Viral hepatitis screening and vaccination in the Greater Accra Region of Ghana: report on the 2022 and 2023 world hepatitis day events
2022 and 20203 viral hepatitis screening and vaccination in Accra, Ghana
Abstract
Background: Viral Hepatitis remains a major public health threat, affecting millions globally. For over a decade, 28th July has been observed as World Hepatitis Day, with the goal of raising awareness, sensitising, and mobilising global efforts to control and prevent viral hepatitis. In 2022 and 2023, we actively participated in and supported events marking this day by conducting awareness-raising activities and promoting the prevention and control of viral hepatitis B and C.
Objective: This study aimed to screen and vaccinate individuals who tested negative, as well as identify and link to care asymptomatic individuals who are unknowingly living with chronic hepatitis in order to prevent progression to liver cancer.
Methods: Screening and vaccination activities were conducted at Maamobi General Hospital and the Legon Campus (LC) in 2022, and at the Madina STC Yard and the LC in 2023. Individuals who provided consent were screened for HBV and HCV antigens and/or antibodies. Those eligible were vaccinated against HBV, while individuals who tested positive for HBV or HCV were referred for clinical care. Contact details
for the vaccinees were captured, and follow-up calls were made to remind participants of subsequent vaccinations.
Results: In 2022, of 388 participants tested, 25 (6.4%) tested positive for HBV infection (HBsAg-positive). Forty-eight (12.4%) persons had protective antibodies (anti-HBs-positive) while 315 individuals tested negative for anti-HBs and consented to receive HBV vaccination. In all 206 (64.8%) of the 315 persons completed all three doses. In 2023, among 548 participants, 43 (7.8%) tested positive for CHB and 59 (10.8%) had protective antibodies. Across both years, we have screened 936 people and identified 68 (7.3%) CHB cases and 7 (0.7%) anti HCV-positive persons. We were also able to fully vaccinate 317 persons. Over the two years, 722 received the first dose, 487 received the second dose, and 46 received booster shots.
Conclusion: Our community engagement activities support the Global Health Sector Strategy by identifying infected individuals for care and promoting HBV vaccination, thereby helping uncover undetected cases.
