Showing the results of the service “Screening for Hepatitis C”, Gold Card system, 2023-2024, 2-year overview, almost 1.8 million people received the service, 1.23% were found to be at risk, the enter the service for confirmation and treatment.
On 20 October 2024 Dr Lalitaya Kongkham, Deputy Secretary General of the National Health Security Office (NHSO) said: Liver cancer is a common disease in Thai people. The hepatitis C virus is a major cause of cirrhosis and liver cancer. which is a major problem around the world including Thailand Hepatitis C recipients often remain asymptomatic for a long time, and symptoms begin when the disease is more advanced. Therefore, the World Health Organization (WHO) and the Ministry of Public Health have set a goal to eliminate hepatitis C by 2030, reducing new infections by 80 percent.
90 percent of people with hepatitis C are diagnosed and more than 80 percent receive treatment, including a 65 percent reduction in hepatitis C-related death rates.
In the 2018 financial year, the NHS has earmarked benefits for health promotion and disease prevention services. National Health Security Fund (Gold Card 30 baht) to screen for hepatitis C in high-risk groups, including people with HIV, AIDS patients (PLHIV), prisoners, drug users infected with injection (PWID), men who have sex with men (MSM) and medical workers (healthcare workers) by receiving services 1 time per year starting from fiscal year 2018. More on starting in fiscal year 2023, expanding screening to the general public born before 1992, you will receive the service once for the rest of your life. There are also the benefits of proofreading. Evaluation of the severity of liver disease after drug treatment and follow-up after treatment
Dr. Lalitaya said: Results of operations in fiscal year 2023 – 2024 (as of June 30, 2024), 1,798,046 people received hepatitis C screening services (1,721,417 people in the general population born before 1992 were found to have 22,089 people). or 1.23 percent of those at risk who need to undergo tests to confirm results and undergo a liver evaluation Including receiving further medical care services
However, from the information that emerged, an analysis was carried out. In fiscal year 2024, there were 22,186 – 265,514 people per month who were screened for hepatitis C, for a total of 1,689,396 people, an increase from fiscal year 2023 where there were 4,490 – 7,493 people who were screened per month, for a total of 34,264 people. It was only 3.99 percent, indicating that many people with hepatitis C have not been screened and do not know their infection status.
Dr. Lalitaya said: Regarding the screening of risk groups in the fiscal year 2023, there are people with HIV/AIDS. 86,815 people were screened, 2,756 people were at risk, 114,275 people were in prison, 3,754 people were at risk, 16,619 people used injection drugs, 863 people were at risk, 9,388 people had sex with men, 541 people were at risk, and employees. Medically, 362 people are at risk, 8 people
As of fiscal year 2024 (June 30, 2024), there are people with HIV/AIDS. Get screening services for 69,810 people, 1,778 people at risk, 124,894 prisoners, 2,567 people at risk, 10,634 injecting drug users, 1,486 people at risk, 17,377 people who have sex with men, 524 people at risk , and employees. Medically, 6,179 people are at risk, 40 people
From the analysis of overall data on services received in high-risk groups, it was found that prisoners were the group that received the most services. Followed by people with HIV, AIDS, and people who use drugs by injection. men having sex with men and medical workers, respectively In 2024, the total number of service visits will increase from 2023, except among drug users. However, only among those who inject drugs, the number of screenings has decreased. But positive test results are increasing.
“Information about the operation of screening, diagnostic and treatment services for the hepatitis C virus. In the National Health Insurance System, there are recommendations that lead to the improvement of the registration of the service results of service units. Linking individual patient data to monitor access to treatment Including establishing an action plan to accelerate hepatitis C screening. Especially people born before 1992, to address the goal of eliminating the hepatitis C virus completely by 2030 according to the goal of the World Health Organization. Dr. Lalitaya said.
2024-10-20 08:35:00
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