18. Are doctors aware of the risks of HBV?
Now what is discomforting is the doctors we
are training now in our medical schools, many of them are not aware of
the prevalence of hepatitis B and liver cancer in our community.
This is a survey of the incoming house staff
to Stanford Medical Center in 2003 and these are people who graduated
from some of the best medical schools in the country and we found that
only half of them knew Asian Americans had the highest incidence of
hepatitis B. Only a quarter of them knew that there is a
one-in-four risk of dying from liver cancer or cirrhosis. Only forty
percent recognized that mother to child transmission is the most
common transmission in Asians and this is a problem – only a quarter
of them said they routinely do a screening, a hepatitis B test for
Asians. And this is replicated in all the surveys
we conducted. We did a survey when we had this program with the San
Francisco health department. Of the 1,000 people who came for
screening, only seventeen percent of them said that their doctors told
them to get a hepatitis B test and many of these doctors are Asian
physicians. It is not just Caucasian physicians.
17. Why is chronic HBV called a silent killer?
19. Do API need testing before vaccination?