|An Action Intervention Project
Transmission by Reducing Exposure
for Prevention Meet the Team Home
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
and prevent Egyptians from becoming infected with
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.
- Action Intervention project at the health care
worker (HCW) - patient level where HCV exposure is occurring and
reduce exposure. (see field team approach below)
- Redirect public awareness to where HCV exposure
is occurring, that is at the HCW - patient level.
- Empower people with knowledge on how to avoid
HCV exposure in the health care setting.
- Develop an Egyptian HCV catalog of blood borne
pathogen exposures in health care settings and self implementing
prevention program for health care providers.
- National Curriculum component: Retrain and
update curriculum to empowerment by knowledge
- General Curriculum - teach how
to avoid exposure in the health and dental care setting
- Profession Curriculum -
upgrade infection control for prevention of HCV transmission for medical,
dental, nursing, medical and dental assistant, and pharmacy student
- Strengthening evaluation methodology and
application for HCV prevention
- The project will identify practical and
sustainable interventions which will be adapted to various health care
settings across Egypt.
- Training: offer free rapid training courses for
all levels of health care personal to show how to reduce and prevent
- Develop check list handouts for health care
setting to reduce exposure to HCV infection.
- Develop handouts for people to so they will know
how to avoid HCV infection when seeking health care.
- Multiple field team approach is a good approach
because it is action oriented.
- Select health care facilities
to test sustainable interventions.
- Practical and sustainable
interventions will be identified collectively by the project team working
with the facility personnel.
- Identify the range of both
unique and typical exposures occurring in medical, dental, pharmaceutical
and nursing settings.
- Collective implementation will
be made by facility and team personnel.
- Sustainable and easy to use
evaluation methods for exposure reduction will be developed.
- Certification: The health care
facility and its employees can post that it has identified and taken
measures to reduce HCV transmission at their facility.
- Replication: Successful
facilities will be used as a demonstration and will provide additional
support as a training site. Successful experiences will be applied to
larger and more complex facilities.
- Understanding HCV blood borne exposures is
simple but not recognized at the HCW – patient level.
- Development of an Egyptian HCV
catalog of blood borne pathogen exposures in health care settings is
- This will be a self
implementing prevention program for health care providers.
- develop a working definition
of HCV exposure for the catalog
- compile, review, pilot and
- The completed catalog will be
a document available for other prevention efforts (this will facilitate
initiative by others to develop prevention projects in their facilities)
- details for compiling this
catalog and its applications for control have been prepared in a larger
comprehensive project document by F. DeWolfe Miller and is an ongoing
work in progress (Reducing HCV Transmission by Reducing Exposure: a
- National Curriculum component: empowerment
- Curriculums at all educational
levels need to modified to include prevention of HCV.
- This should be on the national
level and include the public education system.
- This objective has a secondary
- Evaluation of HCV prevention measures is
essentially non existent. Develop and strengthening evaluation methodology
and application for different health care settings and health care
- The Project has many Opportunities
project will use methods that have already been published by Egyptian
investigators to identify HCV exposures in health and dental care
A.M. Aboul Ftouh, and W.H. El Shoubary, Safe injection practice among
care workers, Gharbiya, Egypt. J Egypt Public Health Assoc, 2005.
80(5-6): p. 563-83.
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.
Talaat, M., et al., Overview of injection practices in two governorates
in Egypt. Trop Med Int Health, 2003.
8(3): p. 234-41.
Talaat, M., et al., Surveillance of catheter-associated urinary tract
in 4 intensive care units at Alexandria university hospitals
in Egypt. Am J Infect Control, 2009.
Talaat, M., et al., Occupational exposure to needlestick injuries and
B vaccination coverage among health care workers in Egypt. Am J Infect
31(8): p. 469-74.
Talaat, M., et al., Evolution of infection control in Egypt: achievements and
challenges. Am J
Infect Control, 2006. 34(4): p. 193-200.