Missing Links between Primary Healthcare and Rural Elderly

Sai Kung District Community Center, Hong Kong

Missing Links between Primary Healthcare and Rural Elderly

Sai Kung District Community Center, Hong Kong

Health inequity in rural areas is sometimes neglected in our city.  In Sai Kung alone, there are more than 158,800 senior citizens, accounting for 32% of the district population.  It is estimated that at least 10,000 of them are still living dispersedly and remotely among 110 rural villages, very far away from the closest major government-funded healthcare facilities in the urban town of Tseung Kwan O.

In addition, insufficient internet coverage remains as one of the greatest hurdles for implementing telehealth services there, as concluded in our supported pilot project by Sai Kung District Community Centre (SKDCC).    Despite numerous barriers, as a community-based NGO, SKDCC continues its pursuit to address the service gaps at the first contact point of primary healthcare system and to explore more effective solutions for ageing-in-place in rural areas.

Since July 2022, ZeShan Foundation, together with Kerry Group, has therefore been co-funding SKDCC’s another 3-year pilot project “Mobile Primary Healthcare in Rural Sai Kung for Elderly”. The team has been reaching out to elderly villagers to strengthen their self-efficacy, through combining the use of smart devices for monitoring, health coaching, mobilisation of community health ambassadors and case management, with a more holistic lens of maintaining a better quality of life in terms of healthcare and social connections.   These approaches align with ZeShan’s three guiding principles, namely ‘empowerment’ (by increasing the capacity of older persons to take charge of their own health, and of communities to take care of each), “engagement & collaboration” (by facilitating partnerships among social workers, pharmacies, researchers and community members, including the development of protocols and mechanism of collaboration), and “catalyzing innovations and flexibility” (by providing capital to an NGO such as SKDCC to test new collaborations and engage policy-making stakeholders).

Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
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Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
Outreach service in the villages
Chinese medicine practitioner checking on villager
Service team visits remote villages
Mobile service can adapt to topography of remote villages
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Health inequity in rural areas is sometimes neglected in our city.  In Sai Kung alone, there are more than 158,800 senior citizens, accounting for 32% of the district population.  It is estimated that at least 10,000 of them are still living dispersedly and remotely among 110 rural villages, very far away from the closest major government-funded healthcare facilities in the urban town of Tseung Kwan O.

In addition, insufficient internet coverage remains as one of the greatest hurdles for implementing telehealth services there, as concluded in our supported pilot project by Sai Kung District Community Centre (SKDCC).    Despite numerous barriers, as a community-based NGO, SKDCC continues its pursuit to address the service gaps at the first contact point of primary healthcare system and to explore more effective solutions for ageing-in-place in rural areas.

Since July 2022, ZeShan Foundation, together with Kerry Group, has therefore been co-funding SKDCC’s another 3-year pilot project “Mobile Primary Healthcare in Rural Sai Kung for Elderly”. The team has been reaching out to elderly villagers to strengthen their self-efficacy, through combining the use of smart devices for monitoring, health coaching, mobilisation of community health ambassadors and case management, with a more holistic lens of maintaining a better quality of life in terms of healthcare and social connections.   These approaches align with ZeShan’s three guiding principles, namely ‘empowerment’ (by increasing the capacity of older persons to take charge of their own health, and of communities to take care of each), “engagement & collaboration” (by facilitating partnerships among social workers, pharmacies, researchers and community members, including the development of protocols and mechanism of collaboration), and “catalyzing innovations and flexibility” (by providing capital to an NGO such as SKDCC to test new collaborations and engage policy-making stakeholders).

Moreover, this project is also testing a community-based referral system for professional treatment and a co-payment system referencing government subsidy scale like Health Care Voucher and Community Care Service Voucher, etc. Evidence-based evaluation would also be conducted in order to assess the project outcomes, including connectivity between social resources and the actual needs for these underserved communities in remote areas.

As an effort to expand its partnership, SKDCC has also received free health coaching for its nurse staff and free nursing support from the project team of HomeAge of the City University of Hong Kong.

Tsz Kwan Lai
Assistant Operations Manager
ZeShan Foundation

Moreover, this project is also testing a community-based referral system for professional treatment and a co-payment system referencing government subsidy scale like Health Care Voucher and Community Care Service Voucher, etc. Evidence-based evaluation would also be conducted in order to assess the project outcomes, including connectivity between social resources and the actual needs for these underserved communities in remote areas.

As an effort to expand its partnership, SKDCC has also received free health coaching for its nurse staff and free nursing support from the project team of HomeAge of the City University of Hong Kong.

Tsz Kwan Lai
Assistant Operations Manager
ZeShan Foundation

Related Links

Website:

Media (Chinese Only):

外展護士:
不單照顧鄉郊長者的醫療需要 關心她們心靈及社福需要 @ 卓越實踐在社福2021
Link (Youtube 平台)

《凝聚香港》-西貢鄉郊流動醫療康健計劃 -重溫(7’39‘’開始)
Link (香港電台 Podcast)

Related Links

Website:

Media (Chinese Only):

外展護士:
不單照顧鄉郊長者的醫療需要 關心她們心靈及社福需要 @ 卓越實踐在社福2021
Link (Youtube 平台)

《凝聚香港》-西貢鄉郊流動醫療康健計劃 -重溫(7’39‘’開始)
Link (香港電台 Podcast)

Tele-healthcare in Remote Villages of Sai Kung

Sai Kung District Community Center, Hong Kong

Sai Kung District Community Center (“SKDCC”) is committed to breaking the barriers of geographical dispersion and inconvenience in rural areas with technology, anticipating the perception of rural areas of Hong Kong as enticing alternatives to urban regions. By channeling community capital into the rural community, they are realizing their mission: “to connect and mobilize community resources, to love and care our folks and nature across Sai Kung.”

In joint efforts with ZeShan, SKDCC is providing primary healthcare services for village residents in a new program: Tele-healthcare and Medication Guidance Pilot Project in Sai Kung Rural Communities. The concerns of rural residents often remain in the periphery of the government’s attention, and is hardly addressed by healthcare resources currently provided by the government. One particular pain point is the difficulty rural residents face in reaching mainstream services and resources, especially the elderly population. This situation has only been exacerbated by the current COVID-19 epidemic, where it has become more difficult for them to update their health status, get medical follow-ups, and receive necessary treatment. SKDCC’s program aims at filling this service gap.

While the concept behind this project was not created from scratch, it not been realized due to a lack of resources specifically allocated by Hong Kong’s system to improve the aforementioned situation in rural areas. So far, the program has addressed 40 cases through the provision of 173 home-visit sessions by doctors, nurses, and pharmacists. A total of 221 sessions were conducted for tele-nursing consultation, caregiver consultation and case follow-up.

ZeShan and SKDCC are both striving to make stronger impacts on society, optimistic from the attention and media coverage on this pressing issue brought about by this program. We are hopeful that the outcome evaluation will shed new light on both the social and healthcare sectors to improve the effectiveness of primary healthcare in rural areas.

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First Global Fund to Eliminate Hepatitis

The Hepatitis Fund, Global

The Hepatitis Fund (“THF”) is a global funding organization, which has been incubated by ZeShan Foundation since 2017.   Publicly known as EndHep2030, THF was officially detached from the sponsorship of Rockefeller Philanthropy Advisers (RPA) in November 2019, and registered as a non-profit organization in Geneva.  By funding a variety of efforts proven most effective, THF intends to overcome the barriers that currently prevent countries from properly addressing viral hepatitis as a global public health threat – a pandemic that will kill 1.4 million people a year.  

Following the 2016 Hepatitis Summit in Hong Kong, our support towards THF was part of our efforts to capstone the Hepatitis Program which has been developed since 2010.

For more details, please visit our partner’s website: https://endhep2030.org/

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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

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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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Related Links

Food Buddies in Kwai Tsing

Health in Action, Hong Kong

During the COVID-19 crisis, we supported Health in Action to address three aspects (physical, psychological and community) of needs and empowerment of low-income families, including working poor and ethnic minorities, in Hong Kong who suffer more under strain of the pandemic.  About 100 most at-risk families will be invited to join the first level of intervention to address the physical needs through cash transfer on fresh food and enhancing health awareness.  Families with mental stress will be invited to participate in second level of interventions on psychological needs and stress management to promote self-care competence. The third level is a Food Buddies program where ‘kai fongs’ will be empowered to co-create a mutual help platform toward a healthy community.

Project Goals:

Provide timely monitoring and support to low-income families to relieve the negative impact of food shortage and mental stress;

Engage and empower the low-income families by enhancing their health awareness, knowledge and behaviour; and

Motivate and mobilize the working poor and ethnic minorities families for providing mutual support to increase community resilience potential and facilitate them to co-create their own healthy community.

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Website: 

Health In Action

Cancer Immunotherapy Research & Advanced Training

HKU – QIMR Berghofer, HK & Australia

ZeShan Foundation has been a long-time supporter of the cutting-edge cancer research and training carried out in the collaboration between Australia’s Queensland Berghofer Medical Research Institute (QIMR Berghofer) and Hong Kong’s Li Ka Shing Faculty of Medicine, The University of Hong Kong. The transfer of knowledge and technology between these institutions has provided Nasopharyngeal Carcinoma patients in Hong Kong and Australia with access to ground-breaking cancer treatment, as well as training to Hong Kong post-doctoral fellows in the efforts to build up local capacity in cancer research and treatment.

“Heal Thyself”: Immunotherapy for “Cantonese tumor” 

Nasopharyngeal Carcinoma (NPC 鼻咽癌) is an aggressive upper respiratory tract cancer common in East Asia. The 6th most common cancer among Hong Kong males, it’s prevalence in Southern China resulted in the nickname “Cantonese tumor” (廣東瘤). Within the focal area of NPC, the cross-institution research targeted their research on the development of immunotherapy treatment (免疫注射療法), a cell-based treatment that prepares a patient’s own immune system to fight the cancer. At the time of development, it was hoped that immunotherapy would be more effective in treating NPC in comparison to standard cancer treatment such as chemotherapy and radiotherapy, and at the same time avoid serious side effects of deafness and loss of taste.

Through their research, scientists resolved to extract killer T-cells, a type of white blood cell widely known as the “cancer assassin”, and prime them in a laboratory setting. Once infused back into the patient’s bloodstream, the “primed” cells are able to target and attack malignant cells from the Epstein-Barr (EBV) virus in NPC tumour cells while leaving normal ones intact.

While immunotherapy was a relatively new form of treatment, experts such as Prof. Roy Herbst, chief of medical oncology at Yale Cancer Centre in the US, had expressed in media interviews the hope that it could potentially replace chemotherapy as the standard cancer treatment within five years.

Phase I Clinical Trial (2009-2012)

In 2008, ZeShan first supported the Phase I clinical trial of this research. The trial took place between 2009 to 2012, recruiting 30 late-stage NPC patients from Queen Mary Hospital in Hong Kong. The results demonstrated the safety and effectiveness of the developed treatment, improving life expectancy to an overall survival rate of 523 days compared to the 220 days for patients who did not receive the treatment.

 

Phase II Clinical Trial & Post-Doctoral Fellowship (2015-2018)

In 2015, ZeShan continued its support to the second phase clinical trial of this collaboration. The trial began in September of 2015 and was completed in 2018, throughout which immunotherapy treatment was offered to another 30 patients, in this phase targeting patients in earlier stages of NPC in both Hong Kong and Australia. Patients were given up to 6 killer T-cell infusions over 12 weeks and consistently monitored, but were given standard treatment if their diseases progressed.

One element in this collaboration was a four-month advanced training for Hong Kong post-doctoral fellows to master scientific techniques of producing clinical grade killer T-cells, ensuring a solid foundation for further development of local talent in research and clinical care. The training was conducted at QIMR Berghofer’s manufacturing facility, Q-Gen Cell Therapeutics, which was the first facility in Australia to be granted regulatory approval by the country’s Therapeutic Goods Administration to prepare clinical grade T-cell therapies. This magnifies the hope that Hong Kong could eventually set up its very own accredited laboratory, which would allow the city to prepare its own T-cells rather than having them transported between Australia and Hong Kong.

MOU Signing Ceremony

On 28th August 2015, the two institutions signed a memorandum of understanding (MOU) outlining the convergence and collaboration over cutting-edge cancer research and training, supported by ZeShan Foundation. The ceremony was attended by His Excellency the Governor of Queensland, the Honourable Paul de Jersey AC, among other guests. Mr. Roy Chen, Director of ZeShan, delivered a speech on behalf of the foundation.

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“At ZeShan, our philosophy of giving has always been underpinned by three guiding principles: Strategic Philanthropy, Lasting Impact, and Effective Partnership. We have seen all three come together wonderfully in this project. By supporting cutting-edge research by two leading medical research institutions, we hope to help create maximum impact with our funding.”
——Mr. Roy Chen, Director, ZeShan Foundation

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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
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  • 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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Quantifying Hepatitis B and C Burden in Asia

CDA Foundation, Asia

Viral hepatitis continues to be one of the deadliest infections in the world, attributed as the cause of one death every 25 seconds, as well as being identified as the leading cause of liver cancer in the world.  Most cases of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are in Asia, so it is important to quantify the disease burden in Asia to help international agencies, public health organizations and policy-makers develop strategies to eliminate these infections.

Today, there are many treatments to eliminate viral hepatitis.  With the availability of vaccines that can effectively prevent Hepatitis B, many countries have adopted large-scale vaccination practices for infants, one such example being China. Treatment for Hepatitis B has also been developed for patients who had been infected prior to the availability of vaccines, and existing treatments for Hepatitis C can cure patients within the span of 12 weeks.  However, many cases of HBV and HCV still remain untreated to this day.

Since 2018, the ZeShan Foundation has been providing funding to the Center for Disease Analysis Foundation in their efforts to help countries in Asia eliminate hepatitis B and C in the region.  To study and publish a report on the breadth of hepatitis B and C burden across Asia, the CDA Foundation worked closely with Asian countries to collect data on the number of people infected, diagnosed, and treated. In this project, mathematical models were used to estimate the impact of viral hepatitis in Asia, the summary of which is shown below.  From the data collected, an estimate of 188 million people in Asia are infected with hepatitis B (Figure 1) and another 34 million with hepatitis C (Figure 2).  For more details, please view the CDA Foundation’s website:  https://cdafound.org/dashboard/polaris/dashboard.html.

The compiled research reveals that a majority of global HBV- and HCV-related cases of liver cancer and liver related deaths are concentrated in Asia (Figure 3).  This analysis will help Asian countries obtain more funding for the elimination of viral hepatitis, and additionally recruit support from their government to test and treat this population through HBV vaccinations.

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

Fig. 1  An estimate 188 million people in Asia were infected with hepatitis B

34 million people in Asia were infected with hepatitis C

Fig. 2  34 million people in Asia were infected with hepatitis C

CDA fig 3

Fig. 3  A majority of global HBV- and HCV-related cases of liver cancer and liver related deaths are concentrated in Asia

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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
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  • 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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International iPMTCT Summit 2014

Health Bureau, Hainan Province, China

In partnership with the Hainan Bureau of Health and China’s National Center for Women and Children’s Health, ZeShan organized an international roundtable summit on the Integrated Prevention of Mother-to-Child Transmission (iPMTCT) of HIV, HBV and syphilis, which was hosted in Hainan Province in January 2014.

Focusing on public-private partnerships and innovative practices for high-impact outcomes, the Summit brought together a blue-ribbon panel of experts, scholars, practitioners, policy makers, and representatives from major health organizations, including WHO China, WHO Western Pacific Region, UNICEF, UNAIDS, Aaron Diamond AIDS Research Center, and Chinese Center for Disease.

Participants shared insights on lessons learnt and best practices in this field, and debated over the unique challenges of effectively implementing iPMTCT in culturally and demographically diverse settings. Prompted by Hainan’s relatively low HIV prevalence and very high HBV rate (over twice the national average), the discussion inevitably tilted toward exploring effective PMTCT of HBV.

Following the Summit in Sanya, participants went on a field trip to visit local maternal and children’s hospitals and clinics in surrounding villages. Local health officials and practitioners shared their experiences in and views on the healthcare system, in particular focusing on effective approaches to iPMTCT operation in low HIV and high HBV settings.

Emerging as a result of this Summit was the agreement among the UN China network to promote China’s iPMTCT practice around the world as innovative practice, which was decided at the coordinating committee meeting of UN health-related organizations in China held the week following the Hainan Summit.

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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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Combating Hepatitis in Western Pacific Region

World Health Organisation Office for the Western Pacific Region (WPRO), Asia

Since 2013, ZeShan Foundation has been providing support to the World Health Organisation Office for the Western Pacific Region (WPRO). ZeShan’s grants aid WPRO in combating viral hepatitis in the region, and includes the allocation of specific support to the China office.

Viral hepatitis is responsible for 1.4 million deaths globally. There are estimated to be 115 million people with chronic hepatitis B (HBV) infection and 14 million with chronic hepatitis C (HCV) infection living in the Western Pacific Region, accounting for 40 % of people burdened with chronic hepatitis B and C across the globe. 

Chronic HBV and HCV is known to lead to the development of cirrhosis and liver cancer over time. With 60% of the worlds’ affected population, the Western Pacific Region has the highest number of deaths caused by liver cancer globally, which is also the 6th top cause of death in the region. Six of the top ten countries with the highest incidence (new annual cases) of liver cancer in the world include Mongolia (highest incidence globally), Viet Nam, Lao People’s Democratic Republic, Cambodia, China and South Korea.  This being said, early testing and treatment can effectively reduce the progression of these diseases and subsequently the risk of development of liver cancer.   

Patient Story (Philippines): https://www.who.int/philippines/news/feature-stories/detail/surviving-hepatitis-b-and-liver-cancer-vhal-s-story

News feature: https://www.montsame.mn/en/read/136120    World Hepatitis Day in Mongolia, 2018

The grant support from ZeShan Foundation has vaulted WPRO into leading the action on viral hepatitis in the Region, and has allowed the organization to establish regional responses in the effort to eliminate viral hepatitis as outlined by the Global Health Sector Strategy for Viral Hepatitis 2016-2021 . With the elimination of viral hepatitis being highlighted within the 2030 Sustainable Development Goals, the Regional Action Plan for Viral Hepatitis in the Western Pacific 2016-2020  has been endorsed by all countries in the Western Pacific Region, which defines specific actions to be taken in order to better understand hepatitis epidemics. The outlined actions include awareness and knowledge building among stakeholders, strengthening public policy, and data generation, which will also be essential factor in the process of enhancing prevention strategies and improving access to affordable screening, diagnosis and treatment of hepatitis B and C.

Figure 1 illustrates the current progress in hepatitis response programmes in the Western Pacific Region, which underscores the critical importance of national leadership, development of national response plans and having data to inform policy and decision making.

Source: WHO Western Pacific Regional Office, January 2021.

Supporting countries to scale up interventions towards hepatitis elimination

The Western Pacific Region has led global efforts in working towards hepatitis elimination. Some of the regional successes include the triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B, as well as the scaled up hepatitis testing and treatment encompassed in Universal Health Coverage. See more here in country case studies[1]  [2]   – China, Triple elimination, Mongolia, Malaysia

Links:

Link to overall WPRO hepatitis website: https://www.who.int/westernpacific/health-topics/hepatitis

Building capacity of healthcare providers

It is critical to ensure that healthcare providers are trained to deliver good quality hepatitis care and treatment. WPRO has published Training Modules on Hepatitis B and C Screening, Diagnosis and Treatment[1] in collaboration with the WHO South East Asia Region and other WHO centers.

[1] WPRO-SEARO clinical training modules, published July 28, 2020

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

 WPRO-SEARO clinical modules

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

Raising public awareness on viral hepatitis

To improve awareness around viral hepatitis and its impact on health, WHO offices in all countries work closely with the Ministries of Health and their partners to provide information to the public. Every year, awareness is raised globally through World Hepatitis Day on 28th July.

Link to videos: (snapshot)

Link to video on hepatitis (mash-up) https://youtu.be/Xl1hRjm-Uhk

WPRO-SEARO clinical training modules, published July 28, 2020

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

Philippines: scaling up hepatitis B services during the COVID-19 lockdowns (video World Hepatitis Day 2020): https://www.facebook.com/whophilippines/videos/291155845324695

Malaysia – Yap’s Story: Road to Recovery (a story of HIV and HCV for World AIDS Day 2020):  https://www.youtube.com/watch?v=D-6T-J0Sd10

Malaysia – Silas’s Story: Road to Recovery (World Hepatitis Day 2020):  https://www.youtube.com/watch?v=5aBstAHJ-0M&feature=youtu.be

Viet Nam – Chiến thắng bệnh viêm gan C | Successful fight against hepatitis C (World Hepatitis Day 2020): https://www.youtube.com/watch?v=KjT3r6OCxdY&t=48s

WHO country office China – 肝炎,做好检测,及早治,活出最好的自己 (World Hepatitis Day 2020): https://v.qq.com/x/page/o0530ahwxel.html

WHO country office China –消除歧,消除肝炎 (World Hepatitis Day 2020): https://v.qq.com/x/page/d0530xpdu1y.html

WHO country office Mongolia – World Hepatitis Day 2020: https://www.facebook.com/WHO.MGL/videos/981267499003176

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

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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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Supporting Asian Liver Center

Stanford University School of Medicine, United States of America & Hong Kong

ZeShan Foundation has been supporting the Asian Liver Center (ALC) . Founded in 1996 by Dr. Samuel So, a professor of surgery at the Stanford University School of Medicine, ALC is the first non-profit organization in the United States that addresses the high incidence of hepatitis B and liver cancer among Asians and Asian Americans. Since then, ALC has been at the forefront of educational outreach and advocacy efforts in the areas of hepatitis B and liver cancer prevention and treatment, providing valuable resource for both the public and health practitioners.

Partnering with the Hong Kong Hep B Free Foundation, APAVH and ALC launched the first World Hepatitis Day media campaign in the city on 28 July 2011, public service announcements were made on radio, newspaper, magazines and public transportation billboards.  The message of getting tested and vaccinated was well received by the public.

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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Related Links

CCTV: Public Education Campaign

China Central Television, China

Recognizing the impact and reach of national television networks, ZeShan in 2010 underwrote the production of a documentary on the prevention of mother to child transmission of hepatitis B by the China Central Television’s (CCTV) Population program, under the auspices of the National Population and Family Planning Commission.  The documentary was recognized with a special award in November 2010 at the Fifth National Conference on Public Health and Media, co-organized by the Ministry of Health and Tsinghua University. It was premiered on CCTV Channel 1 on November 18, 2010.  Plans are underway to develop an extended version for wider distribution to provincial television networks.

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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