An Action Intervention Project

Reducing HCV Transmission by Reducing Exposure

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Our vision is the prevention of HCV infection and transmission in Egypt.

Changing prevention from people to providers

The following is a vision of how in public health terms to help Egypt prevent HCV and reduce transmission. 

This would be an action intervention project in Egypt to reduce and prevent Egyptians from becoming infected with HCV. The most significant HCV transmission in Egypt is through exposure to blood in the health and dental care system. Reducing this exposure will prevent the transmission of HCV. In epidemiologic terms, reducing  the on going transmission of HCV in Egypt is the goal. 

Core Project Objectives and Strategy  

  1. Action Intervention project at the health care worker (HCW) - patient level where HCV exposure is occurring and reduce exposure. (see field team approach below)
  2. Redirect public awareness to where HCV exposure is occurring, that is at the HCW - patient level.
  3. Empower people with knowledge on how to avoid HCV exposure in the health care setting.
  4. Develop an Egyptian HCV catalog of blood borne pathogen exposures in health care settings and self implementing prevention program for health care providers.
  5. National Curriculum component: Retrain and update curriculum to empowerment by knowledge
  1. Strengthening evaluation methodology and application for HCV prevention
  2. The project will identify practical and sustainable interventions which will be adapted to various health care settings across Egypt.
  3. Training: offer free rapid training courses for all levels of health care personal to show how to reduce and prevent exposure.
  4. Develop check list handouts for health care setting to reduce exposure to HCV infection.
  5. Develop handouts for people to so they will know how to avoid HCV infection when seeking health care.

Technical References 

The project will use methods that have already been published by Egyptian investigators to identify HCV exposures in health and dental care facilities [1-6].

1.         Ismail, N.A., A.M. Aboul Ftouh, and W.H. El Shoubary, Safe injection practice among health care workers, Gharbiya, Egypt. J Egypt Public Health  Assoc, 2005. 80(5-6): p. 563-83.

2.         Ismail, N.A., et al., Safe injection practice among health-care workers in Gharbiya Governorate, Egypt. East Mediterr Health J, 2007. 13(4): p. 893-906.

3.         Talaat, M., et al., Overview of injection practices in two governorates in Egypt. Trop Med Int Health, 2003. 8(3): p. 234-41.

4.         Talaat, M., et al., Surveillance of catheter-associated urinary tract infection in 4 intensive care units at Alexandria university hospitals in Egypt. Am J Infect Control, 2009.

5.         Talaat, M., et al., Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. Am J Infect                     Control, 2003. 31(8): p. 469-74.

6.         Talaat, M., et al., Evolution of infection control in Egypt: achievements and challenges. Am J Infect Control, 2006. 34(4): p. 193-200.