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Continued from page 64 – WHO: Hepatitis Toll 'in Millions'<br />

Hepatitis B is the most <strong>com</strong>mon, and can be passed from<br />

mother to baby at birth or in early childhood as well as<br />

through contaminated injections or injected drug use.<br />

Hepatitis C is also spread through using unsterile needles<br />

and less <strong>com</strong>monly through unsafe sex or developing<br />

countries, said the World Health Organization.<br />

Many of those carrying hepatitis are not aware they have<br />

it and can unknowingly transmit it to others.<br />

http://www.bbc.co.uk/news/health-14314347<br />

☻☻☻☻☻☻<br />

West Africa: Health - Battling<br />

Hepatitis<br />

By Koffigan E. Adigbli<br />

2 August 2011<br />

Dakar — West <strong>African</strong> health experts are calling for<br />

governments to take the prevalence of hepatitis B and C<br />

more seriously, and to act to reduce the cost of treatment<br />

as part of more effective control of the disease.<br />

The hepatitis B virus is responsible for more than 80<br />

percent of liver cancers in Africa, said the coordinator of<br />

Senegal's National Programme against Hepatitis,<br />

Aminata Sall Diallo, during an international meeting<br />

held in the Senegalese capital, Dakar, from Jul. 27 to 29.<br />

Hepatitis refers to swelling and inflammation of the<br />

liver, which can be caused by numerous factors,<br />

including a family of five viruses. The Dakar conference<br />

was concerned with the three most <strong>com</strong>mon viral strains,<br />

which can cause fatal liver damage and cancer.<br />

The hepatitis A virus spreads via contaminated food or<br />

water. The B strain is transmitted through bodily fluids<br />

like blood or semen, while type C spreads via blood-toblood<br />

contact, such as transfusions. The latter two<br />

viruses produce a long-term illness, while type A<br />

hepatitis runs its course much faster - many infected<br />

people experience only mild symptoms.<br />

The conference aimed to share the issues and challenges<br />

facing each country, to identify the best practices for<br />

Francophone Africa as a whole, and define <strong>com</strong>mon<br />

strategies and arguments. "The idea is to push<br />

governments, who have <strong>com</strong>mitted themselves, to make<br />

hepatitis a priority so that treatment will be accessible to<br />

all," said Diallo.<br />

"The cost is beyond our resources. It requires a million<br />

CFA francs (around 2,250 dollars) for a month's<br />

treatment; our grants are not sufficient," she stressed.<br />

-65- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> October 2011<br />

"Our fight is for a focus specifically on long-term<br />

carriers of the virus, to offer them treatment, to fight<br />

effectively to be able to detect the illness in Africa. It's<br />

the only way to prevent transmission of the disease."<br />

According to official statistics released in June, 17<br />

percent of the Senegalese population are carriers of one<br />

or another form of the hepatitis virus, including 12<br />

percent of children under five and 22 percent of<br />

pregnant women. Some 5,000 people die from hepatitis<br />

B in Senegal each year.<br />

Pape Saliou Mbaye, coordinator of medical services at<br />

Dakar’s Hôpital Principal, urges care to prevent<br />

transmission of hepatitis B and C viruses through<br />

contact with infected blood.<br />

"It's necessary to be careful when handling sharp or<br />

pointed objects such as those used by tattooists and<br />

barbers - shaving equipment, piercing equipment, tools<br />

for acupuncture, excision, circumcision and nail<br />

clipping..." Mbaye told IPS.<br />

Diéynaba Samaké, the president of SOS Hépatites<br />

Mali, a local association, said that nearly one in five<br />

Malians are carriers of the hepatitis B virus - 2.6<br />

million people, or half of all young people between 18<br />

and 25 years of age.<br />

"Treatment for hepatitis B [in Mali] remains relatively<br />

expensive. At 600,000 CFA (around 1,348 dollars) per<br />

month, the cost of treatment is equivalent to several<br />

times the monthly salary of an average Malian,"<br />

Samaké told IPS.<br />

"There is not, at this stage, any framework for<br />

specialised care for hepatitis B, but in the past three<br />

years, the government has supported prevention, testing<br />

and treatment of hepatitis B and C."<br />

To reduce the incidence of the disease, Samaké<br />

re<strong>com</strong>mends vaccination as the most effective weapon<br />

against the strains that predominate in Africa.<br />

The president of the Scientific Council of<br />

Cameroonians against Viral Hepatitis, Njoya Oudou,<br />

says his country's prevalence rate for hepatitis B stands<br />

at over 10 percent, and 12 percent for hepatitis C. He<br />

believes governments should show greater political will<br />

to fight the disease.<br />

"Our network operates with its own resources to<br />

educate people, organise refresher courses for doctors,<br />

run campaigns and negotiate with pharmaceutical<br />

firms. For the moment, we have only moral support<br />

from the government," he told IPS.<br />

Ali Djibo, director general of health at the Ministry of<br />

Continued on page 66

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