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Welcome to the HepTalk Listserv. For July, we offer two articles about immunizing adolescents. Adolescents are often seen by many of you in your clinics for a variety of reasons, from prenatal care to sports physical exams, presenting a good opportunity to see if they have had their Hep B shots.

In May 2005, near its beginning, the HepTalk Project presented a position paper, "Hepatitis Screening, Immunization and Testing for Mobile Populations and Immigrants from Latin America and the Caribbean" It has been updated with new immunization guidelines. This publication clarifies standard hepatitis immunization and testing recommendations for these populations.

HepQuick, also newly updated, incorporates specifics for mobile clients and recent immigrants from the position paper.

The HepTalk Training Manual for on-site training for clinics to help improve clinic systems that support communicable disease prevention, and training for clinicians and staff on communicating about risk across cultural differences and about potentially sensitive personal issues.

An opportunity to join live webcast on "Innovative HIV/STI Prevention Approaches."


Includes an article about the screening of people from countries where Hep B is endemic. The second part offers resources for clients from Central America who speak languages other than Spanish, such as the indigenous Mixteco. Though the study was completed in Eastern North Carolina, the resource list presented is national in scope and very broad.

Welcome to the January 2005 edition of the Listserv. There are four parts to this edition: 1. a list of Hepatitis C Coordinators for all states with HepTalk participants; 2. Hablamos Juntos, a website with resources and information on interpreters, translations, and interpreter training; 3. a link to an article from the National Alliance of State and Territorial AIDS Directors on integrating HIV and hepatitis screening and prevention; 4. A funding opportunity which may be interesting to some HepTalk participants.

Our concentration for this month (September) and next month (October) is Resources for Effective Risk Assessment. This is a primary focus of the HepTalk project, and one on which we are continuously scouting out new resources. Some of the literature and research about effective risk assessment focuses on HIV and/or gay and populations, but is also relevant for hepatitis and for a broader population.

In honor of National Adult Immunization Week, September 24-28, we call your attention to an excellent source for patient education materials in many different languages, some of which we have featured here before. The IAC or Immunization Action Coalition is another one of our CDC partners in the Viral Hepatitis Education and Training program. They offer many different kinds of patient education materials about Hepatitis A and B vaccines. They’re easy to access and easy to download as pdf files, so they can be printed and distributed at your clinic, and they are available in Spanish. We have chosen a few of the resources most relevant to adult immunization and Hepatitis, but be sure to check all of their excellent resources.

An article from The New England Journal of Medicine, Volume 357:1685-1694, October 25, 2007 Number 17 by John C. Victor, Ph.D., M.P.H., Arnold S. Monto, M.D., Tatiyana Y. Surdina, M.D., Saida Z. Suleimenova, M.D., Gilberto Vaughan, Ph.D., Omana V. Nainan, Ph.D., Michael O. Favorov, M.D., Ph.D., Harold S. Margolis, M.D., and Beth P. Bell, M.D., M.P.H

An editorial by Carol J. Baker, M.D. from The New England Journal of Medicine, Volume 357:1757-1759, October 25, 2007, Number 17.

MMWR October 19, 2007 / 56(41);1080-1084 (See separate resource listing and link for Q&A about these new recommendations.

Continuing with the information on interpreting vaccine schedules from Mexico in the May-June Listserv we offer the Migrant Clinician Network's new 2007 Mexican Migrant Guide: Recommended Vaccines for Recent Immigrants from Mexico, guide, and a vaccine equivalency chart for the state of Arizona. In addition, an important new resource, Health Care Language Services Implementation Guide is available through the Office of Minority Health.

Welcome! The December 2004 edition of the Listserv focuses on hepatitis awareness and on screening tools for assessing risk factors and candidates for vaccination.

This month we offer information about an important opportunity to receive adult hepatitis B vaccine resources. In addition, we're pleased to alert you to a case-based hepatitis continuing education offered by one of our CDC partners in the Viral Hepatitis Education and Training program.

In our first bulletin, we offer an annotated list of key hepatitis websites. If any of these links are not working, you can copy and paste them directly into your search engine.

1. Review 2. Review 3. Hep Transmission Hot Spots 4. Hep Transmission Hot Spots

1. HEPATITIS B FOUNDATION UPDATES NON-ENGLISH LANGUAGE CHAPTERS 2. Comparison of Costs for Hepatitis B Drug Therapy 3. MMWR Weekly May 12, 2006 / 55(18):509-511 Hepatitis B Vaccination Coverage Among Adults --- United States, 2004


1. An Overview of Drinking Water Quality and Water and Sanitation-Related Disease. 2. Agua que hay microbios: Una guia para el cuidado del agua e higiene en el hogar. 3. Una vida sana empieza si hay comida con limpieza: Una guia para el cuidado e higine de los almientos en el hogar. 4. Excerpts from Waterborne Illnesses CME/CE, Sussan K. Sutphen, MD, MEd

1. Chronic Hepatitis C Virus Management: 2000-2005 Update. 2. Doc Eye for the Hep Guy: Management of HCV Treatment-Experienced Patients 3. Reference for Interpretation of HCV Test Results 4. “If you have hepatitis C, which vaccinations do you need?”

1. Recruitment and Retention 2. Hablamos Juntos "We speak together" 3. The Cross Cultural Health Care Program 4. Roadmaps for Clinical Practice series - Improving Immunization

Current News is our focus for March and April. The Surveillance Summary for Acute Viral Hepatitis released in March indicates declining rates of all three common types of Hepatitis, A, B. and C. Underlying the good news is the continuing importance of making sure that adults, especially in segments of the population still living outside of the reach of most health care systems, are screened, offered B vaccination, educated about risks, and tested as necessary.

We are sending you just one important resource for May and June, a guide for interpreting immunization schedules from Mexico, including Hepatitis B.

This month's issue includes: 10 Charting Handout: A guide compiled by the HepTalk team to help you assess the risk assessment portion of your clinic’s forms. 2. Three articles regarding the effectiveness of charts, checklists, and other tools to increase preventive care. 3. Two articles regarding the use of EMR (electronic medical records).

When we traveled across the country to visit your clinics, many of you expressed concerns about lack of funding for adult immunization and testing. Reprinted from the Immunization Action Coalition, we pass along an opportunity: IAC Express, Issue Number 642, January 24, 2007.

Important new document from the CDC, plus links to two good references, one for treatment of Hepatitis B and one for Hepatitis C. 1. CDC ISSUES ACIP'S RECOMMENDATIONS ON ELIMINATION OF HEPATITIS B VIRUS INFECTION IN U.S. ADULTS. 2. Management of Hepatitis C: 2002 National Institutes of Health Consensus Conference Statement. The NIH consensus statement is a good reference for HCV treatment specifics. 3. A Physician's Guide to Chronic Hepatitis B Treatment from the Asian Liver Center at Stanford University. 4. Archives for HepTalk Listserv 2006

The topic of this resource is Liver Cancer and Hep B and C. We present two articles in full and three abstracts on the issues.


The June /July edition of the HepTalk Listserv will be devoted to Cultural Compentency. We're very pleased to welcome Dr. Jennie McLauren as the Listserv Editor for June 2006.

Two successful adult immunization programs are featured, one in Pennsylvania and one in New York. Each involves cooperation between state and local health departments and community clinics in order to provide immunizations, including Hepatitis A and B, to migrant seasonal farmworkers.

The NASTAD Viral Hepatitis Program was funded by CDC to develop a comprehensive model for coordination between HIV/AIDS and viral hepatitis programs.