A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain

Abstract Chronic hepatitis B virus (HBV) infection is a major public health threat for migrant populations in Spain and efforts to scale up testing are needed to reach the WHO elimination targets. The Hepatitis B Virus Community Screening and Vaccination in Africans (HBV-COMSAVA) study aims to use p...

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Autores principales:	Camila A. Picchio, Daniel K. Nomah, Silvia G. Araujo, Ariadna Rando-Segura, Emma Fernández, Maria Buti, Sergio Rodríguez-Tajes, Sabela Lens, Francisco Rodríguez-Frías, Jeffrey V. Lazarus
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/63725d6b02b54e2bb89555e1f1c39fb9
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spelling	oai:doaj.org-article:63725d6b02b54e2bb89555e1f1c39fb92021-12-02T16:34:58ZA novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain10.1038/s41598-021-96350-32045-2322https://doaj.org/article/63725d6b02b54e2bb89555e1f1c39fb92021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96350-3https://doaj.org/toc/2045-2322Abstract Chronic hepatitis B virus (HBV) infection is a major public health threat for migrant populations in Spain and efforts to scale up testing are needed to reach the WHO elimination targets. The Hepatitis B Virus Community Screening and Vaccination in Africans (HBV-COMSAVA) study aims to use point-of-care testing and simplified diagnostic tools to identify, link to care, or vaccinate African migrants in Barcelona during the COVID-19 pandemic. From 21/11/20 to 03/07/2021, 314 study participants were offered HBV screening in a community clinic. Rapid tests for HBsAg screening were used and blood samples were collected with plasma separation cards. Patients received results and were offered: linkage to specialist care; post-test counselling; or HBV vaccination in situ. Sociodemographic and clinical history were collected and descriptive statistics were utilized. 274 patients were included and 210 (76.6%) returned to receive results. The HBsAg prevalence was 9.9% and 33.2% of people had evidence of past resolved infection. Overall, 133 required vaccination, followed by post-test counselling (n = 114), and linkage to a specialist (n = 27). Despite the COVID-19 pandemic, by employing a community-based model of care utilizing novel simplified diagnostic tools, HBV-COMSAVA demonstrated that it was possible to diagnose, link to care, and vaccinate African migrants in community-based settings.Camila A. PicchioDaniel K. NomahSilvia G. AraujoAriadna Rando-SeguraEmma FernándezMaria ButiSergio Rodríguez-TajesSabela LensFrancisco Rodríguez-FríasJeffrey V. LazarusNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Camila A. Picchio Daniel K. Nomah Silvia G. Araujo Ariadna Rando-Segura Emma Fernández Maria Buti Sergio Rodríguez-Tajes Sabela Lens Francisco Rodríguez-Frías Jeffrey V. Lazarus A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
description	Abstract Chronic hepatitis B virus (HBV) infection is a major public health threat for migrant populations in Spain and efforts to scale up testing are needed to reach the WHO elimination targets. The Hepatitis B Virus Community Screening and Vaccination in Africans (HBV-COMSAVA) study aims to use point-of-care testing and simplified diagnostic tools to identify, link to care, or vaccinate African migrants in Barcelona during the COVID-19 pandemic. From 21/11/20 to 03/07/2021, 314 study participants were offered HBV screening in a community clinic. Rapid tests for HBsAg screening were used and blood samples were collected with plasma separation cards. Patients received results and were offered: linkage to specialist care; post-test counselling; or HBV vaccination in situ. Sociodemographic and clinical history were collected and descriptive statistics were utilized. 274 patients were included and 210 (76.6%) returned to receive results. The HBsAg prevalence was 9.9% and 33.2% of people had evidence of past resolved infection. Overall, 133 required vaccination, followed by post-test counselling (n = 114), and linkage to a specialist (n = 27). Despite the COVID-19 pandemic, by employing a community-based model of care utilizing novel simplified diagnostic tools, HBV-COMSAVA demonstrated that it was possible to diagnose, link to care, and vaccinate African migrants in community-based settings.
format	article
author	Camila A. Picchio Daniel K. Nomah Silvia G. Araujo Ariadna Rando-Segura Emma Fernández Maria Buti Sergio Rodríguez-Tajes Sabela Lens Francisco Rodríguez-Frías Jeffrey V. Lazarus
author_facet	Camila A. Picchio Daniel K. Nomah Silvia G. Araujo Ariadna Rando-Segura Emma Fernández Maria Buti Sergio Rodríguez-Tajes Sabela Lens Francisco Rodríguez-Frías Jeffrey V. Lazarus
author_sort	Camila A. Picchio
title	A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
title_short	A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
title_full	A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
title_fullStr	A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
title_full_unstemmed	A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain
title_sort	novel model of care for simplified testing of hbv in african communities during the covid-19 pandemic in spain
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/63725d6b02b54e2bb89555e1f1c39fb9
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A novel model of care for simplified testing of HBV in African communities during the COVID-19 pandemic in Spain

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