Sunday, May 1, 2011

Hepatitis vaccination center in Nowshera


Sajid Iqbal Daudzai Advocate Nazim ( Mayor ) Union council
Azakhel Bala Noshera Pukhtoon khwa.

Nowshera District (Khyber pukhtoon khwa, Pakistan) is known for its various types of industries located on the bank of river Kabul. It has borders with Peshawar on the west and Punjab province on the east. Most of the population is Pushto speaking. The district has about 200 villages.Viral Hepatitis is a cause of great concerns the world over and more so in the developing countries especially in Pakistan. Its incidence has already increased to alarming proportions and is likely to increase further in the near future. Among the hepato-celluler viruses, B and C tend to be more severe and lead to chronic conditions, co-morbidity and high case fatality rates. In Pakistan, the following factors are responsible for the spread of these viruses,
1.    Invasive surgical practices,
2.    Infected syringes
3.    Unsafe blood transfusion,
4.    Unhygienic instruments used by barbers and vertical transmission from mother to child during pregnancy.
More than one cause was reported to be risk factor for transmission of the disease by our study group. However the most common causes reported were repeated use of disposable syringes, dental apparatus, nail cutting, and sexual contact amongst many others.
Local studies shows that carrier rate of Hepatitis B Virus (HBV) is 4-10%. It is estimated that 7% of all blood donors, 3.5% of all children and 13% of all cases requiring hemodialysis are Hepatitis B surface Antigen (HBsAg) positive. HBV infection has been reported to cause 31% of acute viral hepatitis cases, 60% of patients with chronic liver disease and 51% of cases of hepato-cellular carcinoma. Whereas, the sero-prevalence of Hepatitis C Virus (HCV) is 6.7% in women and 1.3% in children in Pakistan.3 In Italy about 4,00,000 new cases occur each year. About 200,000-300,000 new cases of Hepatitis B occur annually in the USA Hepatitis C accounts for approximately 20% of cases of acute hepatitis, 70% of chronic hepatitis and 30% of end stage liver disease in the USA. This study was undertaken to assess then knowledge of rural communities in regard to HBV and HCV in 10 villages of District Nowshera, Kyber Pukhtoon khwa, Pakistan. Nazim Sajid Iqbal Daudzai Advocate Nazim (Mayor) union council azakhel bala request from NIH ( National institute of health) to make hepatitis vaccination center in DHQ Hospital Nowshera. Now NIH has vaccination center in DHQ hospital Nowshera. Peoples of nowshera now no need to go NIH or PIMS islamabad for vaccination.

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