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      • HCV Management in Mongolia

        ( Tsogzolmaa O. ),( Dashichirev Munkh-orshikh ),( Baasankhuu Enkhtuvshin ),( Oidov Baatarkhuu ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1

        Aims: To determine situation and implementation of HCV policy management Introduction: Mongolia has a large burden of viral hepatitis, especially chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections, which are associated with cancer and cirrhosis. Therefore, there is need of to assess policy implementation, milestones of diagnostic and treatment development of HCV in our country. Methods: Descriptive study, analyzed policy and strategic documents and statistics issued by government organizations, reviewed treatment result published studies. Results: Since 2014, 19 policy documents were approved and updated national viral hepatitis guideline three times. In 2017 Mongolia established The Whole Liver Program (HPCE)2017-2020. It aims to eliminate HCV in Mongolia by 2020 and to significantly reduce viral hepatitisinduced liver cirrhosis and HCC related mortalities.Within the framework of the program, free general population hepatitis screening,two free-ofcharge HCV viral load testing and no-out-of-pocket-cost HCV treatment campaigns have been initiated nationwide. 959,320 people were screened viral hepatitis, 94,280 people were tested viral load, 19,896 people were treated. Conclusions: The HPCE Program in Mongolia is serving as a model for other countries in their fight against viral hepatitis.

      • Viral Problems of Morbidity of Hepatitis B, C, D and Its Counter Reaction among Mongolian Population

        ( O. Baatarkhuu ),( O. Tsogzolmaa ),( N. Dondog ),( Ch. Munkhtsetseg ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1

        Aims: It was started diagnosing HBV, HCV, and HDV since 1974 and 1998 respectively in Mongolia. HBV causes 48% of mortality caused by viral hepatitis. To make analysis on past and current situation of morbidity of hepatitis B, C, D and its counter -reaction and then deliver recommendations to decision-, markers and implementers are viral problems. To make analyze and develop recommendations on past and current situation of morbidity of hepatitis B, C, D and its counter-reaction among Mongolian population Methods: We have conducted data on hepatitis and its counter-reaction in Mongolia between 1951 and 2016 using retrospective cohort. We have analyzed on morbidity of hepatitis B, C, D and its statistical data. Results: Between 1992-1997ninety-sic children who have had acute hepatitis D virus infection at the department of Hepatology, National Center for Communicable Diseases (NCCD). Thirty-nine patients (40.6%) were diagnosed as co-infection of HDV (anti-HDVIgM, HBsAg, anti-HBvIGM, HBeAg all positive) while remains 59.4% were diagnosed as superinfection of HDV. 5.9% of patients were diagnosed with HDV/HBV. 0.8% of patients were diagnosed with HBV/HCV as co-infection in 2007. There were 653 patients underwent at NCCD and Railway Central Hospital. The ninety-six (14.8%) patients were positive anti-HCV, while 324(49.6%) patients were positive HBsAg. 460 patients who underwent at NCCD and Railway Central Hospital in 2016. The sixty-seven (14.6%) patients were positive anti-HCV, while 279 (60.6%) patients were positive HBsAg. The nine patients (3.2%) were positive anti-HDVIgM, HBsAg as superinfection of HDV. While a patient (0.5%) were positive anti-HBcIgM, HBeAgas coinfection of HBV and HDV. Conclusions: The patients aged between 15 and 34 and patients aged between25 qnd 54 are commonly infected by HBV and HCV infections respectively. 240 patients(71.2%) with HBV and 57(54.4%) patients with HCV have common anamnesis as who have had any risk of treatment and service.

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