Wednesday, December 7, 2005 - 11:00 AM
67

Working with Clinicians Serving Mobile and Latin American Immigrant Populations to Prevent Hepatitis: the HepTalk Project

Edward L. Zuroweste, Migrant Clinicians Network, P.O. Box 164285, Austin, TX, USA



Learning Objective:

By the end of the presentation, participants will be able to:
1. Identify why immigrant and mobile populations might be at increased risk for hepatitis.
2. Articulate MCN recommendations for hepatitis A and B immunization and testing for Latin American immigrants.
3. Identify three strategies for integration of hepatitis education into primary care and public health settings serving migrant populations.



Background:


HepTalk works with US rural clinics serving recent Latin American immigrants and the mobile poor. The project collects data on hepatitis prevention and education practices and will pilot the use of on-site, site-specific clinical training, including the use of Standardized Patient Instructors (SPIs).


Setting:

Primary care and public health clinics throughout the U.S.



Population e.g. API Youth, MSM, IDU:

Migrant workers, recent immigrants from Latin America and the Caribbean.



Project Description:

HepTalk is working with 27 US health departments and Community Health Centers to develop integration of hepatitis prevention into primary care and public health clinics through site-based training of clinic staff, has worked with CDC to create clinical guidelines for hepatitis specific to migrant and Latin American immigrant populations and has plans for on-site training, as well as distance learning modalities.


Results/Lessons Learned:

Hepatitis prevention activities in these settings vary primarily by initiative of individual clinicians and managers. Many sites do not routinely conduct risk assessments on acute care clients. Most are willing to provide hepatitis B vaccination to adult clients, as funding allows. Training modules for clinics will include practice patient profiles, including young men who are sexually active but do not present for routine preventive medical care.
MCN developed guidelines on hepatitis prevention specific to migrant and immigrant populations. They include specifics on persons living in this country who are from countries with endemic hepatitis A. Vaccination recommendations for hepatitis B for young adults from Latin America are also included.


Web Page: www.migrantclinician.org

See more of D2 - Models for Reaching Out: Developing Culturally Competent Hepatitis Prevention Programs
See more of The 2005 National Viral Hepatitis Prevention Conference