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MMWR October 19, 2007 / 56(41);1080-1084 (See separate resource listing and link for Q&A about these new recommendations.

In our first bulletin, we offer an annotated list of key hepatitis websites. If any of these links are not working, you can copy and paste them directly into your search engine.

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This month we offer information about an important opportunity to receive adult hepatitis B vaccine resources. In addition, we're pleased to alert you to a case-based hepatitis continuing education offered by one of our CDC partners in the Viral Hepatitis Education and Training program.

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Welcome! The December 2004 edition of the Listserv focuses on hepatitis awareness and on screening tools for assessing risk factors and candidates for vaccination.

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Continuing with the information on interpreting vaccine schedules from Mexico in the May-June Listserv we offer the Migrant Clinician Network's new 2007 Mexican Migrant Guide: Recommended Vaccines for Recent Immigrants from Mexico, guide, and a vaccine equivalency chart for the state of Arizona. In addition, an important new resource, Health Care Language Services Implementation Guide is available through the Office of Minority Health.

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The first section of the document is tailored to each Collaborative Topic (diabetes, cancer, etc.) with suggestions for how CHWs can promote significant outcomes within a variety of measures. The second section includes a grid describing roles for CHWs in five of six components of the Chronic Care Model, aligned with already-established Change Concepts such as "Set and document self-management goals collaboratively with patients." For each Change Concept, a number of high-potential Change Ideas are presented.

1. HEPATITIS B FOUNDATION UPDATES NON-ENGLISH LANGUAGE CHAPTERS 2. Comparison of Costs for Hepatitis B Drug Therapy 3. MMWR Weekly May 12, 2006 / 55(18):509-511 Hepatitis B Vaccination Coverage Among Adults --- United States, 2004

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1. Review 2. Review 3. Hep Transmission Hot Spots 4. Hep Transmission Hot Spots

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1. Recruitment and Retention 2. Hablamos Juntos "We speak together" 3. The Cross Cultural Health Care Program 4. Roadmaps for Clinical Practice series - Improving Immunization

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1. Chronic Hepatitis C Virus Management: 2000-2005 Update. 2. Doc Eye for the Hep Guy: Management of HCV Treatment-Experienced Patients 3. Reference for Interpretation of HCV Test Results 4. “If you have hepatitis C, which vaccinations do you need?”

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1. An Overview of Drinking Water Quality and Water and Sanitation-Related Disease. 2. Agua que hay microbios: Una guia para el cuidado del agua e higiene en el hogar. 3. Una vida sana empieza si hay comida con limpieza: Una guia para el cuidado e higine de los almientos en el hogar. 4. Excerpts from Waterborne Illnesses CME/CE, Sussan K. Sutphen, MD, MEd

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This guide provides recommendations for offering vaccines to non high-risk recently arrived Mexican immigrants, by age, to bring them up to date with the US recommendations.
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We are sending you just one important resource for May and June, a guide for interpreting immunization schedules from Mexico, including Hepatitis B.

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Current News is our focus for March and April. The Surveillance Summary for Acute Viral Hepatitis released in March indicates declining rates of all three common types of Hepatitis, A, B. and C. Underlying the good news is the continuing importance of making sure that adults, especially in segments of the population still living outside of the reach of most health care systems, are screened, offered B vaccination, educated about risks, and tested as necessary.

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Guidelines endorsed in May 2007 by the Association of Occupational and Environmental Clinics.

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Appropriate information and training empower midwives and other health workers to provide the care needed to reduce dangers in childbirth. Developed with the participation of dozens of community-based midwives, midwifery trainers, and medical specialists, Hesperian's new edition of Un libro para parteras/A Book for Midwives has been reorganized and extensively revised to better support care during labor and management of obstetric emergencies, and expanded to include lifesaving reproductive health information.
The ADA Diabetes and Cardiovascular Disease Toolkit is meant to assist healthcare professionals in educating patients on topics related to diabetic cardiovascular disease. The toolkit offers handouts in both English and Spanish.
We would like to draw your attention to a new Self-Management Support resource. The Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS) is a tool developed by the Robert Wood Johnson Foundation Diabetes Initiative to further define the elements of self management support in primary care. Its purpose is to facilitate quality improvement in this component of the chronic care model. Also available is a PowerPoint presentation that provides some background and information on how to use and score the PCRS Tool. Many thanks to Carol Brownson from the Diabetes Initiative(http://diabetesinitiative.org/) for sharing this great resource with the Health Disparities Collaboratives community!

The vaccine could be used in the event the current H5N1 avian virus were to develop the capability to efficiently spread from human to human, resulting in the rapid spread of the disease across the globe. Should such an influenza pandemic emerge, the vaccine may provide early limited protection in the months before a vaccine tailored to the pandemic strain of the virus could be developed and produced

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Children with asthma should get flu shots to protect them, but only 3 in 10 do, U.S. health officials said.

This month's issue includes: 10 Charting Handout: A guide compiled by the HepTalk team to help you assess the risk assessment portion of your clinic’s forms. 2. Three articles regarding the effectiveness of charts, checklists, and other tools to increase preventive care. 3. Two articles regarding the use of EMR (electronic medical records).

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When we traveled across the country to visit your clinics, many of you expressed concerns about lack of funding for adult immunization and testing. Reprinted from the Immunization Action Coalition, we pass along an opportunity: IAC Express, Issue Number 642, January 24, 2007.

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