Identification of hepatitis B and C screening and patient management guidelines and availability of training for chronic viral hepatitis among health professionals in six European countries: results of a semi-quantitative survey

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Background:
As part of the EU funded project “HEPscreen”, the aim of this study is to identify hepatitis B and C screening and patient management guidelines, to assess the awareness of these among health professionals (HPs) and to explore the availability of hepatitis B/C training programmes for HPs in Germany, Italy, the Netherlands, the UK, Spain and Hungary.
Methods:
A comprehensive literature search through the main scientific databases was performed to retrieve guidelines, following which an online survey was developed and sent to HPs in six areas of health care, including public health, to verify whether HPs are aware of these guidelines, to retrieve additional guidelines and to find out whether specific professional training is available.
Results:
Twelve national guidelines were identified through the literature search. Of the 268 respondents, 80 % were aware of hepatitis B guidelines and 73 % were aware of hepatitis C guidelines in their country. The national guidelines identified through the literature search were mentioned by 1/3 of HPs in the UK and Germany, 13 % of HPs in the Netherlands, 14 % in Italy and 4 % in Spain. An additional 41 hepatitis B/C related guidance documents were retrieved through the online survey: 15 in the UK, seven in Hungary, six in Italy, five in the Netherlands, four in Germany and four in Spain. Availability of training programmes to improve skills and knowledge in viral hepatitis was most often reported in the Netherlands, with 82 % indicating availability and just 10 % indicating no availability, and least commonly in Italy, with 42 % indicating yes but 40 % indicating no. Availability was also reported by the majority in the UK, Hungary and Spain, while in Germany the majority selected unsure.
Conclusions:
Results suggest that the scientific databases are not the most important information source of best clinical practice for many HPs. Implementation of best practices requires that guidelines are specifically designed and actively promoted among those who are to follow them. Training can disseminate these best practice recommendations and raise awareness of guidelines. It is therefore encouraging that diverse training about hepatitis B/C is available to the different professional groups.

Hospital emerges as epicenter of Riyadh MERS outbreak | CIDRAP

King Abdulaziz Medical City said in an Aug 15 press statement that 31 MERS-CoV infections have been reported in people who visited the facility’s ED between June and Aug 14. Dr Hanan Balkhi, the hospital’s director of infection prevention and control, said in the statement that, in addition, 4 healthcare workers have tested positive and are in home isolation.

via Hospital emerges as epicenter of Riyadh MERS outbreak | CIDRAP.

Yesterday 40,000 people donated over $1,000,000 in fewer than…

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Yesterday 40,000 people donated over $1,000,000 in fewer than 12 hours to help Fatima end bonded labor. The fundraiser currently sits at almost $1,400,000. There were no perks offered. No ‘reward levels.’ This was motivated by nothing more than genuine compassion and a desire to empower a woman who’s devoted her life to freeing people trapped in modern slavery. Thank you so much. Fatima has prepared a statement that I will post shortly.

I want to conclude this series with a story that will show you the character of the person you’ve just empowered. This is one of thousands of anecdotes that reveal a person who is more committed to humanity than to her own safety or comfort:

Recently a family trapped in bonded labor got in touch with Fatima. They told her that they could not escape their owners, and that the girls in the family were being sexually abused by the owners. Fatima immediately jumped in her car and drove to the kiln in the middle of the night. She told the family to run. The owners woke up and began to fire guns. The family reached the car, but the youngest girl—only four years old— had fallen down and been captured.

For three months the child was missing. Fatima went to court and begged for intervention, but the police kept insisting that they’d searched the kiln, and no child could be found. “I couldn’t sleep,” explains Fatima. “Every night I laid in bed and could think about nothing but this young girl in the hands of her brutalizers. I stayed awake all night thinking about how I could rescue her.”

Fatima recruited several other laborers to help her. Dressed in rags, they went to the kiln and pretended to be workers. They spent several days searching. They couldn’t find the girl anywhere. But from the owner’s house, they heard constant crying. They went back to the court and demanded that the house be investigated. The girl was found. But for weeks, she would not eat, talk, or cry. Fatima eventually learned that every time the girl would cry for food, the owner would beat her.

(Lahore, Pakistan)
(7 of 7)

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I’m going to leave the fundraiser up for the remainder of the day.
Anyone else who wishes to donate, can do so here: http://bit.ly/1N9W3Ts