#84 HepSA Community News

#84 • January 2020

Community News

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Hepatitis SA provides free information and education on viral hepatitis, and support to people living with viral hepatitis.

Online: www.hepsa.asn.au HepSAY Blog: hepsa.asn.au/blog Library: hepsa.asn.au/library @HepatitisSA

@hep_sa Resources: issuu.com/hepccsa Email: admin@hepatitissa.asn.au Cover: Artwork derived from image created by freepik [www.freepik.com]

Street Address: 3 Hackney Road, Hackney Postal Address:

PO Box 782 Kent Town SA 5071

Phone:

Fax:

(08) 8362 8443 1800 437 222 (08) 8362 8559

Correspondence: Please send all correspondence to

The Editor at PO Box 782, Kent Town, SA 5071,

or email editor@hepatitissa.asn.au.

Editor: James Morrison Some photos in this publication have been altered to disguise identifying details of members of the public.

Contents

1 Liver Health Days HEPATITIS SA BOARD

2 HepSA Education Team

Chair Arieta Papadelos

4 Naloxone

Vice Chair Bill Gaston Secretary Deb Perks Treasurer Michael Larkin Ordinary Members Julio Alejo John Beeslee Catherine Ferguson Sharon Jennings Bernie McGinnes Sam Raven Kerry Paterson (EO)

ISSN 2651-9011 (Online)

6 Vietnamese Community 8 Chinese Community 10 HBV Research Needs 13 What’s On? 14 In Our Library

Disclaimer: Views expressed in this newsletter are not necessarily those of Hepatitis SA. Information contained in this newsletter is not intended to take the place of medical advice given by your doctor or specialist.

We welcome contributions from Hepatitis SA members and the general public.

SA Health has contributed funds towards this program.

Liver Health Days

Liver health assessment across SA

A

s part of our efforts towards the World Health Organization goal of eliminating hepatitis C as a threat to public health by 2030, the Hepatitis C Outreach Treatment Peer Educators have been facilitating Liver Health Days at various Community Correctional Services Centres in SA since July 2019.

Treatment peers attend with the Viral Hepatitis Nurses who provide blood-borne virus testing and Fibroscans to any person who would like their liver health assessed.

With the kind support and co-operation from site staff, we have visited sites at Port Adelaide, Elizabeth, Adelaide, Noarlunga and Murray Bridge and plan to continue this at as many Community

Corrections offices as we can throughout 2020. So far, we have discussed risks of hepatitis C transmission, testing and the (interferonfree) direct acting-antiviral treatments with 104 individuals and provided full liver heath checks, including

Liver Health Day Murray Bridge al Centre un Comm ity Correction Monday, 10 February 10.30am–3.30pm ments Free Liver Health Assess ys & Giveawa Win a $25 Gift Card

a Fibroscan for 70 of those people. Many also opted for a hepatitis C blood test and to be followed up by the nurse if required, making this a pop-up, one-stop-shop for hepatitis C treatment access. v

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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What Hepatitis is That?

The Hepatitis SA Education Team

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here are many misconceptions around hepatitis viruses, such as that they can be easily transmitted by saliva, or they are the same as HIV, or that there is no effective cure for hepatitis C! The education team at Hepatitis SA come across these on a daily basis through our educational activities and we work hard to dispel them.

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Information on the liver, how it works and how viral hepatitis affects it

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Symptoms of chronic viral hepatitis

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Hepatitis A, transmission, symptoms, vaccination

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The Education Team take great pride in providing up-to-date accurate information that is tailored to each group whether it is a community group or a workplace.

Hepatitis B, transmission, vaccination, testing, monitoring/treatment

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Hepatitis C, transmission, vaccination, testing, treatment

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Stigma, discrimination, disclosure and the law

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Referral pathways

Information that is included in each education session includes:

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The Education Team have recently conducted

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

some research into blood safety, including how to effectively clean up blood spills and remove blood from laundry. This information has been included into workplace training where relevant, and has received some excellent feedback.

While the education sessions to workforces are often more formal with a PowerPoint presentation, sessions to community groups allow for the Education Team to become more creative in how the information is delivered.

Some of the community group sessions have been provided to include people in custodial settings, youth groups, culturally and linguistically diverse community groups, Aboriginal and Torres Strait Islander community groups, clients of mental health facilities and clients of drug and alcohol services.

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(continued on p16) January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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Keep Calm and Carry Naloxone

How to save a life

Most accidental overdoses in Australia—especially South Australia—are from prescription drugs, mainly painkillers and sleeping tablets. Many of these deaths can be prevented with a drug that reverses the effects of opioids.

From 1 December 2019 to February 2020, South Australia is taking part in a PBS-subsidised pilot program to reduce opioidrelated deaths by making the life-saving medicine, naloxone, available to more people. Under the program, for the duration of the pilot, pharmacies will be reimbursed for the cost of the naloxone and their dispensing fees.

Naloxone is a drug that

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counteracts opioids and has been used for many years to treat opioid overdose.

In Australia, Take-Home Naloxone refers to the provision of naloxone to non-medically trained people to use in an overdose situation so that the overdose can be treated immediately.

Under the program, people who use opioids for whatever reason, or people who know someone who uses opioids, can get naloxone from pharmacies, and carry it with them in case they witness or experience an overdose.

Naloxone is available in several forms: as a nasal spray (brand name Nyxoid), as an injection

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

with a prefilled syringe (brand name Prenoxad), or as an ampoule which you break and draw into your own syringe. For those with limited injecting experience, nasal spray is the easier option.

From 1 December 2019 to February 2020, naloxone will be available free from community pharmacies throughout South Australia. Vouchers for no-cost naloxone are available from hospital and community pharmacies, prisons, primary care settings, and alcohol and other drug services including Clean Needle Program (CNP) sites. The naloxone will be provided together with information on preventing and responding to the adverse effects of opioids.

If you would like a no-cost naloxone voucher, speak to your GP, nurse or CNP worker. You can also ask your local pharmacist for a voucher. If you run into

Figure 1 – Number and characteristics of unintentional drug-induced deaths in 2017

problems getting one, give us a call on 1800 437 222 and ask for Carol or Margie.

For more information about naloxone or preventing overdose, call Carol or Margie on 1800 437 222 or visit overdoselifesavers.org.

Gabrielle’s Story

The other day I got a call asking me to come and help someone downstairs from my unit. I grabbed my naloxone kit from the top of the fridge and ran down a couple of flights of stairs.

When I got there a girlfriend of mine was administering CPR on this guy who I’d never met. People there had already called triple-0.

as I could see nothing was changing.

Within about 30 seconds of the second injection, he gave aOverdose coughReport and2019 a bit Australia’s Annual of spluttering, and things were good. He was slightly aggressive when he started coming round, but I’d asked his girlfriend to start talking He was non-responsive, not to him before he came to, so even responding to pain or he would hear voices and anything, so I administered the naloxone. While the CPR wouldn’t be so confused. It’s the confusion that can make continued, I injected a full people agitated and angry. I ampoule of naloxone into had given him two ampoules the top of his leg, then after of naloxone, and when the 90 seconds, a second one

paramedics got there, they gave him a third.

When I’m attending to someone overdosing, unless it’s my partner, my emotions aren’t there; it’s like running on automatic.

A lot of the time, I’m the one administering the CPR while somebody else gives the naloxone. People are scared about doing chest compressions, so I can talk someone through giving an injection while I’m

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(continued on p16)

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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»

Taking the Clinic to the Community Vietnamese community screening project

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n late 2019, the Hepatitis SA education team ran a community-based viral hepatitis screening clinic with a Vietnamese older peoples’ social group in Klemzig. The project was implemented in partnership with Community Access and Services SA (CASSA) and a Vietnamese-speaking GP and nurse, based on the successful model of previous community-

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based screening clinics coordinated by Hepatitis SA with local Chinese communities.

The Vietnamese older peoples’ testing clinic aimed to increase the rate of diagnosis and appropriate follow-up for people from a highprevalence community.

The project first raised awareness about the importance of viral

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

hepatitis testing via the provision of culturally appropriate education as part of the weekly social group meeting.

With the assistance of CASSA volunteers and interpreters, we were then able to book clients in for appointments for pathology collection and subsequent results with the GP during the group meeting times.

Proportions of hepatitis C genotypes in different regions of Vietnam: blue = genotype 1, green = 2, red = 3, purple = 6

In the second week of the project, 25 community members accessed testing, coming back in the third week to receive results and follow-up information.

The Viral Hepatitis Liaison Nurses were also involved in the project to ensure community members were linked in to receive treatment, monitoring or vaccination—through their own GPs if necessary.

By bringing the clinic to the community, we were able to provide information and accessible clinical services with community members in a comfortable and familiar environment.

We are keen to use what we have learned from this project to identify opportunities for screening clinics with other communities from regions of high prevalence in addition to facilitating further clinics with the Vietnamese community.

Map and data courtesy of PLOS ONE, Open Access research: journals.plos.org/plosone/article?id=10.1371/journal. pone.0212734

Finally, we offer a huge thank you to Mai Ly and all of the CASSA staff and volunteers for their hospitality and support, and to Dr Therese Phan and nurse Lindy. v

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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From “Sorry we don’

– hepatitis screening clinics

2019

D 2012 H W

Go to Clinic 275

1

2

The Chinese community in Australia is one of several identified as being at higher risk for hepatitis B. In 2012, during a World Hepatitis Day event, a young Chinese woman approached us looking for hepatitis B testing. Sadly, we didn't facilitate hepatitis screening could only tell her to go to sexual health clinic 275. At the time, clinics were not part of our brief.

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RESULTS: From mid-2017 to end-2019, we screened 224 people, identified 24 as hepatitis B positive and provided them with referrals to their GPs with advice for onward care at liver clinics in hospitals. A screening clinic was also done with the Vietnamese community (see page 6).

Fast forward to 2019… this young couple is among hundreds from the community who have accessed hepatitis B and C screening facilitated

by Hepatitis SA. How did this come about?

7

Clinical guidelines were developed with advice from the RDNS and MOUs signed with GPs involved. Pre and post test information sheets were prepared and the Chinese language phoneline and social media information service remained available for those needing information.

6

Set hav reco con and

Jun 2017 to Nov 2019 400

224

24

Screened

69

200

Positive

Vaccinated

Fibroscanned

300

100

0

Report by Cecilia Lim HEPATITIS SA COMMUNITY NEWS 84 • January 2020

8

Record keeping -

418

n’t” – to “Yes we can”

s for the Chinese community

m

Pr o

He

p

Co

4

Got info.

Got fibroscan.

Help us get testing & vaccination

3

Projects end... No more $

Community response was enthusiastic but the continuation of the clinics was uncertain when the projects – and funding – ended in 2018.

c ts je

How come?

B

2 018 6 1 0 2 munity Education

5a

Fortunately, the Chinese community rose to the occasion. The Chinese Association of SA, together with Hepatitis SA, organised a fund raiser which, together with a very generous donation from Drs Lee Wah Hin and Wendy Lew, provided bridging funds for a nurse to keep the clinics going.

In 2016 Hepatitis SA received grants for 5 hepatitis B community education projects. We worked with the African, Vietnamese, Chinese, Filipino and Afghani communities. Information sessions and fibroscan clinics were organised with support from viral hepatitis nurses but it was clear that to help community members overcome barriers in getting tested and care, we needed to go further. In 2017, a pilot screening clinic and group visits to a GP clinic were organised.

$

tting up regular clinics meant we had to ve clear clinical governance guidelines, good ord keeping that maintained client nfidentiality, good pre/post test information d counselling and on-going promotion.

$

5b

The clinics were supported by Dr Khoo, a GP who took time out from his regular roster to provide screening to the community on a bulkbilling arrangement with no additional costs to Hepatitis SA or the patients.

Clinical governance Promotion, client numbers

Pre & post test information

results, referrals etc

llenges Cha

5c

There were vaccination clinics for people who needed them and fibroscan clinics continued those who want their liver health checked.

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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Vaccination vs Cure Why we need HBV treatment research

H

epatitis B is a bloodborne virus that packs a punch. Worldwide, more than 1.3 billion people have been infected with hepatitis B, and 257 million people have developed a life-long infection. This includes 240,000 Australians, many of whom are Indigenous.

Globally, transmission most commonly occurs from mother to baby or in early life. But it’s possible to be infected in adulthood, through sex or blood-toblood contact.

Most people who are infected in adulthood develop a short infection which their immune response controls. But in around 5% of adults and 90% of babies, the immune response is ineffective and chronic infection develops.

Hepatitis B virus causes almost 40% of all liver cancer, which is the fifth most common cancer and the second leading cause of cancer-related death worldwide.

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Hepatitis B virus was discovered in the serum of an Indigenous Australian in 1965 and was first known as the “Australia antigen”.

This quickly led to the development of an effective vaccine in the 1980s, which is now available worldwide. The vaccine has been given to Australian infants since May 2000. (If you weren’t vaccinated as a baby, you might want to consider doing so through your GP, particularly if you plan to travel to Asia and Africa where hepatitis B is common.)

Unfortunately the vaccine doesn’t do anything for the 240,000 or so Australians who currently live with chronic hepatitis B. Only around 60% of these people have been diagnosed; the rest don’t know they’re infected and don’t receive appropriate care.

There is no cure for chronic hepatitis B virus. In most cases, treatment requires taking a pill every day for life to remain effective and

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

to reduce the risk of liver cancer. Even then, it doesn’t eliminate the risk.

Chronic hepatitis B hasn’t been cured so far in part because current therapies have failed to destroy the viral reservoir, where the virus hides in the cell. This is in contrast to hepatitis C virus, which has no such viral reservoir and can now be cured with as little as 12 weeks of treatment.

Despite the huge human and economic toll of chronic hepatitis B, research to cure the disease remains underfunded. There is a misconception that because there is a vaccine, hepatitis B is no longer a problem. The availability of effective cures for the unrelated hepatitis C virus has also led people to believe that “viral hepatitis” is no longer a problem.

Experts estimate that liver cancer deaths will substantially increase in coming decades without a cure for hepatitis B, despite deaths from most cancers decreasing.

How far have we got? Some exciting research is underway around the world, including the recent identification of the “cell receptor” which allows the virus to infect the body. This has enabled studies of the complete virus replication cycle including the viral reservoir that is untouched by current therapies.

New approaches to a possible cure include mechanisms to block the virus’ entry into the cell and to stop the virus from making the proteins it needs to replicate and infect new cells.

Studies are also underway to enhance patients’ immune responses so their own natural defences can control or even eliminate

the virus. This is similar to immunotherapies already being used to treat some cancers.

It’s likely a hepatitis B cure will require a dualpronged approach, directly targeting the virus while also enhancing the immune response in people who are infected.

The goal is to reduce the amount of virus in the body and restore the person’s immune responses. This is called a “functional cure” and

is similar to what happens when a person naturally gets rid of the virus. It would also mean they didn’t need to take drugs any more.

Some of these approaches are now in early-stage human clinical trials. More than 30 drugs have been developed and are being tested in people with chronic hepatitis B. However, much more work needs to be done to achieve a cure. v Peter Revill & Margaret Littlejohn

Peter Revill is a senior medical scientist at VIDRL, Royal Melbourne Hospital, The Peter Doherty Institute for Infection and Immunity. He chairs the Governing Board of the International Coalition to Eliminate Hepatitis B (ICE-HBV).

Margaret Littlejohn is a medical scientist at Melbourne Health.

Originally published at

: http://bit.ly/30zzUch

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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Goodbye poem to hepatitis c Something in the blood doesn’t have to hang around no more Help is on its way, so get a check Get the low down from the right source for things are a changing

Call Us!

Free, confidential information and support on viral hepatitis:

Come people whoever you are, we know you all have travelled so far With an extra yard you can have a cure Ain’t gonna C you no more, for things are a changing

1800 437 222 12

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

Steve Allen

Affected by he

Affected by hepatitis C?

Free Fibroscan Clinics Photo © S. Allen

Calming the C • Information and support in a confidential, friendly environment • Speak to others who have had treatment • Partners, family and friends welcome

Now meeting at HACKNEY, ELIZABETH PORT ADELAIDE: and PORT ADELAIDE Wonggangga Turtpandi For information, phone 8362 8443 12–2pm 12.30–2.30pm See over for• dates Tuesday, 14 January • Tuesday, 11 February HACKNEY: 3 Hackney Rd

• • • •

Tuesday, 7 April Tuesday, 2 June Tuesday, 28 July Tuesday, 22 September

•

Tuesday,17 November

• • •

Tuesday, 10 March Tuesday, 5 May Tuesday, 30 June

•

Hutt Street Day Centre: 258 Hutt St, Adelaide SA 5000; call Margery on 0423 782 415 to make an appointment

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WestCare Services: 11/19 Millers Ct, Adelaide SA 5000; call Margery on 0423 782 415 to make an appointment

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Wonggangga Turtpandi Aboriginal Primary Health Care Service (Pt Adelaide CNP); 1st Wednesday of each month, 9.30–11.30am, 11 Church St, Port Adelaide SA • Information and support 5015

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Anglicare Elizabeth • Speak to Mission; others who hav 17 April, 14 Aug, 13 Nov, • Partners, family and frien 9.30am–12pm, 91-93 Elizabeth Way Elizabeth (Bookings via reception in person, or call 8209 5400)

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Noarlunga GP Plus; and PORT fortnightly, Alexander Kelly ADE Dr, Noarlunga SA 5168 phon ForCentre information, (Bookings via Noarlunga CNP See over for Peer, or by calling Rosalie on 0466 777 876)

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Drug Arm (Marion): 4 & 18 Feb, 3 & 17 & 31 March, 1–3pm, 249 Diagonal Rd, Warradale (call Jeff on 0466 777 873 for appointment)

Calming friendly environment

Now meeting at HACKN

Smart Recovery sessions at Hepatitis SA have now ceased. To find meetings near you, visit smartrecoveryaustralia.com.au/find-meetings for more information.

January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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New resource highlights: January 2020 Liver Cancer Hepatitis Victoria, Melbourne, 2019. 3 fold brochure.

Main causes, risks and treatment options, also guidance on symptoms and relationship between liver cancer and viral hepatitis.

Crowd diagnosis of STDs frequently sought online Infectious Disease Advisor, New York, 2019. 1p.

Researchers from the Uni of Calif. selected 500 posts in which social media users share STD-related “stories, concerns, and questions”.

Hair, beauty, and skin penetration: health information Dept of Human Services, Melb, 2019. Factsheets.

Safety and hygiene for procedures that may pose an increased risk of transmitting an infection. For clients and premises.

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‘Courts Pharmacy’ hepatitis C treatment dispensing HCV Action, UK, 2019. 3p.

Patients with unstable lifestyles are given medication in the pharmacy to avoid managing large numbers of tablets for long periods.

Complementary therapies: mind and body Hepatitis WA, Perth, 2011. 4p.

General information about massage, acupuncture, aromatherapy, meditation, yoga and reflexology.

Providing effective GP services to Stolen Generations survivors Healing Foundation, Canberra, 2019. 8p.

Information for GPs to improve services for Stolen Generations survivors: due to diversity among survivors this is a starting point only.

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

The Hepatitis C Trust’s peer to peer service HCV Action, U.K. 2014. 5.44 min video.

Interviews with peers from the successful service that primarily visits drugs services, and provides informal education and awareness sessions on hepatitis C to at-risk groups and drugs service staff.

Hepatitis C more stigmatising than HIV: gay men’s attitudes towards hep C reinfection

For use by Aboriginal clients and Community members, and service providers who

interact with Aboriginal people or clients.

NAM AIDSMAP, London, 2019. 5p.

Being a member of certain social and sexual networks increased the chances of reinfection with hep C, but leaving these networks, and abstinence from drug use, could lead to social isolation.

Aust STI and HIV testing guidelines 2014: for asymptomatic men who have sex with men NSW STI Programs Unit, Sydney, 2019. 2p.

Guidelines developed to encourage regular STI screening. Approved by the Royal Australian College of General Practitioners.

Hep C is everyone’s business/protect yourself: be blood aware/know your status - get tested/cures, treatments and new meds Nukuwarrin Yunti, Adelaide, 2019. 4 posters.

New features coming soon to

hepatitissa.asn.au/library January 2020 • HEPATITIS SA COMMUNITY NEWS 84

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The Hepatitis SA Education Team

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(continued from p3)

Education to community groups can be anything from a one off hour long session, to regular bimonthly sessions, or a longer, project style engagement.

In previous years, projects undertaken by the education team have included creating an induction video for the young people at the Adelaide Youth Training Centre, screen printing with a homelessness service in Port Adelaide and creating quilting tiles for a recovery group which were made in to a large quilt to hang in their meeting space.

All education sessions and projects are provided free of charge to all organisations across South Australia. At each session every effort is made to tailor the information to the needs of the service.

If required the Education Team will enlist the support of experts such as the Viral Hepatitis Nurses.

The Education team also coordinates the Positive Speaking program. The Positive Speakers have a lived experience of hepatitis B or hepatitis C and will accompany

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Naloxone (continued from p5)

the educators to their session and provide their lived experience to the group. This program is very powerful in reducing the stigma associated with these viruses. Some feedback the team has received from participants about positive speakers includes: ‘You need to write a book, as I was listening to your story it was playing out in my head.’ (from a doctor in an emergency department) ‘I have never listened so closely to anything in the education sessions.’ (from another doctor in an emergency department) ‘You are a wonderful speaker and an inspiration.’ (from a person studying Cert IV Individual Support) ‘I learned a lot, made me think twice to get double checked because I was a drug injecter.’ (from a client of a drug and alcohol service) If your organisation or community group would like one of Hepatitis SA’s highly skilled educators to come and talk to your staff or group, please contact Jenny on 83628443 or email education@hepsa. asn.au. v

HEPATITIS SA COMMUNITY NEWS 84 • January 2020

doing chest compressions.

Sometimes it’s a matter of needing both. Naloxone will bring somebody around, but if they haven’t had blood circulating and oxygen, they may not be that great when they come around.

I keep my naloxone kit on top of the fridge. It has an overdose badge on it, but it’s like a large make-up bag, and in it there are fits, two different sizes of needles, swabs, my sharps container, and there is a little box with the ampoules and instructions inside it, in case it’s not me using it.

Friends who visit me all know where my kit is, and we’re all pretty comfortable and confident with how to use naloxone. It’s part of taking responsibility for your own drug use.

I think it would be good if it could be made less expensive.

It’s not like people are going to be getting that drug to take it for themselves—it’s a public service! So if the cost could be kept down, it would be easier for some people to get. Because not everybody sees a GP regularly and the price should not be a barrier.

They have to have access to naloxone. v Gabrielle’s interview was provided by Overdose Lifesavers

Useful Services & Contacts Hepatitis SA Free education sessions, printed information, telephone information and support, referrals, clean needle program and library.

(08) 8362 8443 admin@hepatitissa.asn.au www.hepsa.asn.au Hepatitis SA Helpline 1800 437 222 (cost of a local call) Adelaide Dental Hospital A specially funded clinic provides priority dental care for people with hepatitis C with a Health Care Card.

Call Hepatitis SA on 1800 437 222 for a referral. beyondblue Mental health information line

Hutt St Centre Showers, laundry facilities, visiting health professionals, recreation activities, education and training, legal aid and assistance services provided to the homeless.

Nunkuwarrin Yunti An Aboriginal-controlled, citybased health service with clean needle program and liver clinic.

258 Hutt St, Adelaide SA 5000 (08) 8418 2500

PEACE Multicultural Services HIV and hepatitis education and support for people from nonEnglish speaking backgrounds.

Lifeline National, 24-hour telephone counselling service.

13 11 14 (cost of a local call) www.lifeline.org.au Mental Health Crisis Service 24 hour information and crisis line available to all rural, remote and metropolitan callers.

13 14 65

1300 224 636 www.beyondblue.org.au

MOSAIC Counselling Service For anyone whose life is affected by hepatitis and/or HIV.

Clean Needle Programs in SA For locations visit the Hepatitis SA Hackney office or call the Alcohol and Drug Information Service.

(08) 8223 4566

1300 131 340 Community Access & Services SA Alcohol and drug education; clean needle program for the Vietnamese and other communities.

(08) 8447 8821 headspace Mental health issues are common.

Find information, support and help at your local headspace centre 1800 650 890 www.headspace.org.au

(08) 8406 1600

(08) 8245 8100 Sex Industry Network Promotes the health, rights and wellbeing of sex workers.

(08) 8351 7626 SAMESH South Australia Mobilisation + Empowerment for Sexual Health www.samesh.org.au Youth Health Service Free, confidential health service for youth aged 12 to 25.

Youth Helpline: 1300 13 17 19 Parent Helpline: 1300 364 100

Viral Hepatitis Community Nurses Care and assistance, education, streamlined referrals, patient support, work-up for HCV treatment, monitoring and follow-ups. Clients can self-refer. Contact nurses directly for an appointment.

Central: Margery - 0423 782 415 margery.milner@sa.gov.au

Debbie/Rose - 0401 717 953

North: Lucy - 0401 717 971

Michelle - 0413 285 476

South: Rosalie - 0466 777 876 rosalie.altus@sa.gov.au

Jeff - 0466 777 873

Specialist Treatment Clinics Subsidised treatment for hepatitis B and C are provided by specialists at the major hospitals. You will need a referral from your GP. However, you can call the hospitals and speak to the nurses to get information about treatment and what you need for your referral.

• Flinders Medical Centre Gastroenterology & Hepatology Unit: call 8204 6324 • Queen Elizabeth Hospital: call 8222 6000 and ask to speak a viral hepatitis nurse • Royal Adelaide Hospital Viral Hepatitis Unit: call Anton on 0401 125 361 or 8222 2081 • Lyell McEwin Hospital: call Michelle on 0413 285 476 or Lucy on 0401 717 971

SALEN South Australian Lived Experience Network

12.30pM : luncH 1pM: iceBREAKeR: pictURE it 1.40pM: JESSicA gilES FRoM BPD co 2.30pM: gRiEF & loSS—WoRKing WiTH it: KATEY BEREnY FRoM minD AuStRAliA hElPS US lEARn To copE

THURSDAY, 27 FEBRUARY, 2020 MEeting: 1–4pm

ADminiStRATion AnD LEARning SERviceS BuiLding, gLenSidE HEALTH SERviceS 226 FulLARTon RoAd, gLenSidE SA 5065 RSVP: EMAil MARgy At MARgAReT@HePSA.ASn.AU oR PHone: HEpATiTiS SA 8362 8443 2 HEPATITIS SA COMMUNITY NEWS 84 • January 2020