全球首個消除肝炎基金

The Hepatitis Fund, 全球

The Hepatitis Fund (以下簡稱THF)乃全球性資助組織,於2017年由擇善基金會成立。前身名為「消除肝炎2030」的THF 於2019年11月正式脫離Rockefeller Philanthropy Advisers (RPA)之贊助,並在日內瓦註冊成為非牟利機構。病毒性肝炎威脅大眾健康,影響波及全球,死於肝炎的人數每年高達一百四十萬人。THF矢志協助各國克服種種困難,透過資助,支援行之有效的肝炎對治方法,以妥善應對此全球健康威脅。

隨着2016年在香港舉行的肝炎高峰會完滿結束,擇善基金會即大力支持籌組THF。本會自2010已開展肝炎計劃,是次對THF的贊助,標記着我們消除肝炎工作的里程碑。

了解更多資料,請瀏覽我們合作夥伴之網頁:

 https://endhep2030.org/

the hepatitis fund

相關連結

Global Hepatitis Resource Mobilization Conference (只有英文版本)

項目文章:

肝炎:可以逆轉的危機

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When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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量化亞洲的乙型和丙型肝炎負擔

亞洲, CDA基金會

量化亞洲的乙型和丙型肝炎負擔

病毒性肝炎仍然是工作中最致命的傳染病之一,大約每25秒就有1人死亡。同時病毒性肝炎也是引起世界上肝癌的主要原因。亞洲為乙型肝炎病毒(HBV)和丙型肝炎病(HCV)高發地區,因此量化亞洲的疾病負擔有助於國際機構,公共衛生和決策者制定相關策略消除這些傳染病。

乙肝可以通過安全有效的疫苗進行預防,也可在妊娠期間通過抗病毒藥物預防方法加以預防,許多國家都採取有效的預防,比如中國積極的為所有嬰兒接種疫苗。乙肝治療也適用於在獲得疫苗之前已被感染的人群,但是現今任然有很多患者未被治療。此外,丙型肝炎的治療可以在12周或更短的時間內治癒患者。綜上所訴,我們已經掌握了許多消除病毒性肝炎所需的必備條件和資源。

此專案的目標是為了研究並且發佈亞洲的乙型和丙型肝炎負擔。為此實現了這一目標, CDA基金會與亞洲相關國家緊密合作聯繫,並收集了大量有關感染,診斷和治療人數的資料,採用數學模型估分析和評估病毒性肝炎在亞洲的影響。結果摘要如下所示。在亞洲約有1.88億人感染了乙型肝炎(圖1),另有3400萬人感染了丙型肝炎(圖2)。詳細資料查看網站 。

本基金會提供了資金用於支持本國消除肝炎戰略。通過這項資助,我們與世界衛生組織合作,為吉林大學同時也為中國疾病預防控制中心工作者提供了各種資料,資料和模型用於評估中國五個省(雲南,吉林,安徽,湖北和重慶)的肝炎負擔。此外,我們與巴基斯坦衛生部簽署了諒解書,幫助政府評估巴基斯坦及其兩個省(旁遮普邦和信德省)的肝炎負擔。我們同樣與尼泊爾合作,幫助他們評估他們的肝炎負擔。目前,我們正在與越南,菲律賓和馬來西亞合作,以説明這些政府決定需要採取哪些措施來消除本國的病毒性肝炎。

本基金會幫助了亞洲國家更好的瞭解乙型和丙型肝炎在該地區的影響。這些分析將有助於優先考慮將亞洲作為主要區域,獲得國際機構和全球捐助者的支援。

An estimate 188 million people in Asia were infected with hepatitis B

圖1 預算在亞洲有1.88億人感染乙型肝炎

34 million people in Asia were infected with hepatitis C

圖2  亞洲有3,400萬人感染丙型肝炎

CDA fig 3

圖 3

研究發現大多數與HBV和HCV相關的肝癌病例以及與肝相關的死亡都集中在亞洲(圖3)。該分析將能幫助亞洲國家獲取更多的資助用於在消除病毒性肝炎,並得到本國政府的支援,測試和治療其相關人群並且擴大HBV疫苗接種。

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Heading 02

Heading 02 (H3)

When an unknown printer took a galley of type and scrambled it to make a type specimen book.

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit…Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

When an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Photos Grid for Heading 02

  • Tab 1
  • Tab 2
  • Tab 3

Inside Tab Heading 01 H4

It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

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相關連結

西太平洋地區擊退肝炎

亞洲, 世界衛生組織西太平洋辦事處(WPRO)

2013年起,擇善基金會已鼎力支持世界衛生組織西太平洋辦事處(WPRO)。本會資助WPRO在地區內擊退肝炎的工作,包括分派特定支援到中國辦事處。

全球每年有一百四十萬人死於病毒性肝炎。僅於西太平洋地區,即估計有一億一千五百萬人感染慢性乙型肝炎 (HBV)以及一千四百萬人感染慢性丙型肝炎(HCV) ,佔全球慢性乙型及丙型肝炎患者百分之四十。

慢性乙型及丙型肝炎隨時間推移,可導致肝硬化及肝癌。全球百分之六十的感染人士當中,西太平洋地區佔有最高因肝癌而導致的死亡率,肝癌亦為該區第六大死亡原因。全球肝癌發病率(年度新增病例)最高的首十個國家之中,六個分別為越南、老撾、柬甫寨、中國及南韓。儘管如此,早期檢測及治療可有效減少肝炎病症惡化,從而降低肝病演變成肝癌的風險。

病人故事 (菲律賓): https://www.who.int/philippines/news/feature-stories/detail/surviving-hepatitis-b-and-liver-cancer-vhal-s-story

新聞專題: https://www.montsame.mn/en/read/136120   

世界肝炎日在蒙古,2018

擇善基金會的捐助使 WPRO 躍升為西太平洋地區對治病毒性肝炎的領導者,並使該組織能夠在區域層面制定措施;2016-2021 年全球衛生部門在消除病毒性肝炎戰略草案中概述了病毒性肝炎之流害,相關措施即務求根絕此病。

2030 年可持續發展目標重申消除病毒性肝炎之重要;與此同時, 2016-2020 年西太平洋區域病毒性肝炎行動計劃亦獲得區內國家認可。此計劃訂明應當採取的具體行動,力求全面認識肝炎之傳播。

計劃行動包括培養持分者關注肝炎的意識和知識,並加強公共政策與數據產生。這一連串行動乃對治肝炎的重要一環,可鞏固預防策略並容許更多人能夠負擔乙型和丙型肝炎之篩查、診斷和治療。

圖 1 說明西太平洋區域肝炎應對計劃的目前進展,強調以下三方面的重要: 國家領導、制定國家應對計劃以及為政策和決策累積數據。

資料來源:世界衛生組織西太平洋區域辦事處,2021 年 1 月。

支持各國加強干預措施以消除肝炎

西太平洋區域引領全球合力消除肝炎。該區域工作的成功例子包括同時消除愛滋病毒、梅毒與乙型肝炎三方面的母嬰傳播,以及擴大「全民健康覆蓋」範圍內肝炎檢測和治療。

查看更多國家案例研究[1] [2] – 中國、三重消除、蒙古、馬來西亞

連結:

WPRO 肝炎網站連結:

 https://www.who.int/westernpacific/health-topics/hepatitis

醫療衛生提供者的能力建構

能否提供適切優質的肝炎護理和治療,醫療衛生提供者的培訓,猶為關鍵。 WPRO 與世衛組織東南亞區域和其他世衛組織中心合作,出版了關於乙型和丙型肝炎篩查、診斷和治療的培訓單元[1]。

提升公眾對病毒性肝炎的認識

為加強公眾對防範病毒性肝炎的意識,世界衛生組織的多國辦事處與當地衛生部及其合作夥伴密切合作,向公眾提供資訊。每年 7 月 28 日的世界肝炎日,亦會提升大眾對肝病的認識。

影片連結:(截圖)

肝炎影片連結(混搭)https://youtu.be/Xl1hRjm-Uhk

WPRO-SEARO 臨床培訓單元,2020 年 7 月 28 日發布

https://www.who.int/southeastasia/publications-detail/9789290227472

菲律賓:在 COVID-19 封鎖期間擴大乙型肝炎服務(2020 年世界肝炎日影片):  https://www.youtube.com/watch?v=D-6T-J0Sd10

https://www.facebook.com/whophilippines/videos/291155845324695

馬來西亞 – Yap 的故事:康復之路(2020 年世界愛滋病日關於 HIV 和 HCV 的故事):  https://www.youtube.com/watch?v=5aBstAHJ-0M&feature=youtu.be

越南 – Chiến thắng bệnh viêm gan C |成功擊退丙型肝炎(2020 年世界肝炎日): https://www.youtube.com/watch?v=KjT3r6OCxdY&t=48s

世界衛生組織中國辦事處 – 面對肝炎,做好檢測,及早治療,活出最好的自己 (2020 年世界肝炎日): https://v.qq.com/x/page/o0530ahwxel.html

世界衛生組織中國辦事處 –消除歧視,消除肝炎 (2020 年世界肝炎日): https://v.qq.com/x/page/d0530xpdu1y.html

世界衛生組織蒙古辦事處——2020 年世界肝炎日: https://www.facebook.com/WHO.MGL/videos/981267499003176

https://www.zeshanfoundation.org/wp-content/uploads/2021/04/WPRO-fig.jpg

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