Thursday , May 19 2022



For the first time due to the kovid-19 pandemic, people will not be invited to test from November 20, when autumn Hepatitis and HIV Testing Week begins

Source: Guliver / Getty Images / iStock / SamaraHeisz Images

For this reason, an online forum was organized, to raise awareness of infectious diseases even in emergency situations, but also to encourage the authorities to make additional efforts to eradicate viral hepatitis.

The current kovida-19 pandemic has changed the perception of viral diseases around the world, but has also contributed to health services, such as vaccination, testing and treatment, being delayed or stopped altogether. He spoke about the importance of testing for viral hepatitis in the online forum entomologist prof. Milotka Fabri, Dr. which stated that people need to know as early as possible whether hepatitis B or C is present.

Just because we think we don’t have the virus doesn’t mean anything, because hepatitis can’t give any symptoms for 10 to 15 years and a person isn’t even aware they have it. On the one hand, the disease progresses quietly to liver cirrhosis, and on the other, the patient is a potential source of infection. ”

This is why it is necessary for everyone to be tested to find out their status. Commercial tests carried out today to detect hepatitis C show accumulating antibodies that may cause immunity, but it is much more common for a patient to have active disease and the virus to be present in the blood. .

Therefore, when tested positive, it is mandatory to continue testing in the direction of testing the virus in the blood by PCR technique. When tested positive, it means the disease is active. Today, hepatitis C can be cured and the patient should start treatment as soon as possible. As for hepatitis B, it is incurable. The virus can only be brought to rest in the liver, but no drug can get it out of the liver cells. A basic routine test for HBsAg antigens is done to detect hepatitis B. If there is an infection, these antigens are present in the bloodand ”, explains prof. Fabri Dr.

We do not know the exact number of patients with hepatitis C in Serbia, but based on the prevalence of infection in the neighboring countries, we estimate that we have approximately 70,000 people infected with HCV.

“Patients with hepatitis B or C in Serbia are being treated with modern antiviral therapy. For hepatitis B, the therapy is the same as in all developed countries. This antiviral therapy is fully available to patients As for hepatitis C, the situation is a little more complicated.We have modern, active direct antiviral therapy that is highly effective and well tolerated, but not available to patients. In our country, this therapy is given only to the most at risk and sick patients with cirrhosis, who are preparing for a transplant, who are going on dialysis or are being treated for hemophilia. , that is not typical of a patient with hepatitis C in Serbia, he is middle-aged, has mild liver inflammation and no cirrhosis. For him, this therapy is not available and we are trying to change that”He said in the online forum prof. Tomislav Preveden, President of the Serbian Infectious Diseases Association.

Ivana Dragojevic, president of the Association for Patients with Liver Diseases “Chronos” in the tribune appealed to the authorities to expedite the issue of the national strategy for hepatitis and to relax the NO criteria for receiving therapies, in order to increase the number of patients being treated. According to current EASL (European Association for the Study of the Liver) clinical recommendations, all patients with chronic hepatitis C who do not have contraindications for therapy should be treated with new antivirals.

“Many years ago, the Ministry of Health and the NUM received all the necessary information and arguments stating an inaccurate approach to this problem, as well as suggestions for starting a conflict that would strike us lead to a solution to this problem, but the situation with finding and treating patients and educating the general population remains unchanged today. Once the diagnosis is received, patients manage on their own, buy medicines at their own expense, and at the moment of the crisis caused by kovid 19, they often pay for the diagnostics themselves, which is very expensive ”.

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