Hepatitis in Corrections: Opt-In vs. Opt-Out Approach
Partnering with the Oregon Health Authority, the Hepatitis-HIV-AIDS Awareness Project, and other agencies, the Oregon Immunization Program is focusing on increasing testing and vaccine awareness for hepatitis in correctional facilities. The 2019 data reveals high rates of HBV and HCV infections among incarcerated individuals, prompting a call for optimizing testing strategies, raising vaccine awareness, and enhancing linkage-to-care services. Future directions include exploring opt-out testing and HCV-specific care services in collaboration with HHAAP.
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Presentation Transcript
HEPATITIS IN CORRECTIONS ANN A. CHAKWIN, PHD ANN.A.CHAKWIN@DOC.STATE.OR.US PARTNER AGENCY IS OREGON HEALTH AUTHORITY,: THE OREGON IMMUNIZATION PROGRAM; THE HIV/STI/TB PROGRAM; CAREASSIST; ACDP. AND THE HEPATITIS-HIV-AIDS AWARENESS PROJECT (HHAAP 501C3 NON-PROFIT)
ALL HEPATITIS WORK IN CORRECTIONS IS OPT-IN WHY? People are not psychosocially equipped to be diagnosed with a communicable/chronic condition at Intake-to-Prison Is Opt-out at home institution feasible? Yes looking at that for next biennium
2019 EPI HEPATITIS DATA HBV 51% of testers are HBV-antibody + 1 person in 2019 was antigen + 3,087 doses of HBV went into incarcerated patients HCV 20% of testers were HCV-antibody + 87% were virus positive
FUTURE DIRECTIONS Increase testing through opt-out option Increase vaccine-awareness via policies/procedures and rejuvenated practice Potentially HCV-specific linkage-to-care services in partnership with HHAAP THANK YOU!
