Hepatitis: towards decentralization of care



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Fatick, July 21 (APS) – Hepatitis treatment will now be carried out in the regions, said the coordinator of the National Program for the Control of Hepatitis (PNLH) Pr Aminata Sall Diallo, recalling that nearly two million people are carriers of the hepatitis B and C viruses in Senegal.

"Everything was done in Dakar, from the care of the sick, the supervision of the sick, to the distribution of drugs and for the first time in our history we are going to decentralize all these activities to Niakhar level, first of all through this day, "she said.

Pr Diallo had talks with journalists on Friday. Term of a Regional Development Committee (CRD) on the preparation of the 2018 edition of the national day of fight against hepatitis, scheduled for July 28.

This year the town of Niakhar will host the official ceremony. e in the presence of the Minister of Health and Social Action, Abdoulaye Diouf Sarr.

At the end of this national day in Niakhar, '' we will return to Fatick to train doctors on a support In the region, "she said.

" Nearly two million carriers of the hepatitis B and C viruses are many. We can not continue to send everyone to Dakar, "she said.

" The solution for her will now be to decentralize medical care in the regions ".

"We will continue this decentralization of care from 2019, in the regions of Fatick, Diourbel, Kaolack and Thies in addition to Dakar", she said. [19659003Andin2020sheaddedweplantocontinuethisdecentralizationinthemedicalcareofcarriersofhepatitisvirusesinfiveotherregionsandin2021throughoutthenationalterritory

The mapping of hepatitis' 'does not reveal significant differences between regions, this means that there is no significant variation greater than a rate of more than 20% for hepatitis B', According to her,

On the other hand, she says, "hepatitis C is found mainly in risk groups such as health personnel, drug addicts, or patients on hemodialysis."

In African countries, including Senegal, we are 8 0% of liver cancer caused by the hepatitis B virus and we are in a predominance with a ratio largely in favor of men, 'she said.

' 'The first cancer in men in Senegal is liver cancer, which sadly carries productive young people between the ages of 35 and 36 who often arrive on the labor market, "she lamented.

" There is also, she noted again, the hepatitis E virus which is also a public health problem in Senegal. "

" This virus is not endemic in Senegal but comes by epidemic and it does not for a long time Senegal had recorded an epidemic of hepatitis E in Kedougou that had killed 19 people, "she said.

" Hepatitis E is serious in pregnant women. If a pregnant woman contracts this virus often the outcome is fatal, it is 25% of the mortality in the pregnant woman. So, we must mobilize to fight this virus in addition to other hepatitis '', she said.

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