Hepatitis B and C Elimination Program

Hepatitis B and C Elimination Program

Introduction to NEMS’ Hepatitis B and C Care Services

NEMS offers comprehensive hepatitis B and C care services at the comfort and convenience of your medical home.

Hepatitis B and C are the leading cause of liver cancer worldwide caused by infection with the hepatitis B virus (HBV) and hepatitis C virus (HCV). It is estimated that 1 in 12 Asian Americans are chronically infected with HBV, but most are unaware. Hepatitis B can be prevented through vaccination. While there is no vaccine to prevent hepatitis C, HCV infection is curable through treatment!

NEMS’ Hepatitis B and C Elimination Program aims to eliminate HBV and HCV for current and future generations through universal screening and vaccination, perinatal prevention, monitoring, and treatment.

Screening and Vaccination

Hepatitis B and C Screening Program

At NEMS, we recommend universal HBV and HCV screenings for all adults. HBV and HCV screenings are covered by most insurances. We also offer free HBV and HCV testing for all community members and persons without insurance who want to get HBV and/or HCV testing.

Learn More

Hepatitis B Vaccination

The CDC’s Advisory Committee on Immunization Practices (ACIP) recommends universal HBV vaccination for all persons younger than age 60 who do not have evidence of prior HBV infection or immunity upon screening. NEMS offers the 2-dose Heplisav-B vaccine for adults that can be completed over 1 month and the 3-dose HBV vaccine for pregnant women and children that can be completed over 6 months.

There is no vaccine for HCV.

Perinatal Prevention

NEMS’ Hep B Moms care management program ensures mothers with HBV and their infants receive recommended treatment, monitoring, and vaccination during the perinatal period, when there is an increased risk for mother-to-child transmission.

Download Hep B Moms Roadmap

Monitoring and Treatment

NEMS ensures all persons identified with chronic hepatitis B and C are linked to care with a primary care provider or specialist who can evaluate, monitor, and treat their condition.

Lab Monitoring

People living with chronic HBV should complete the below lab tests every six (6) months to stay up to date with their HBV care management:

  • ALT to check if their liver is inflamed
  • HBV DNA to check the virus count in the blood
Liver Ultrasounds

NEMS offers routine liver ultrasounds for people with chronic HBV and HCV at multiple sites. People living with chronic HBV should get a liver ultrasound done once a year.

People living with chronic HBV who belong to one of the below categories have increased risk for developing liver cancer and should get a liver ultrasound done every 6 months:

  • Men over the age of 40 years old
  • Women over the age of 50 years old
  • People with cirrhosis
  • People with hepatitis delta infection
  • People with family history of liver cancer
FibroScan

NEMS also offers fibrosis staging with FibroScan, a point-of-care device that measures liver stiffness and fatty liver that is commonly used in hepatology offices and academic institutions.

Advocacy

For more than a decade, NEMS has been a leader in promoting awareness of HBV within the Asian American community, as Asians are disproportionately impacted by HBV infection. NEMS also has a long history of partnering with local organizations, such as San Francisco Hep B Free–Bay Area, and national advocacy groups, like Hep B United and Hepatitis B Foundation, to advocate for more HBV support and resources so future generations are HBV free.

See below for a publication on HBV elimination co-authored by NEMS Director of Immigrant Health, Dr. Amy Tang:

“Hepatitis B Virus Elimination in the U.S.: Time to Dismantle Barriers and Implement Solutions”

Photo Credits: Horatio Jung