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The Champion Professional: Issue 69

This issue:

  1. Overview: Third National Hepatitis B Strategy 2018–2022
  2. Closing the Gap at Yabun Festival 2019
  3. Pet Pics reach homeless and disadvantaged people with hep C messages
  4. Feasibility of eliminating hep C as a public health threat
  5. New FINCOL poster on cleaning fits in prisons

The Champion Professional | January 2019 | #69

Overview: Third National Hepatitis B Strategy 2018–2022

Third National Hepatitis B Strategy 2018–2022

As noted in December’s edition of The Champion, the Australian Government recently released the 5th National Hepatitis C Strategy and 3rd National Hepatitis B Strategy; both run 2018-2022. We discussed the Hep C Strategy in December (to read >>>CLICK HERE) and, as promised, have an overview of the Hep B Strategy in this edition.

Compared to the Hep C Strategy, the 3rd National Hepatitis B Strategy is somewhat less ambitious. Unfortunately, this may be a reflection on the lack of investment, expertise, and understanding of hepatitis B across the blood borne virus sector. There are however many important issues raised, all of which serve to set the groundwork essential for eliminating hepatitis B in the years to come.

Here are some key highlights and observations about the content of The Strategy:

Closing the Gap at Yabun Festival 2019

Closing the Gap at 2019 Yabun Festival

Yabun is the largest one day gathering in recognition of Aboriginal and Torres Strait Islander cultures in Australia. It’s held annually on 26 January (Australia Day, aka Survival Day/Invasion Day), upon the traditional lands of the Gadigal people in Sydney, at Camperdown’s Victoria Park. Established in 2001, Yabun (meaning ‘music to a beat’ in Gadigal language) is a free event that features live music, a bustling stalls market, panel discussions and community forums on Aboriginal issues, children’s activities, and traditional Aboriginal and Torres Strait Islander cultural performances.

Hepatitis NSW was there this year with all other 414 Close The Gap* partner organisations to engage with the community. Staff and volunteers contributed to discussions and resource distribution to the many people attending our stall. The event proved a success with close to 150 resource bags being distributed, and many one-to-one interactive discussions being held.

*Hepatitis NSW, ACON, NUAA, SWOP and Positive Life – who are all based at 414 Elizabeth St, Surry Hills – work with overlapping communities and, in recognition of Aboriginal and Torres Strait Islander peoples’ health needs, formed the “414 Close the Gap Working Group” (414 CTG). This is a collaboration intended to maximise our impact in the work we do with and on behalf of Aboriginal and Torres Strait Islander peoples.

Pet Pics reach homeless and disadvantaged people with hep C messages

Pet Pics, OST workers and your clients!Pet Pics is a fun and exciting new Hepatitis NSW project that promotes our Hepatitis Infoline. Several pet-related and housing/homeless NGO project partners are already involved.

The project draws on research including an interesting report – Homeless and Connected: Mobile phones and the Internet in the lives of homeless Australians. We’ve also drawn on results from an internal survey taken through five NSPs in 2018.

What is Pet Pics?

Pet Pics

People text us a photo of their pet which we photoshop with a health promotion message turning it into a Pet Pic. We text it back and they can share the Pet Pic as often as the like with their friends. Every two months we send all entrants an SMS text asking for votes on the best recent Pet Pic. The winner is sent a voucher (by SMS text) for a $50 Coles gift card or mobile phone credit.

Each Pet Pic also promotes one of our pet-related NGO project partners (several of which have a metro/rural presence). After several months, we hope that all people involved will know about all these valuable services:

Health Messages

Each Pet Pic message will address one of several hepatitis C treatment related issues, including misconceptions and fears, and stigma. For example:

The source material for these messages was Understanding barriers and facilitators to the take up of new direct-acting antiviral hepatitis C treatments: The Observe study (Bryant J, Mao L, Hull P, Treloar C) and From Beyond interferon side effects: What residual barriers exist to DAA hepatitis C treatment for people who inject drugs? (Madden A, Hopwood M, Neale J, Treloar C)

Pet Pics was launched in December 2018. In addition to the pet-related NGOs listed above, we have recruited the support and involvement of Northcott (housing estate), FaCS (Redfern office), City of Sydney (Homelessness project) and Matthew Talbot Hostel.

Feasibility of eliminating hep C as a public health threat

Evidence to support the feasibility of hep C elimination as a public health threat

A new paper published in J Hepatology reports, for the first time, an association between rapid uptake of hepatitis C direct-acting antivirals and a decline in prevalence of the virus among people who inject drugs.

The paper asserts that the World Health Organization’s goal to reduce hepatitis C virus incidence by 80% will be difficult to achieve without widespread scale-up, and a corresponding reduction in the prevalence of the virus among those most at risk of onward transmission. The paper’s results indicate that a population-level reduction in the prevalence of the hepatitis C is achievable through high levels of treatment and cure among people who inject drugs.

Highlights of the paper include:

For more information on the article >>>CLICK HERE

New FINCOL poster on cleaning fits in prisons

FINCOL poster

As most readers would be aware, there are currently no NSP or medically-supervised safe-injecting facilities available within NSW prisons. This is even though many prisoners do inject drugs, and despite the fact that prisons are a significant place for transmission for hepatitis C and other blood borne viruses. Much has been written about the need for the access to harm reduction services within prisons, and Hepatitis NSW remains committed to advocating for this to happen – until then we must work with the limited options available to NSW prisoners.

This is where FINCOL comes in. FINCOL has replaced bleach as the cleaning fluid of choice in NSW prisons and is available to prisoners, via dispensing machines, for them to clean their cells but also, if required, injecting equipment, plus tattooing and piercing gear. When used correctly FINCOL will kill hep C, hep B and HIV. Unfortunately, many prisoners are not aware of this, nor are many aware of the right way to clean equipment. For this reason, Hepatitis NSW has recently developed a new FINCOL poster for distribution to prisons and prisoners. The poster aims to improve awareness in the effectiveness of FINCOL in eliminating hep C and other blood-borne viruses, and for cleaning fits and other related injecting, tattooing or piecing equipment.

Unlike most of our other resources, this poster is not available for order or public distribution. Instead it is only being internally distributed to NSW prisons for placement in clinics and beside FINCOL machines, and to prisoners through our information packs. The reason for the restricted distribution is that, for all people outside of NSW prisons, NSPs are the recommended way to obtain sterile injecting equipment. You can however check out the poster via our website >>>CLICK HERE.

Hepatitis NSW would like to thank: participants at the Compulsory Drug Treatment Correctional Centre for participating in focus testing for the poster; the Justice Health and Forensic Mental Health Network Harm Reduction Team for their input and support; the Harm Reduction Stakeholder Group for offering to distribute the poster in prisons; Corrective Services and NSW Ministry of Health for approvals; Jasol and Brenton Davies (manufactures and distributors of FINCOL) for offering to distribute and fix posters to all FINCOL dispensing machines in NSW prisons; and our wonderful Hepatitis NSW volunteers for laminating several thousand posters.

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