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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.

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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.

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

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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.

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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.

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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.

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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.

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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.

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

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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.

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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.

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

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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

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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

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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?”

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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

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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.

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

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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).

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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.

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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

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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.

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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.

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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.

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Includes: 1. Substance Use and Migrant Labor: Part Two 2. Effects of hepatitis C virus co-infection on survival in veterans with HIV treated with Highly Active Antiretroviral Therapy. 3. Integrating Hepatitis, STD, and HIV Services into a Drug Rehabilitation Program. 4. The impact of barriers to Hepatitis C virus treatment in recovering heroin users maintained on methadone. (HepTalk project note: one of the agencies and some of the authors involved in this study are from the Oasis agency, one of MCN's peers in the Viral Hepatitis Education and Training co-hort of current CDC Division of Viral Hepatitis grantees. We are planning to use some of Oasis' excellent educational materials in our clinician training.) 5. Knowledge of and interest in hepatitis C treatment at a methadone clinic.

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We began in July with information about substance abuse among migrant workers. The current edition is Harm Reduction Strategies for HCV Substance Abusers. Potential substance abuse treatment sites and resources for migrants will follow in September.

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In this edition, we offer resources and information about water and sanitation issues. Fecal-to-oral transmission, via contaminated water, food, or other objects, is the principal means of spreading HAV, the virus that causes Hepatitis A.

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"Substance Use and Migrant Labor, Part One" The number of substances reported “ever used” by 127 farm workers in a study conducted in three southern states (Inscription in Drug Use among Farm Workers) ranged from one (17 persons) to ten/more (6 persons)

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Our focus this month is treatment for Hepatitis B and C.

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The following links and and articles are available In the January Listserv: 1. Links to the full text of the ACIP recommendations for infants, adolescents, and children. 2. Dear Colleague Letter about New Recommendations to Prevent Perinatal HBV. Summary of the recommendations from HEP EXPRESS Viral hepatitis news from the Immunization Action Coalition Issue Number 39, January 6, 2006 3. ”Hepatitis B Vaccine Considered for All Adults from American Medical News on upcoming adult immunizations, summarizes issues that are central to the HepTalk project clinics and their clients. The article includes a mention of MCN's recommendations on these issues.

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