Improving Hepatitis B Testing

and Linkage to care in

San Diego County

Binh Tran, PharmD, MBA
Asian Pacific Health Foundation
May 22, 2014
Asian Pacific Health Foundation
Previously Asian Pacific Health Center providing
low cost medical care for API since 2001.
California Endowment Grant (2003-2005) on
Hepatitis B prevention
APHF Foundation since 2008 to provide health
education and health services, focusing on
Hepatitis B
Collaboration with UCSD on CDC grant to improve
Hepatitis B Testing and Linkage to care.
Activities of APHF
Hold screening events at community centers,
churches, temples,
Testing for HBsAg (infectivity) anti-HBcore
(exposure) and anti-HBs (immunity)
Results from Quest Diagnostics Labs are sent
to UCSD which enters into RED Cap program.

Hepatitis B screening Results
2003 to 2010:
2884 persons (384 per year) screened, with
6.8% positive rate.

2011 to 2013
822 persons (411 per year) screened at 25
community events with a 5.48% rate.


Blue = Total
Screened
Red = #
Positive
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
#

P
e
o
p
l
e

Event
Graph 1: Outreach Results
Graph 2: Number of
persons screened for Hep B
per year.
0
500
1000
1500
2000
2500
3000
2003-2010 2011-2013 2011-2013 w/UCSD
Total persons screened # screened per year
Collaboration with UCSD
CDC grant 1
st
year (Oct 2012 Sept 2013)
Category A: Early Identification and Linkage to
Care for Foreign-born Persons with Hepatitis B.

Total of 1071 persons screened with a 7.7%
positive rate.
MMWR report in May 2014


Linkage to care
Through UCSD HealthCare Systems
Case manager looks for agencies that have
assistance programs for the positive tested
patients

Objective #1: Increasing Education
and Awareness
UCSD School of Pharmacy Students
participated in Barriers Study: Sandy Chong
since 2011
CDC In 2013: Thuy Nguyen, Lillian Nguyen,
Xuan Phan on demographics of persons
screened for Hepatitis B, Point of Care tests
for Hep B and C at clinical sites vs. community
settings.
CDC 2
nd
year extension was approved.

Objective #2:
Continue collecting surveys to better
understand API behavior, and connect to
hepatitis B.
The goal here is to better understand barriers
involved in screening and treatment and how
to mitigate them so that more high-risked
individuals can be helped.

Objective #3
By including other screenings at our events,
the turnout rate for hepatitis B screening
increases substantially.
We collaborate with UCSD School of Pharmacy
and UCSD School of Medicine to provide free
screenings for diabetes, glaucoma, cholesterol
and hypertension concurrently with hepatitis
B screening.
Thank you
Binh N. Tran, PharmD
Executive Director
Asian Pacific Health Foundation
4844 University Ave, Ste C
San Diego, CA 92105
Ph: 619-640-6404; Mobile: 619-517-3744
btran.aphc@sbcglobal.net
Get Tested for Hepatitis B!