epidemic prevention the consent of the competent authorities, organized shall be carried out on the confidentiality of census results, the organizers according to the census situation, the survey put in, differential treatment, register, regular follow-up.