Why Nigeria must find everyone who has hepatitis and doesn't know it

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Why Nigeria must find everyone who has hepatitis and doesn't know it
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The sub-Saharan African and Western Pacific regions account for about 68% of all chronic hepatitis B infections...........

Though HBV has no cure, it is preventable through vaccination and avoidance of risky behaviours that promote its transmission. There is no effective vaccine that can prevent hepatitis C but it is curable with the available medications.

Prevention of mother to child transmission is the most important intervention to reduce the incidence of chronic hepatitis B. This is because, unlike adults who acquire the infection, 90%-95% of children who acquire the infection from their mothers will have persistent infection until adulthood. All pregnant mothers should be screened for HBV but screening and treatment are unaffordable for many of these women.

HBV vaccination has been incorporated into the routine immunisation programme for children in Nigeria since the late 1990s and it is free. Two things that stand in the way of prevention efforts in Nigeria are the cost of the investigations of HBV and HCV, which are not covered by the national health insurance scheme, and the knowledge of health workers.we conducted, only 44% of health workers were aware of the mother to child route of transmission of HBV.

Though hepatitis B has no cure, there are effective medications that reduce the possibility of liver damage and cancer. Because they are imported to Nigeria, though, these medications are not necessarily affordable or available. This reduces the compliance of patients on this drug. As we mark the 2020 World Hepatitis Day, government and nongovernmental organisations should create greater awareness of screening. Those found positive should then be linked with treatment centres. There should be continuous education of all health workers on hepatitis routes of transmission and treatment.

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