#78 HepSA Community News

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æüõñăõ Ąñûõ ÿþõ

,ĞƉĂƟƟƐ ^ ƉƌŽǀŝĚĞƐ ĨƌĞĞ ŝŶĨŽƌŵĂƟŽŶ ĂŶĚ ĞĚƵĐĂƟŽŶ ŽŶ ǀŝƌĂů ŚĞƉĂƟƟƐ͕ ĂŶĚ ƐƵƉƉŽƌƚ ƚŽ ƉĞŽƉůĞ ůŝǀŝŶŐ ǁŝƚŚ ǀŝƌĂů ŚĞƉĂƟƟƐ͘

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HEPATITIS SA BOARD ÙøñùĂ Arieta Papadelos ìùóõ ÙøñùĂ Bill Gaston éõóĂõĄñĂĉ Lindsay Krassnitzer êĂõñăąĂõĂ Sam Raven åĂôùþñĂĉ ãõýòõĂă Catherine Ferguson Ratan Gazmere Kirsten Hicks Sharon Jennings Maggie McCabe Kerry Paterson (EO) Deborah Perks

Contents - ÜñĄñü ÞõĀñĄùĄùă × . êùýõ öÿĂ êĂõñĄýõþĄ / ìùĂñü ÞõĀñĄùĄùă ÙÿþöõĂõþóõ 2 ãñĀĀùþ÷ ÞõĀ Ù 4 ÞõĀ Ù ¿ éýÿûùþ÷ -, éÿąĄø ×ăùñþ âùĆõĂ ÞõñüĄø æĂÿúõóĄ -. ×ĂĄ ¿ ×ćñĂõþõăă -. Ùñþñôùñþ Ùäæă -/ íøñĄėă åþ -0 ßþ ÿąĂ âùòĂñĂĉ -2 íÿĂüô ÞõĀñĄùĄùă Úñĉ .,-4 ùă óÿýùþ÷

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.

ÜñĄñü ÞõĀñĄùĄùă × äõć ņĂñùþ öÿąþô ùþ öĂÿĊõþ öĂąùĄ

I

ýĀÿĂĄõô öĂÿĊõþ pomegranate sold at Coles ăąĀõĂýñĂûõĄă ćñă òõüùõĆõô Ąÿ øñĆõ óñąăõô ñ þąýòõĂ ÿö óñăõă ÿö øõĀñĄùĄùă × ñþô üõô Ąÿ Ąøõ ôõñĄø ÿö ñ éÿąĄø ׹ăĄĂñüùñþ ćÿýñþ êøõ ôñþ÷õĂ Ąÿ Ąøõ óÿýýąþùĄĉ ùă þÿć òõüùõĆõô Ąÿ øñĆõ Āñăăõô ÙĂõñĄùĆõ ÝÿąĂýõĄ öĂÿĊõþ pomegranate arils were recalled in April. “The ùþóąòñĄùÿþ ĀõĂùÿô öÿĂ hepatitis A is generally 15-50 days, so we don’t anticipate öąĂĄøõĂ óñăõă òõóñąăõ Ąøõ ĀĂÿôąóĄ ćñă Ăõóñüüõô Ąćÿ months ago.” said SA Health Ùøùõö ãõôùóñü åŃóõĂ æñôôĉ Phillips in a media release on 1 àąþõ .,-4 ęêøõ ýñúÿĂùĄĉ ÿö ĀõÿĀüõ ùþöõóĄõô ćùĄø øõĀñĄùĄùă × ĂõóÿĆõĂ öąüüĉ ñþô Ąøõ woman’s death is the only death linked to this recalled ĀĂÿôąóĄ þñĄùÿþñüüĉ Ąÿ ôñĄõ Ě he said.

“While we expect most ĀõÿĀüõ ćÿąüô øñĆõ ôùăĀÿăõô ÿö Ąøõ Ăõóñüüõô ĀĂÿôąóĄ ćõ ąĂ÷õ õĆõĂĉÿþõ Ąÿ ôÿąòüõ« óøõóû öĂõõĊõĂă ñþô ĂõýÿĆõ ñþĉ ñŀõóĄõô ĀĂÿôąóĄă Ě æĂÿöõăăÿĂ æøùüüùĀă ăñùô Ąøõ woman’s death has been ĂõöõĂĂõô Ąÿ Ąøõ óÿĂÿþõĂ ęêøùă is a rare and tragic case and I ÿŀõĂ ýĉ ăùþóõĂõ óÿþôÿüõþóõă Ąÿ Ąøõ ćÿýñþėă öñýùüĉ Ě øõ said. ×óĂÿăă ׹ăĄĂñüùñ ĄøõĂõ øñĆõ òõõþ .0 óñăõă ÿö øõĀñĄùĄùă × üùþûõô Ąÿ Ąøõ Ăõóñüüõô ĀĂÿôąóĄ

ćùĄø Ąćÿ ÿö Ąøÿăõ ùþ éÿąĄø ׹ăĄĂñüùñ

øõ ôõăóĂùòõô ñă ñ ęĂõüñĄùĆõüĉ ăýñüü òñĄóøĚ ñă ñ ĀĂõóñąĄùÿþ

é× ÞõñüĄø ŁĂ㥠ùăăąõô ñôĆùóõ Ąÿ Ąøõ Āąòüùó ÿþ ×ĀĂùü 3 öÿüüÿćùþ÷ ñ ĀĂõóñąĄùÿþñĂĉ Ăõóñüü ÿö Ąøõ ĀĂÿôąóĄ òõóñąăõ ÿö ñ üùþû Ąÿ ñ øõĀñĄùĄùă × ÿąĄòĂõñû ùþ äéí × ĂõýùþôõĂ ñòÿąĄ Ąøõ Ăõóñüü ćñă ùăăąõô ÿþ May 8.

NSW Health had warned ñþĉÿþõ ćøÿėă òÿą÷øĄ Ąøõ öĂÿĊõþ öĂąùĄ öĂÿý Ùÿüõă not to eat it, and Entyce Üÿÿô ßþ÷ĂõôùõþĄă ùăăąõô ñ ăĄñĄõýõþĄ ùôõþĄùöĉùþ÷ Ąøõ ĀÿĄõþĄùñü óąüĀĂùĄ ñă ÙĂõñĄùĆõ ÝÿąĂýõĄ ÜĂÿĊõþ Pomegranate (180g), with

êøõ ăąĀĀüùõĂ ÿö Ąøõ ùýĀÿĂĄõô ĀĂÿôąóĄ Ąøÿą÷øĄ Ąÿ òõ responsible had recalled what

(continued on p16)

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× óñüü öÿĂ ÷ÿĆõĂþýõþĄ ñóĄùÿþ öĂÿý ÞõĀñĄùĄùă ׹ņĂñüùñ

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õĀñĄùĄùă ׹ăĄĂñüùñ ùă ĆõĂĉ disappointed the Federal ÝÿĆõĂþýõþĄ øñă óøÿăõþ þÿĄ Ąÿ ñóĄ Ąÿ ñüüÿóñĄõ öąþôă ùþ Ąøõ Øąô÷õĄ Ąÿ ñĂĂõ㥠Ąøõ ôõóüùþõ in hepatitis C treatment. The öñüü ùþ ĄĂõñĄýõþĄ ùþùĄùñĄùÿþă øñă òõõþ õĆùôõþĄ ăùþóõ üñĄõ üñ㥠ĉõñĂ ñþô ùă ĀąĄĄùþ÷ Ąøõ Health Minister’s stated goal ÿö õüùýùþñĄùþ÷ øõĀñĄùĄùă Ù òĉ 2030 in jeopardy. êÿ ôñĄõ Ąøõ ÝÿĆõĂþýõþĄ has indicated that it is ćñùĄùþ÷ öÿĂ ĖÿŃóùñü Ł÷ąĂõăė Ąÿ óÿþŁĂý ćøñĄ õĆõĂĉÿþõ else in the sector already knows. Hepatitis C treatment øñă òõõþ ùþ ôõóüùþõ öÿĂ more than six months, and ùă òõüÿć Ąøõ üõĆõü ĂõāąùĂõô öÿĂ õüùýùþñĄùÿþ ÷ÿñüă Ąÿ òõ ñóøùõĆõô ñþô òõüÿć Ąøõ üõĆõü Ąøõ ÷ÿĆõĂþýõþĄ ùĄăõüö needs to extract the best Ćñüąõ öĂÿý ùĄă ăąòăĄñþĄùñü ùþĆõăĄýõþĄ ùþ ýñûùþ÷ Ąøõ øõĀñĄùĄùă Ù óąĂõă ñĆñùüñòüõ Ąÿ õĆõĂĉ ׹ăĄĂñüùñþ ćùĄø Ąøõ ĀÿĄõþĄùñüüĉ öñĄñü üùĆõĂ disease. ÚñĄñ ăą÷÷õăĄă ĄøñĄ ÿþüĉ - .,, patients were initiated on treatment in April 2018. êøùă ùă ćõüü òõüÿć Ąøõ Ùøùõö ãõôùóñü åŃóõĂėă ăĄñĄõô ĂõāąùĂõýõþĄ ĄøñĄ ׹ăĄĂñüùñ ýąăĄ ĄĂõñĄ - 1,, Ąÿ . ,,, þõć ĀñĄùõþĄă õĆõĂĉ ýÿþĄø to reach elimination by

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2030. Since December 2017, ÞõĀñĄùĄùă ׹ăĄĂñüùñ øñă ćñĂþõô ñòÿąĄ Ąøùă ôõóüùþõ ñþô þąýòõĂă òõùþ÷ ćõüü òõüÿć Ąøõ ÝÿĆõĂþýõþĄėă target, so when will the ÝÿĆõĂþýõþĄ óøÿÿăõ Ąÿ ñóĄ ÞõĀñĄùĄùă ׹ăĄĂñüùñ ćñă Ąøõ ŁĂ㥠ÿĂ÷ñþùăñĄùÿþ Ąÿ ôĂñć attention to the dramatic ôõóüùþõ ùþ ĄĂõñĄýõþĄ ąĀĄñûõ ćøõþ ùĄ ĀąĄ öÿĂćñĂô ñ Āüñþ ùþ ùĄă ĀĂõ«òąô÷õĄ ăąòýùăăùÿþ Ąÿ ñôôĂõăă Ąøõ ùăăąõ íõ Ăõóÿýýõþôõô Ąøõ ąĂ÷õþĄ óÿþĆõþùþ÷ ÿö ĀĂùýñĂĉ óñĂõ experts in general practice ñþô ĀĂñóĄùóõ þąĂăõă ñüÿþ÷ăùôõ óÿýýąþùĄĉ ÷ĂÿąĀă Ąÿ õþăąĂõ ĄĂõñĄýõþĄ ćÿąüô Ăõñóø those who may be silently ĀĂÿ÷Ăõăăùþ÷ Ąÿ ăõĂùÿąă üùĆõĂ disease. Recognising the then Ąù÷øĄ òąô÷õĄ óÿþăĄĂñùþĄă ÞõĀñĄùĄùă ׹ăĄĂñüùñ ýÿôùŁõô ùĄă Ăõāąõ㥠ñþô ñăûõô ÷ÿĆõĂþýõþĄ Ąÿ ùþĆõ㥠{.,ý ÿĆõĂ ĄøĂõõ ĉõñĂă Ąÿ ¹

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ùþĄĂÿôąóõ óÿýýąþùĄĉ« òñăõô õôąóñĄùÿþ Ąÿ õþóÿąĂñ÷õ Ąøÿăõ ćùĄø hepatitis C to come öÿĂćñĂô öÿĂ ĄĂõñĄýõþĄ and address concerns ñòÿąĄ ăĄù÷ýñ õôąóñĄõ Ąøõ ĀĂùýñĂĉ óñĂõ ăõóĄÿĂ ĀñĂĄùóąüñĂüĉ general practitioners ñþô þąĂăõ ĀĂñóĄùĄùÿþõĂă

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ñòÿąĄ Ąøõ ñĆñùüñòùüùĄĉ ÿö Ąøõăõ óąĂñĄùĆõ ĄĂõñĄýõþĄă ñþô Ąøõ ôùĆõĂăõ ĄĉĀõă ÿö patients in their practices ćøÿ óÿąüô òõþõŁĄ ¹

õþăąĂõ Ąøõ ãØé ĀĂÿĆùôõă Łþñþóùñü Ăõóÿ÷þùĄùÿþ ÿö Ąøõ Ąùýõ ñþô ăąĀĀÿĂĄ ĂõāąùĂõô Ąÿ õþăąĂõ people with hepatitis Ù ñĂõ óąĂõô ñĆÿùôùþ÷ ĀÿĄõþĄùñü üùĆõĂ óùĂĂøÿăùă üùĆõĂ óñþóõĂ ñþô üùĆõĂ transplants

êøõ ÝÿĆõĂþýõþĄ ĀÿüùĄõüĉ üùăĄõþõô Ąÿ ÿąĂ óÿþóõĂþă ïõĄ ùĄ øñă öñùüõô Ąÿ ñóĄ ôõăĀùĄõ ñ ĂõóÿĂô ĂõĆõþąõ öÿĂõóñ㥠ñþô ùþĆõăĄýõþĄ ùþ ÿĄøõĂ ăąĀĀÿĂĄùĆõ ăõĂĆùóõă associated with medicines. ×ă Ąøõ þąýòõĂă ôõóüùþõ ùĄ òõóÿýõă ýąóø øñĂôõĂ Ąÿ õüõĆñĄõ ĄĂõñĄýõþĄ ùþùĄùñĄùÿþă òñóû ąĀ Ąÿ Ąøõ ĀÿùþĄ ćøõĂõ õĆõĂĉÿþõ ÷ñùþă Úąõ Ąÿ the landmark deal the ÷ÿĆõĂþýõþĄ þõ÷ÿĄùñĄõô ćùĄø ĀøñĂýñóõąĄùóñü óÿýĀñþùõă the more people that are treated the lower the price ÷ÿĆõĂþýõþĄ Āñĉă öÿĂ Ąøõ medicines. Úõüñĉùþ÷ Ąñûùþ÷ ñóĄùÿþ ąþĄùü ĖÿŃóùñüė Ł÷ąĂõă ñĂõ ñĆñùüñòüõ ýñûõă þÿ ăõþăõ öĂÿý ñ ÷ÿĆõĂþýõþĄ ĀõĂăĀõóĄùĆõ ÿĂ öÿĂ Ąøõ Ąõþă ÿö Ąøÿąăñþôă ÿö ׹ăĄĂñüùñþă ćõ ăĄùüü þõõô Ąÿ

Ăõñóø Ąÿ ôõüùĆõĂ Ąøõăõ óąĂõă ëþüõăă Ąøùă ùăăąõ ùă ąĂ÷õþĄüĉ addressed elimination will simply take longer, cost ýÿĂõ Łþñþóùñüüĉ ñþô üõñô Ąÿ ñĆÿùôñòüõ ĀÿÿĂ øõñüĄø ÿąĄóÿýõă öÿĂ Ąøÿąăñþôă ÿö ׹ăĄĂñüùñþă êøõ æØé üùăĄùþ÷ ÿö Ąøõ hepatitis C medicines in 2016 was the biggest single ùþĆõăĄýõþĄ ùþ ñ óąĂõ öÿĂ ñ óøĂÿþùó ôùăõñăõ õĆõà ߥ ùă ąþóÿþăóùÿþñòüõ ĄøñĄ Ąøõăõ óąĂõă ćùüü þÿĄ Ăõñóø Ąøõ ĀõÿĀüõ ćøÿ þõõô Ąøõý ôąõ Ąÿ ñ öñùüąĂõ Ąÿ Ăñùăõ óÿýýąþùĄĉ ñćñĂõþõăă ñþô ăąĀĀÿĂĄ Ýæ õôąóñĄùÿþ öÿĂ ĀĂõăóĂùòùþ÷ ØõĄĄõĂ øõñüĄø ÿąĄóÿýõă óñþ òõ ñóøùõĆõô òĉ ùþĆõăĄùþ÷ ùþ Ąøõăõ ýõñăąĂõă êøùă ùă ăąóø ñ ĂñĂõ ÿĀĀÿĂĄąþùĄĉ Ąÿ õüùýùþñĄõ ñ chronic disease, we cannot ăāąñþôõĂ ùĄ êøõ õĆùôõþóõ ùă clear and action is needed now.

êøõ --Ąø ׹ăĄĂñüñăùñþ ìùĂñü ÞõĀñĄùĄùă ÙÿþöõĂõþóõ ùă Ąñûùþ÷ Āüñóõ ÿþ -/¯-1 ׹÷ąăĄ .,-4 ñĄ Ąøõ ×ôõüñùôõ ÙÿþĆõþĄùÿþ ÙõþĄĂõ ùþ ×ôõüñùôõ êøõ ׹ăĄĂñüñăùñþ ìùĂñü ÞõĀñĄùĄùă ÙÿþöõĂõþóõ ùă Ąøõ üõñôùþ÷ ýąüĄùôùăóùĀüùþñĂĉ ìùĂñü ÞõĀñĄùĄùă óÿþöõĂõþóõ ùþ ׹ăĄĂñüñăùñ íõ ñĂõ ùþ ñþ õĈóùĄùþ÷ Ąùýõ íõ øñĆõ Ąøõ ÿĀĀÿĂĄąþùĄĉ Ąÿ ùýĀñóĄ ĆùĂñü øõĀñĄùĄùă ùþ ñ ćñĉ þõĆõĂ òõöÿĂõ Āÿăăùòüõ ÞÿćõĆõĂ ñă ćùĄø õĆõĂĉ ÷ĂõñĄ õþôõñĆÿąĂ ĄøõĂõ ùă Ąøõ Ăùăû ĄøñĄ ăÿýõ ĀõÿĀüõ ćùüü ýùăă Ąøõ ÿĀĀÿĂĄąþùĄùõă ñŀÿĂôõô òĉ ĂõóõþĄ ñôĆñþóõă ùþ ĄøõĂñĀõąĄùóă ùýĀüõýõþĄñĄùÿþ ñþô Āÿüùóĉ íÿĂăõ Ąøÿăõ ćøÿ ýùăă ÿąĄ ýñĉ òõ Ąøõ ĀõÿĀüõ ćøÿ óÿąüô òõþõŁĄ ýÿ㥠åąĂ óÿþöõĂõþóõ ùă ùþăĀùĂõô òĉ Ąøõ .,/, ×÷õþôñ öÿĂ éąăĄñùþñòüõ ÚõĆõüÿĀýõþĄ ñþô ùĄă öÿóąă ÿþ ùþóüąăùÿþ ñþô øõñüĄø öÿĂ ñüü êøõ ĀĂÿ÷Ăñý ćùüü ăøÿćóñăõ ñþô óĂùĄùóñüüĉ õĈñýùþõ ćñĉă Ąÿ õŀõóĄùĆõüĉ Ăõñóø õĆõĂĉÿþõ üùĆùþ÷ ćùĄø ĆùĂñü øõĀñĄùĄùă ćøùüõ òõùþ÷ ùþóüąăùĆõ ÿö ĄøõùĂ õĈĀõĂùõþóõă and concerns. êøõ óÿþöõĂõþóõ ćùüü òõ ñþ õĈóõüüõþĄ ĀüñĄöÿĂý Ąÿ øõñĂ ĀĂõăõþĄñĄùÿþă ÿþ Ąøõ üñĄõ㥠ĂõăõñĂóø ùþ ìùĂñü ÞõĀñĄùĄùă ñþô öÿĂ ćÿĂûõĂă ùĄ ùă ñ ÷ĂõñĄ ÿĀĀÿĂĄąþùĄĉ Ąÿ þõĄćÿĂû ćùĄø ĉÿąĂ peers. êøõ .,-4 ĀĂÿ÷Ăñý ćùüü ùþóüąôõ ûõĉ ĀĂõăõþĄñĄùÿþă ñþô ăõăăùÿþă ÿþ Ąøõ öÿüüÿćùþ÷ ĄÿĀùóă ¹

ßþõāąñüùĄĉ

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ÙÿýýąþùĄĉ Ûþ÷ñ÷õýõþĄ

Þÿć ÿöĄõþ ôÿ ÷ÿĆõĂþýõþĄă ôÿóĄÿĂă ñþô Ąøõ óÿýýąþùĄĉ ÷õĄ Ąøõ óøñþóõ Ąÿ óąĂõ ñ ôùăõñăõ Þÿć ýąóø üÿþ÷õĂ ôÿ ćõ þõõô Ąÿ ćñùĄ

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ìùĂñü ÞõĀñĄùĄùă ùþ ÙÿĂĂõóĄùÿþñü ăõĄĄùþ÷ă

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Modelling

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ãõñăąĂùþ÷ ĀĂÿ÷Ăõăă ĄÿćñĂôă ĆùĂñü øõĀñĄùĄùă elimination

áõĆùþ ãñĂĂùÿĄĄ ÚùĂõóĄÿĂ æÿüùóĉ ¿ æĂÿ÷Ăñýă ñĄ ÞõĀñĄùĄùă ׹ăĄĂñüùñ

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Ùñăóñôõ ÿö óñĂõ

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New diagnostics and treatments

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ãÿôõüă ÿö óñĂõ

ãÿĂõ ùþöÿĂýñĄùÿþ ĀĂÿ÷Ăñý ôõĄñùüă ñþô Ăõ÷ùăĄĂñĄùÿþă óñþ òõ öÿąþô ñĄ www.hepatitis.org.au.

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3

ÙÿýýąþùĄĉ éõĂĆùóõă ÞõĀ Ø õôąóñĄùÿþ þñĄùÿþćùôõ

F

lexibility, persistence and ĀñĄùõþóõ ñĂõ óĂąóùñü ćøõþ ćÿĂûùþ÷ ćùĄø óÿýýąþùĄùõă That was the strong message óÿýùþ÷ ÿąĄ ÿö Ąøõ ăõóÿþô ÞõĀñĄùĄùă Ø ÙÿýýąþùĄĉ ÛôąóñĄùÿþ éĉýĀÿăùąý æĂÿúõóĄ ćÿĂûõĂă öĂÿý ñĂÿąþô ׹ăĄĂñüùñ ýõĄ ùþ õñĂüĉ ãñĉ to share experiences as their two-year Hepatitis Ø ÙÿýýąþùĄĉ ÛôąóñĄùÿþ projects draw to a close.

The challenges were many; as ćõĂõ Ąøõ ñóøùõĆõýõþĄă For SA delegates, most ÿąĄăĄñþôùþ÷ ćõĂõ Ąøõ ćÿĂû ÿö çąõõþăüñþô ñþô Northern Territory (NT) project workers engaging with remote Aboriginal óÿýýąþùĄùõă íÿĂûùþ÷ óüÿăõüĉ ćùĄø íąĂüù« íąĂüùþúñþ÷ ×òÿĂù÷ùþñü ÞõñüĄø éõĂĆùóõ ±wurli.org.au), NT project workers Daniel Ąùă ùă ñþô ßĂõþõ ĀĂÿĆùôõô øõĀñĄùĄùă Ø õôąóñĄùÿþ Ąÿ ÿĆõĂ -2,, 6 participants. Between 2016 % and 2017, there was a 67% ing in g increase in hepatitis B testing ùõă ùõ ă ùþ Ąøõ ĄñĂ÷õĄõô óÿýýąþùĄùõă ÞõĀñĄùĄùă çąõõþăüñþô òĂÿą÷øĄ øõĀñĄùĄùă Ø óÿýýąþùĄĉ õôąóñĄùÿþ Ąÿ ĂĄø Ąø óÿýýąþùĄùõă ùþ Ąøõ öñĂ þÿĂĄø ÿö ÿö Ąøõ ăĄñĄõ ćùĄø Ąøõ øõüĀ ÿö ô ñ Ćùăąñü ñĂĄù㥠ćøÿ ćÿĂûõô ă Ą Ąÿ ÿ ćùĄø óÿýýąþùĄĉ ýõýòõĂă Ąÿ ûă ûă ĀĂÿôąóõ òõñąĄùöąü ñĂĄćÿĂûă d which were then displayed

ñĄ óÿýýąþùĄĉ óüùþùóă Ąÿ ÷õþõĂñĄõ óÿþĆõĂăñĄùÿþă ãñþĉ ÿö Ąøõ ñĂĄćÿĂûă ĂõĆÿüĆõô ñĂÿąþô ĄøõùĂ ćÿþôõĂöąü ĀĂÿúõóĄ üÿ÷ÿ ÿö ñ Hep B Family Tree. ×þÿĄøõĂ ùýĀĂõăăùĆõ ĀĂõăõþĄñĄùÿþ ćñă öĂÿý àñćùô Sayed, who worked with Ąøõ ×ö÷øñþù óÿýýąþùĄĉ ùþ ìùóĄÿĂùñ íÿĂûùþ÷ ăõþăùĄùĆõüĉ and with persistence, ĀĂÿúõóĄ ćÿĂûõĂă ăąóóõăăöąüüĉ established relationships ćùĄø Ąøõ õĄøþùóñüüĉ ôùĆõĂăõ óÿýýąþùĄĉ ęãñþĉ ĀõÿĀüõ öĂÿý Ąøùă óÿýýąþùĄĉ ñĂõ ôõñüùþ÷ ćùĄø ĄĂñąýñ«ĂõüñĄõô ùăăąõă ñþô öąĂĄøõĂýÿĂõ ùĄ ùă ñ ăÿóùñüüĉ óÿþăõĂĆñĄùĆõ óÿýýąþùĄĉ where reaching the women ùþ Ąøõ óÿýýąþùĄĉ ùă āąùĄõ ñ challenge,” Jawid said. ęíõ ÷ÿĄ ÿąĂ ýõăăñ÷õă Ąÿ Ąøõ ćÿýõ ćÿ ýõþ þ ñĄ ñĄ ò òù÷ ù÷ ó óÿý ÿýýą ýąþù þùĄĉ Ąĉ ćÿýõþ ñĄ òù÷ óÿýýąþùĄĉ

õĆõþĄă ăøÿĀĀùþ÷ óõþĄĂõă ñþô üùòĂñĂùõă ×üăÿ øñĆùþ÷ ĆÿüąþĄõõĂă ñþô ăąĀĀÿĂĄõĂă öĂÿý Ąøõ óÿýýąþùĄĉ ćñă ñ big help.” Øù«óąüĄąĂñü ćÿĂûõĂă ñþô ĆÿüąþĄõõĂă öĂÿý ĄñĂ÷õĄõô óÿýýąþùĄùõă öõñĄąĂõô ăĄĂÿþ÷üĉ ùþ ĀĂÿúõóĄă öĂÿý äõć éÿąĄø íñüõă éÿąĄø ׹ăĄĂñüùñ ñþô íõăĄõĂþ ׹ăĄĂñüùñ ÞõĀñĄùĄùă äõć éÿąĄø íñüõă had Chinese and Korean ĀĂÿúõóĄ ăĄñŀ ćÿĂûùþ÷ ćùĄø ĄøõùĂ ĂõăĀõóĄùĆõ óÿýýąþùĄùõă ÙĂõñĄùĆõ ùôõñă öÿĂ õþ÷ñ÷õýõþĄ ùþóüąôõô {0,,, óÿýýąþùĄĉ ÷ĂñþĄă öÿĂ óÿýýąþùĄĉ ÷ĂÿąĀă Ąÿ design and implement their ÿćþ øõĀñĄùĄùă Ø õôąóñĄùÿþ ñóĄùĆùĄùõă ñ øõñüĄø õĈĀÿ a Korean women’s night, öñýùüĉ öąþ ôñĉă ñþô ñþ ÿĀõĂñ« style Chinese hepatitis B play (see youtu.be/ZxHTbEtshbg). í íõăĄõĂþ ׹ăĄĂñüùñ øñô ó óÿýýąþùĄĉ øõñüĄø ñ ñýòñăăñôÿĂă ćøÿ ñöĄõĂ t training, organised ù ùþöÿĂýñĄùÿþ ăõăăùÿþă ö öÿĂ ĄøõùĂ óÿýýąþùĄùõă T health ambassadors The ó óñýõ öĂÿý óÿýýąþùĄĉ o organisations or were Ă ĂõóĂąùĄõô öĂÿý ùþùĄùñü õ õôąóñĄùÿþ ăõăăùÿþă êøõ h health ambassador program e extended the hepatitis B p project’s capacity which had b been restricted by limited ö öąþôùþ÷

íÿĂûõĂă öĂÿý ĄñĂ÷õĄ óÿýýąþùĄùõă Ąÿÿ Āüñĉ ñ óĂąóùñü Ăÿüõ ùþ éÿąĄø ׹ăĄĂñüùñėă øõĀñĄùĄùă Ø ĀĂÿúõóĄă ÞõĀñĄùĄùă é×ėă Ùøùþõăõ óÿýýąþùĄĉ ĀĂÿúõóĄă öÿóąăõô ÿþ Ąøõ ćùôõĂ Ùøùþõăõ óÿýýąþùĄĉ ñă ćõüü ñă targeting pregnant women ñþô ĉÿąþ÷ ĀñĂõþĄă öĂÿý ĄøñĄ óÿýýąþùĄĉ

ăøÿćùþ÷ Ąøõ þõõô öÿĂ ăąóø ñ ăõĂĆùóõ Hepatitis ACT did not ĄñĂ÷õĄ ñþĉ óÿýýąþùĄĉ ùþ ĀñĂĄùóąüñĂ ùþăĄõñô ćÿĂûùþ÷ ćùĄø þõć ñĂĂùĆñüă ùþ ÷õþõĂñü êÿ ñĆÿùô ăĄù÷ýñĄùăùþ÷ ñþĉ ĀñĂĄùóąüñĂ óÿýýąþùĄĉ ñĄ Āąòüùó õĆõþĄă ĀĂÿúõóĄ ćÿĂûõĂă ąăõ ñ üñĂ÷õ ýñĀ

áõĉ óøñüüõþ÷õă ùôõþĄùŁõô òĉ ăĉýĀÿăùąý ĀñĂĄùóùĀñþĄă ćõĂõ üñóû ÿö Ąùýõ üñóû ÿö öąþôă ăùýĀüõ ĀñĄøćñĉă linking doctors with óÿýýąþùĄùõă Ąøõ þõõô öÿĂ ûþÿćüõô÷õñòüõ Ýæă ñþô Ąøõ þõõô öÿĂ ûþÿćüõô÷õñòüõ óÿýýąþùĄĉ ćÿĂûõĂă èõĀĂõăõþĄñĄùĆõă öĂÿý ÷ÿĆõĂþýõþĄ ôõĀñĂĄýõþĄă reminded participants that in reporting on the projects it was important to not only ĂõĀÿĂĄ þąýòõĂă òąĄ Ąÿ ñüăÿ report on the work behind the þąýòõĂă Ąøõ Ąùýõ ùþĆõăĄýõþĄ needed and so on. ÚĂ àñóû íñüüñóõ ÿþõ ÿö Ąøõ expert panel members, ĀÿùþĄõô ÿąĄ ĄøñĄ øõĀñĄùĄùă Ø ćÿĂû ùþ ׹ăĄĂñüùñ ćñă ăĄùüü ùþ ùĄă õñĂüĉ ăĄñ÷õă ñþô ćøñĄõĆõĂ Ąøõ ÿąĄóÿýõă ÿö Ąøõ ĀĂÿúõóĄă Ąøõ üõăăÿþă öĂÿý Ąøõý ñĂõ óĂąóùñü öÿĂ öąĄąĂõ øõĀñĄùĄùă Ø óÿýýąþùĄĉ õôąóñĄùÿþ ćÿĂû

Øąùüôùþ÷ ÿþ ăĄĂÿþ÷ established relationships ćùĄø Ąøõ óÿýýąþùĄĉ Ąøõ projects were able to extend òõĉÿþô ùþöÿĂýñĄùÿþ ñþô õôąóñĄùÿþ åĆõĂ -04, ĀõÿĀüõ ćõĂõ Ăõñóøõô ùþóüąôùþ÷ -/, people tested and 90 people ĆñóóùþñĄõô × Ùøùþõăõ üñþ÷ąñ÷õ ùþöÿĂýñĄùÿþ ñþô ăąĀĀÿĂĄ ăõĂĆùóõ°ñĆñùüñòüõ ÿþ ýÿòùüõ Āøÿþõ ñþô Ćùñ ăÿóùñü ýõôùñ ĀüñĄöÿĂý íõÙøñĄ°øñô 950 client contacts, clearly

ăøÿćùþ÷ ÷üÿòñü ĀĂõĆñüõþóõ êøõ ýñĀ ñüăÿ ĀĂÿĆõô Ąÿ òõ ñþ õööõóĄùĆõ õþ÷ñ÷õýõþĄ tool.

In contrast to the other states and territories, Tasmania’s hepatitis B õôąóñĄùÿþ ćÿĂû ćñă ĄñĂ÷õĄõô ñĄ ýõþ ćøÿ øñĆõ ăõĈ ćùĄø ýõþ ßþöÿĂýñĄùÿþ øñă òõõþ òĂÿñôóñ㥠Ćùñ Ăñôùÿ ùþĄõĂĆùõćă ñþô ñ ăõĂùõă ÿö permanent podcasts is being ôõĆõüÿĀõô

íøùüõ ăÿýõ ĀĂÿúõóĄă öÿóąăõô ýÿĂõ ăĄĂÿþ÷üĉ ÿþ öñóõ Ąÿ öñóõ óÿýýąþùĄĉ ùþĄõĂñóĄùÿþ ÿĄøõĂă õýĀøñăùăõô ĂõăÿąĂóõ ôõĆõüÿĀýõþĄ êøõĂõ ćõĂõ ăą÷÷õăĄùÿþă öÿĂ ñþ ÿþüùþõ ĂõĀÿăùĄÿĂĉ öÿĂ ĂõăÿąĂóõă Participants at the ăĉýĀÿăùąý ñ÷Ăõõô ÿþ Ąøõ þõõô Ąÿ óÿþĄùþąõ ăøñĂùþ÷ ÿąĂ Łþôùþ÷ă ñþô Ąøõ þõõô öÿĂ öąþôùþ÷ Ąÿ óñĂĂĉ ÿþ Ąøõ ćÿĂû ăÿ ñă þÿĄ Ąÿ üÿăõ ýÿýõþĄąý òąùüĄ ÿĆõĂ Ąøõ üñ㥠Ąćÿ ĉõñĂă Ùõóùüùñ âùý

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5

ãñĀĀùþ÷ ÞõĀ Ù

êøõ éÿąĄø ׹ņĂñüùñþ ÿąĄüÿÿû

A

ă ĂõĀÿĂĄõô ùþ ÿąĂ üñ㥠ùăăąõ êøõ ÜùĂ㥠äñĄùÿþñü Hepatitis C Mapping Project Report has been released, ăøÿćùþ÷ ĄøñĄ Ąøõ ñĂõñă ÿö ׹ăĄĂñüùñ ćùĄø Ąøõ øù÷øõ㥠øõĀñĄùĄùă Ù ĀĂõĆñüõþóõ ñüăÿ øñĆõ Ąøõ üÿćõ㥠ĄĂõñĄýõþĄ rates. Chronic hepatitis Ù ĀĂõĆñüõþóõ ùă ÷õþõĂñüüĉ øù÷øõĂ ùþ ĂąĂñü ñþô Ăõ÷ùÿþñü locations, and lower in metropolitan areas.

The report contains õăĄùýñĄõă öÿĂ .,-2 ÿþ Ąøõ ĀĂõĆñüõþóõ ôùñ÷þÿăùă ýÿþùĄÿĂùþ÷ ñþô ĄĂõñĄýõþĄ ÿö hepatitis C at the local area, Primary Health Network (PHN) and State/Territory üõĆõü êøõĉ ñüăÿ üÿÿû ñĄ ùþôùĆùôąñü é×/ă ćøùóø ñĂõ ñ ØąĂõñą ÿö éĄñĄùăĄùóă ýõñăąĂõ ÿö ăýñüüõĂ ĀÿĀąüñĄùÿþ ñĂõñă ăąóø ñă éñüùăòąĂĉ êõñ êĂõõ Ýąüüĉ ëþüõĉ Ąøõ ãùô äÿĂĄø ÿĂ ïÿĂûõ æõþùþăąüñ éÿ ćøñĄ ôÿõă Ąøõ ĂõĀÿĂĄ øñĆõ Ąÿ ăñĉ ñòÿąĄ éÿąĄø ׹ăĄĂñüùñ

æĂõĆñüõþóõ ÞõĀñĄùĄùă Ù ĀĂõĆñüõþóõ ćñă estimated to be well below Ąøõ þñĄùÿþñü ñĆõĂñ÷õ ùþ òÿĄø ÿö Ąøõ é× æÞäă ÿö ×ôõüñùôõ ±, 14i² ñþô ÙÿąþĄĂĉ é× (0.62%) (see maps). Within Ąøõ ×ôõüñùôõ æÞä ĀĂõĆñüõþóõ òĉ é×/ ĆñĂùõô ×ôõüñùôõ ÙùĄĉ øñô Ąøõ øù÷øõ㥠ĀĂõĆñüõþóõ with 1.95%, and was one ÿö ÿþüĉ ĄøĂõõ é×/ă ćùĄø ĀĂõĆñüõþóõ øù÷øõĂ Ąøñþ Ąøõ þñĄùÿþñü ñĆõĂñ÷õ Ąøõ õăĄùýñĄõô ĀĂõĆñüõþóõ ùþ æÿĂĄ

6

Adelaide West was 1.02%, and in Port Adelaide East was - ,,i æüñĉöÿĂô ±, 5/i² ćñă the only other SA3 which had ñ øù÷øõĂ ĀĂõĆñüõþóõ õăĄùýñĄõ Ąøñþ Ąøõ ăĄñĄõ ñĆõĂñ÷õ íøùüõ the remaining two SA3s within the PHN, Charles 饹å ±, 2/i² ñþô éñüùăòąĂĉ ±, 20i² øñô ĀĂõĆñüõþóõ estimates below the state ñĆõĂñ÷õ æĂõĆñüõþóõ õăĄùýñĄõă ćõĂõ üõăă ĆñĂùñòüõ ćùĄøùþ ÙÿąþĄĂĉ é× êøõ øù÷øõ㥠ĀĂõĆñüõþóõ ćñă ĂõóÿĂôõô ùþ åąĄòñóû – North and East (1.18%), öÿüüÿćõô òĉ ãąĂĂñĉ ñþô Mallee (1.01%). Estimated øõĀñĄùĄùă Ù ĀĂõĆñüõþóõ ùþ Ąøõ remaining SA3s was below Ąøõ þñĄùÿþñü ñĆõĂñ÷õ

Úùñ÷þÿăùă ßþ é× Ąøõ ĂñĄõ ÿö øõĀñĄùĄùă Ù þÿĄùŁóñĄùÿþ ùþ òÿĄø æÞäă ćñă òõüÿć Ąøõ þñĄùÿþñü ñĆõĂñ÷õ ñüĄøÿą÷ø ùĄ ćñă óÿþăùôõĂñòüĉ øù÷øõĂ ùþ ÙÿąþĄĂĉ é× ±// 3² than in Adelaide (25.3). äÿĄùŁóñĄùÿþ ĂñĄõă ćõĂõ øù÷øüĉ ĆñĂùñòüõ òõĄćõõþ SA3s within these two areas. In Adelaide PHN, rates were highest in Adelaide ÙùĄĉ ±-/, 5² öÿüüÿćõô òĉ Port Adelaide East (68.5) ñþô æüñĉöÿĂô ±1- 4² êøõăõ rates were considerably øù÷øõĂ Ąøñþ ùþ Ąøõ Ăõ㥠ÿö the SA3s in Adelaide PHN, ćùĄø þÿĄùŁóñĄùÿþ ĂñĄõă öÿĂ hepatitis C in the remaining 13 SA3 between 5.0 and 24.7 per 100,000 residents.

=:E6I>I>H H6 8DBBJC>IN C:LH ,- ?jcZ '%&-

Similar to the estimated ĀĂõĆñüõþóõ ôùñ÷þÿăùă ĂñĄõă ùþ ÙÿąþĄĂĉ é× ćõĂõ üõăă ĆñĂùñòüõ òõĄćõõþ é×/ă êøõ highest rates were recorded ùþ åąĄòñóû ¯ äÿĂĄø ñþô Ûñ㥠±32 .² öÿüüÿćõô òĉ ãąĂĂñĉ and Mallee (58.8), Limestone Coast (44.5), and Yorke æõþùþăąüñ ±0- 4² êøõ ĂñĄõ ÿö

þÿĄùŁóñĄùÿþ öÿĂ øõĀñĄùĄùă Ù ùþ ñüü ÿĄøõĂ é×/ă ùþ ÙÿąþĄĂĉ é× PHN was below the PHN and ăĄñĄõ ñĆõĂñ÷õ

êĂõñĄýõþĄ ëĀĄñûõ ÿö ĄĂõñĄýõþĄ öÿĂ hepatitis C in SA was high, ćùĄø ×ôõüñùôõ ñóøùõĆùþ÷

Ąøõ øù÷øõ㥠üõĆõü ÿö ñóóõăă in the nation (25.9%) and ÙÿąþĄĂĉ é× Ăñþûõô -.Ąø ±-5 4i ąĀĄñûõ² ÛăĄùýñĄõô ĄĂõñĄýõþĄ ąĀĄñûõ ćùĄøùþ ×ôõüñùôõ ćñă øù÷øüĉ ĆñĂùñòüõ ÷ĂõñĄõ㥠ùþ Ąøõ é×/ă ÿö êõñ êĂõõ Ýąüüĉ ±0, 1i² äÿĂćÿÿô« Payneham-St Peters (35.3%), Campbelltown (34.9%), Mitcham (34.6%), and åþûñĀñĂùþ÷ñ ±// 0i² òąĄ øñüö Ąøõ æÞä ñĆõĂñ÷õ ùþ Ąøõ é×/ ÿö ×ôõüñùôõ ÙùĄĉ ±-. 3i² ñþô

also lower in Port Adelaide– East (18.5%). íùĄøùþ ÙÿąþĄĂĉ é× ąĀĄñûõ was generally higher in those SA3s closest to metropolitan Adelaide and lower in more ĂąĂñü ñþô ĂõýÿĄõ Ăõ÷ùÿþă êĂõñĄýõþĄ ąĀĄñûõ ćñă highest in Lower North (52.9%) and Barossa (42.8%), ćøùüõ üÿćõ㥠ùþ åąĄòñóû North and East (13.6%). ïÿą óñþ ñóóõăă Ąøõ öąüü ĂõĀÿĂĄ at bit.ly/2FETRTx.

?jcZ '%&- =:E6I>I>H H6 8DBBJC>IN C:LH ,-

,

ÙąĂõô ïÿąĂ ÞõĀ Ù äõĈĄ ëĀ çąùĄ éýÿûùþ÷ Rose Magdalene started smoking as a teenager, quit ŁĆõ Ąùýõă ñþô øñăþėĄ ăýÿûõô since 2013. Here she discusses Ąøõ øõñüĄø òõþõŁĄă ÿö āąùĄĄùþ÷ after hep C treatment.

ôõĆõüÿĀùþ÷ üùĆõĂ óñþóõĂ òĉ ąĀ to 60%3 êøõ ăñô öñóĄ ùă ĄøñĄ ăýÿûùþ÷ ûùüüă øñüö ÿö ñüü ĀõÿĀüõ ćøÿ óÿþĄùþąõ Ąÿ ăýÿûõ ñþô ñĄ üõñ㥠- ùþ 0 ÿö Ąøÿăõ ćøÿ ôùõ are aged 35-694.

ÿą ýñĉ øñĆõ Ăõñô ùþ ÿąĂ üñ㥠ùăăąõ ĄøñĄ health experts in the US are concerned that the health gains made by treating people with hep C will be lost1 òõóñąăõ Ąøùă ÷ĂÿąĀ ùă three times more likely to be ăýÿûõĂă íøùüõ ćõ ôÿþėĄ øñĆõ ñþĉ Ł÷ąĂõă ñòÿąĄ øÿć ýñþĉ people with hep C smoke here ùþ ׹ăĄĂñüùñ ćõ ôÿ ûþÿć ĄøñĄ ĄøõĂõ ñĂõ ĀüõþĄĉ ÿö ăýÿûõĂă ñýÿþ÷㥠ĀõÿĀüõ ćøÿėĆõ òõõþ treated.

êøõ ÷ÿÿô þõćă ùă ĄøñĄ ĉÿąĂ risk starts to drop as soon ñă ĉÿą ăĄÿĀ ăýÿûùþ÷5 ïÿą ĄĂõñĄõô ĉÿąĂ øõĀ Ù òõóñąăõ ĉÿą ćñþĄõô ñ üÿþ÷õĂ øõñüĄøùõĂ üùöõ ăÿ ćøĉ ăýÿûõ ßö ĉÿą öõõü òõĄĄõĂ ñöĄõĂ òõùþ÷ óąĂõô ÿö øõĀ Ù ùýñ÷ùþõ øÿć ÷ĂõñĄ ĉÿą óñþ öõõü ñă ñ þÿþ«ăýÿûõĂ

Y

ßö ĉÿąėĆõ óąĂõô ĉÿąĂ øõĀ Ù ñþô ĉÿąėĂõ ăĄùüü ăýÿûùþ÷ ùĄ ýñĉ òõ Ąùýõ Ąÿ Ąñóûüõ ĉÿąĂ next great health challenge!

ߥėă Ăõñüüĉ ćÿĂĄø ùĄ íøõþ ĉÿą ăýÿûõ ùĄėă õñăĉ Ąÿ ÷õĄ üąüüõô ùþĄÿ ñ öñüăõ ăõþăõ ÿö ęùĄėüü þõĆõĂ øñĀĀõþ Ąÿ ýõĚ òąĄ ôÿþėĄ ûùô ĉÿąĂăõüö éýÿûùþ÷ óñþ üõñô Ąÿ ñ ýąóø øù÷øõĂ Ăùăû ÿö ôõĆõüÿĀùþ÷ ýñþĉ øõñüĄø óÿþôùĄùÿþă ùþóüąôùþ÷ stroke, heart disease, cancer, diabetes and kidney disease2.

For people with hepatitis C, ăýÿûùþ÷ ùþóĂõñăõă Ąøõ Ăùăû ÿö

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ïÿą can ôÿ ùĄ ×üĄøÿą÷ø ćõ ñüü ûþÿć øÿć ôùŃóąüĄ ùĄ óñþ òõ õĆõĂĉ ĉõñĂ öõćõĂ ñþô öõćõĂ ĀõÿĀüõ smoke with smoking rates ôĂÿĀĀùþ÷ -,i ÿĆõĂ Ąøõ üñ㥠Ąćÿ ôõóñôõă åþüĉ -0i ÿö

ĀõÿĀüõ ăýÿûõ Ăõ÷ąüñĂüĉ ùþ ׹ăĄĂñüùñ þÿć óÿýĀñĂõô Ąÿ 36% in the 1970s6. That’s ñ üÿĄ ÿö ĀõÿĀüõ āąùĄĄùþ÷ öÿĂ ÷ÿÿô ÛĆõþ ùö ĉÿąėĆõ ăĄÿĀĀõô òõöÿĂõ ñþô Ąñûõþ ąĀ ăýÿûùþ÷ ñ÷ñùþ ĉÿą óñþ ăĄùüü āąùĄ

íøñĄ ćÿĂûă Nicotine replacement therapy and stop smoking ýõôùóñĄùÿþă øñĆõ øõüĀõô ýñþĉ ĀõÿĀüõ Ąÿ āąùĄ ćøùüõ ÿĄøõĂă øñĆõ ăąóóõăăöąüüĉ ÷ùĆõþ ąĀ ćùĄøÿąĄ Ąøõý ±ñüăÿ known as going cold turkey).

There’s no one right way to āąùĄ úąăĄ Ąøõ ćñĉ ĄøñĄ ćÿĂûă öÿĂ ĉÿą êøõ çąùĄüùþõ øñă ñ ĄøÿĂÿą÷ø òĂõñûôÿćþ ÿö ĉÿąĂ ÿĀĄùÿþă ñĄ www.cancersa.org.au/quitline

1 www.aidsmap.com/Smoking-threatens-health-gains-fromhepatitis-C-treatment-US-researchers-warn/page/3217879/ 2 ććć āąùĄþÿć ÷ÿĆ ñą³ùþĄõĂþõĄ³āąùĄþÿć³Āąòüùăøùþ÷ þăö³ÙÿþĄõþĄ³ damaging-your-body 3 Ùøąñþ÷ õĄ ñü .,-, ±ććć þóòù þüý þùø ÷ÿĆ³Āąòýõô³.,0035-5² 4 www.icanquit.com.au/reasons-to-quit/smoking-and-your-health/ health-dangers-of-smoking 5 ććć āąùĄ ÿĂ÷ ñą³ñĂĄùóüõă³øÿć«ĂõĆõĂăõ«øõñüĄø«õŀõóĄă«ăýÿûùþ÷³ 6 ććć ĄÿòñóóÿùþñąăĄĂñüùñ ÿĂ÷ ñą³óøñĀĄõĂ«-«ĀĂõĆñüõþóõ³-«/« ĀĂõĆñüõþóõ«ÿö«ăýÿûùþ÷«ñôąüĄă 7 ĄøõóÿþĆõĂăñĄùÿþ óÿý³ćñþĄ«Ąÿ«āąùĄ«ăýÿûùþ÷«ăćùĄóøùþ÷«Ąÿ«õ« óù÷ñĂõĄĄõă«þÿ«ñôĆñþĄñ÷õ«0,055 8 ććć āąùĄþÿć ÷ÿĆ ñą³ùþĄõĂþõĄ³āąùĄþÿć³Āąòüùăøùþ÷ þăö³ÙÿþĄõþĄ³ quitting-methods

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ÿĂ óñüü Ąøõý ÿþ Ąøõ þąýòõĂ òõüÿć êøùþû ĄøĂÿą÷ø ćøñĄ ĉÿą òõüùõĆõ ćùüü ćÿĂû öÿĂ ĉÿą ñþô ÷ùĆõ ùĄ ñ ĄĂĉ ßö ĉÿą ñĂõþėĄ ăąóóõăăöąü Ąøõ ŁĂ㥠Ąùýõ ĄøõĂõėă þÿ Ăõñăÿþ ĉÿą óñþėĄ ĄĂĉ another approach next time ÿĂ õĆõþ Ąøõ ăñýõ ÿþõ ñ÷ñùþ

íøĉ ôÿ you ćñþĄ Ąÿ āąùĄ íÿĂûùþ÷ ÿąĄ ćøĉ ùĄėă ùýĀÿĂĄñþĄ Ąÿ ĉÿą Ąÿ ăĄÿĀ ăýÿûùþ÷ óñþ øõüĀ ĉÿą ÷õĄ ñþô ăĄñĉ ýÿĄùĆñĄõô ćøõþ Ąøùþ÷ă ÷õĄ Ąÿą÷ø íøñĄõĆõĂ ĉÿąĂ Ăõñăÿþ « ĉÿąĂ øõñüĄø Ąøõ óÿ㥠ÿö ăýÿûùþ÷ ĉÿąĂ ûùôă ÿĂ ÷Ăñþôûùôă ÿĂ þÿĄ ćñþĄùþ÷ Ąÿ òõ ñôôùóĄõô ăĄñĉùþ÷ öÿóąăõô ÿþ ćøĉ ĉÿąėĂõ āąùĄĄùþ÷ óñþ øõüĀ ÷õĄ ĉÿą ĄøĂÿą÷ø

ÝõĄĄùþ÷ ăąĀĀÿĂĄ Ąÿ ăĄÿĀ ÷ĂõñĄüĉ ùþóĂõñăõă ĉÿąĂ óøñþóõă ÿö āąùĄĄùþ÷ ăÿ Ąñüû Ąøùþ÷ă ĄøĂÿą÷ø ćùĄø Ąøõ çąùĄüùþõ ÿþ -/ 3404

íøñĄ ñòÿąĄ ĆñĀùþ÷ ìñĀùþ÷ øñăþėĄ òõõþ ñĀĀĂÿĆõô ñă ñ āąùĄ ăýÿûùþ÷ ĄĂõñĄýõþĄ ùþ ׹ăĄĂñüùñ ñþô ùĄėă þÿĄ óüõñĂ ĄøñĄ ùĄ óñþ øõüĀ ĀõÿĀüõ ÷ùĆõ ąĀ ßþ öñóĄ ñ ĂõóõþĄ 㥹ôĉ öÿąþô ĀõÿĀüõ ćøÿ ĆñĀõô ćõĂõ less üùûõüĉ Ąÿ āąùĄ7 ìñĀùþ÷ ùă óąĂĂõþĄüĉ þÿĄ Ăõóÿýýõþôõô ñă ñ ĀĂÿĆõþ ćñĉ Ąÿ āąùĄ smoking8. It may carry its ÿćþ øõñüĄø Ăùăûă õăĀõóùñüüĉ ùö Ąøõ ĀĂÿôąóĄ óÿþĄñùþă þùóÿĄùþõ

ÛĈĀõóĄ ăÿýõ ăõĄòñóûă ãÿ㥠ĀõÿĀüõ øñĆõ ăõĄòñóûă ćøõþ Ąøõĉ āąùĄ ñþô þõõô Ąÿ ÷ùĆõ ąĀ ýÿĂõ Ąøñþ ÿþóõ éÿ ÷ÿ õñăĉ ÿþ ĉÿąĂăõüö ùö Ąøùă øñĀĀõþă Ąÿ ĉÿą ×üĄøÿą÷ø ùĄ can be disappointing to not ýõõĄ ĉÿąĂ ÷ÿñü Ąøõ ŁĂ㥠Ąùýõ ĉÿąĂ õŀÿĂĄă ñĂõþėĄ ćñăĄõô ñþô Ąøõ Ąøùþ÷ă ĉÿą üõñĂþ óñþ øõüĀ ĉÿą ÷õĄ ĄøĂÿą÷ø ĉÿąĂ next attempt. ?jcZ '%&- =:E6I>I>H H6 8DBBJC>IN C:LH ,-

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ÙÿýýąþùĄĉ ÙÿüüñòÿĂñĄùÿþ êøõ éÿąĄø ×ăùñþ âùĆõĂ ÞõñüĄø æĂÿúõóĄ

I

n March 2017, Hepatitis SA ćñă ăąóóõăăöąü ùþ ăõóąĂùþ÷ öąþôùþ÷ öĂÿý ÝĂñþĄă é× to implement a 12-month ĆùĂñü øõĀñĄùĄùă ñćñĂõþõăă« Ăñùăùþ÷ ĀĂÿúõóĄ ćùĄø éÿąĄø ×ăùñþ óÿýýąþùĄùõă ùþ éÿąĄø ׹ăĄĂñüùñ õþĄùĄüõô êøõ âùĆõĂ Health Project. êøõ ñùý ÿö Ąøõ ĀĂÿúõóĄ ćñă Ąÿ Ăñùăõ ñćñĂõþõăă ÿö øõĀñĄùĄùă Ø ñþô Ù ùþ Ąøõ éÿąĄø ×ăùñþ óÿýýąþùĄùõă ùþ ×ôõüñùôõ The project completed 10 õôąóñĄùÿþ ăõăăùÿþă ćùĄø ôùŀõĂõþĄ óÿýýąþùĄĉ ÷ĂÿąĀă took part in two awarenessĂñùăùþ÷ ñóĄùĆùĄùõă ñþô Ăñôùÿ ùþĄõĂĆùõćă ćùĄø ĄøĂõõ ôùŀõĂõþĄ éÿąĄø ×ăùñþ Ăñôùÿ shows. æõĂöÿĂýõĂă ±ñòÿĆõ² ñþô ñĄĄõþôõõă ±òõüÿć² ñĄ Ąøõ Ćùôõÿ üñąþóø

êøõ Łþñü ĀĂÿúõóĄ ñóĄùĆùĄĉ ćñă Ąÿ ĀĂÿôąóõ ñ óąüĄąĂñüüĉ ñĀĀĂÿĀĂùñĄõ ĂõăÿąĂóõ ×öĄõĂ ôùăóąăăùÿþă ćùĄø Ąøõ ĀĂÿúõóĄ ÿŃóõĂ ùĄ ćñă ôõóùôõô Ąÿ ôõĆõüÿĀ ñ ăøÿĂĄ ñćñĂõþõăă« Ăñùăùþ÷ Ćùôõÿ Hepatitis SA engaged with ñ ĀĂÿôąóĄùÿþ óÿýĀñþĉ ×üü éÿąĂóõô ëĀ ñþô made contact with the éÿąĄø ׹ăĄĂñüùñþ ßþôùñþ Medical Association and the Pakistani Medical ×ăăÿóùñĄùÿþ ÿö éÿąĄø ׹ăĄĂñüùñ Ąÿ ăÿąĂóõ Ąćÿ doctors to participate in the Ćùôõÿ

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êøõ Łüýùþ÷ ôñĉ ñþô Łþñü Ćùôõÿ ćñă ñ ĄÿĄñü ăąóóõăă ćùĄø Łþñü ĀñĂĄùóùĀñĄùÿþ ùþóüąôùþ÷ ñþ ßþôùñþ hepatologist and a Pakistani

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Ýæ ñă ćõüü ñă Ąćÿ õôąóñĄÿĂă öĂÿý ÞõĀñĄùĄùă é× The main hepatitis B and C óÿþĄõþĄ ÿö Ąøõ Ćùôõÿ ùþóüąôõô

¹ transmission risks and ĀĂõĆõþĄùÿþ ùþóüąôùþ÷ øõĀñĄùĄùă Ø ĆñóóùþñĄùÿþ ¹ õþóÿąĂñ÷ùþ÷ ĄõăĄùþ÷ ¹ treatment ¹ where to get more ùþöÿĂýñĄùÿþ × óÿýýąþùĄĉ ôùþþõĂ õĆõþĄ ćñă øõüô Ąÿ üñąþóø Ąøõ Ćùôõÿ ĂõăÿąĂóõ ćùĄø ñüü ÿĂ÷ñþùăñĄùÿþă ùþĆÿüĆõô ùþ Ąøõ ĀĂÿúõóĄ ùþĆùĄõô Ąÿ ñĄĄõþô ×

ĄÿĄñü ÿö --, ĀñĂĄùóùĀñþĄă ÿö ñüü ages attended, representing -- ôùŀõĂõþĄ éÿąĄø ×ăùñþ óÿýýąþùĄùõă ץ Ąøõ ôùþþõĂ ñă ĀñĂĄ ÿö Ąøõ ùþĄõĂ« óąüĄąĂñü óõüõòĂñĄùÿþă õñóø óÿýýąþùĄĉ ÷ñĆõ ñ Ąñüû ÿþ ĄÿĀùóă ùþóüąôùþ÷ ¹ parenting in Western society ¹ øÿć Ąÿ ýñûõ ĉÿąĂ ćùöõ happy ¹ öõñĂ ÿö Āąòüùó ăĀõñûùþ÷

¹ -,, ïõñĂă ÿö Øÿüüĉćÿÿô ØąĄ Ąøõ ÿþõ ăĀõõóø ĄøñĄ ăĄÿüõ the show, was by 11-yearÿüô ãùþþñ Ûüõõòñþñ ØąĄĄ öĂÿý Ąøõ ×øýñôùĉĉñ ãąăüùý ×ăăÿóùñĄùÿþ ÿþ Ąøõ ĄÿĀùó ÿö Ėíøĉ ß üÿĆõ ׹ăĄĂñüùñė ãùþþñ Ąÿüô Ąøõ ñąôùõþóõ øÿć ăøõ üÿĆõô òõùþ÷ ùþ ׹ăĄĂñüùñ ñþô øÿć ׹ăĄĂñüùñþ Ćñüąõă ćõĂõ ĆõĂĉ ăùýùüñĂ Ąÿ Ąøÿăõ ÿö Ąøõ Ahmadiyya people. She was engaging and the people ĄøõĂõ ćõĂõ øõüô óñĀĄùĆõ òĉ her speech.

The attendees stated how ćÿþôõĂöąü ùĄ ćñă Ąÿ ăõõ ăÿ ýñþĉ óÿýýąþùĄùõă ùþ Ąøõ same room together. êøõ ĂõăÿąĂóõ ćñă ñüăÿ ĀÿăĄõô ÿþüùþõ Ćùñ ÞõĀñĄùĄùă é×ėă ăÿóùñü ýõôùñ ñóóÿąþĄă öÿüüÿćùþ÷ Ąøõ üñąþóø ćùĄø ñ ĄÿĄñü Ăõñóø ÿö 01, ĀõÿĀüõ ñă ñĄ àąþõ .,-4 êøõ Ćùôõÿ ćùüü óÿþĄùþąõ Ąÿ òõ ĀĂÿýÿĄõô ñþô ăõþĄ Ćùñ ăÿóùñü media. ÞõĀñĄùĄùă é× ćÿąüô üùûõ Ąÿ Ąøñþû Ąøõ ĀĂÿúõóĄ ÿŃóõĂ ÝñąĂñĆ éùþ÷ø ćøÿ ćñă ùþăĄĂąýõþĄñü ùþ Ąøõ ăąóóõăă ÿö Ąøõ ĀĂÿúõóĄ àõþþĉ ÝĂñþĄ ¿ äùóÿüõ êñĉüÿĂ ÛôąóñĄÿĂă

éõõ Ąøõ Ćùôõÿ ñĄ øõĀñĄùĄùăăñ ñăþ ñą³þõćă³/40«Ćùôõÿ«ăÿąĄø«ñąăĄĂñüùñþ«üùĆõĂ«øõñüĄø«ùþöÿĂýñĄùÿþ

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×ĂĄ ¿ ×ćñĂõþõăă O

þ .3 ×ĀĂùü .,-4 ÞõĀñĄùĄùă é× ąþôõĂĄÿÿû ñþ ñĂĄ ñóĄùĆùĄĉ ùþ óÿüüñòÿĂñĄùÿþ ćùĄø Ąøõ óüùõþĄă ñþô ćÿĂûõĂă ÿö ãùüüõĂ æüñóõ ñþ ñŀÿĂôñòüõ øÿąăùþ÷ ăõĂĆùóõ ÿö ×þ÷üùóñĂõé× íøùüõ üùăĄõþùþ÷ Ąÿ õôąóñĄùÿþñü ýõăăñ÷õă ñòÿąĄ øõĀñĄùĄùă Ù ñþô øñĂý ĂõôąóĄùÿþ õñóø participant painted their own brick. Úõñþ ñ ÞõĀñĄùĄùă é× æÿăùĄùĆõ éĀõñûõĂ Ąøõþ ăĀÿûõ Ąÿ Ąøõ ÷ĂÿąĀ ñòÿąĄ øùă ÿćþ õĈĀõĂùõþóõă ÿö üùĆùþ÷ ćùĄø øõĀñĄùĄùă Ù ąþôõĂ÷ÿùþ÷ Ąćÿ üùĆõĂ ĄĂñþăĀüñþĄă ñþô ñóøùõĆùþ÷ óąĂõ ÿþ Ąøõ þõć ĄĂõñĄýõþĄă ±ïÿą óñþ Ăõñô Úõñþėă ăĄÿĂĉ online at issuu.com/hepccsa/docs/hcn58/8.) íõ Łþùăøõô Ąøõ ăõăăùÿþ ćùĄø ñ ăøñĂõô üąþóø ×þ÷üùóñĂõé× ùă óąĂĂõþĄüĉ ñóóõĀĄùþ÷ ĂõöõĂĂñüă öÿĂ ĄøõùĂ ñóóÿýýÿôñĄùÿþ ăõĂĆùóõă ñþô öąĂĄøõĂ ôõĄñùüă óñþ òõ ĀĂÿĆùôõô Ćùñ Ąøõ óąăĄÿýõĂ ăõĂĆùóõ Ąõñý ÿþ -4,, 51/ ,,- The artists at work (below), ñþô ĄøõùĂ ĀñùþĄõô òĂùóûă ±ñòÿĆõ²

Ùñþñôùñþ æĂùăÿþ Ùäæă C

anada is leading the Ł÷øĄ ñ÷ñùþ㥠òüÿÿô« òÿĂþõ ĆùĂąăõă ùþ ĀĂùăÿþă ùþ North America by testing Ąøõ óÿþĄùþõþĄėă ŁĂ㥠þõõôüõ exchange program in a gaol. âñąþóøùþ÷ ùþ àąþõ Ąøõ ĀùüÿĄ ĀĂÿúõóĄ ùă Ăąþþùþ÷ ùþ òÿĄø ñ ýõþėă öñóùüùĄĉ ùþ äõć ØĂąþăćùóû ñþô ñ ćÿýõþėă ĀĂùăÿþ ùþ åþĄñĂùÿ òÿĄø ÿö ćøùóø ćõĂõ óøÿăõþ òõóñąăõ ÿö ĄøõùĂ øù÷ø ĂñĄõă ÿö ùþúõóĄùþ÷ ôĂą÷ ąăõ ×óóÿĂôùþ÷ Ąÿ Ùñþñôùñþ Āąòüùó øõñüĄø ÿŃóùñüă øõĀñĄùĄùă Ù ùă .2, times more common among prisoners than the general Āąòüùó

12

ęêøùă ùă ăÿýõĄøùþ÷ ćõėĆõ òõõþ ćÿĂûùþ÷ ĄÿćñĂô öÿĂ more than 20 years,” said éñþôĂñ áñ Þÿþ Ùøą ÿö Ąøõ Ùñþñôùñþ Þßì ¿ ×ùôă âõ÷ñü Network, who said that ćùĄøÿąĄ ñóóõăă Ąÿ óüõñþ ùþúõóĄùþ÷ ôĂą÷ õāąùĀýõþĄ needles can sometimes be shared more than 50 times between inmates. êøõ ĀĂÿ÷Ăñý ćñă üñąþóøõô ùþ part as a response to ongoing legal action taken against Ąøõ Ùñþñôùñþ ÷ÿĆõĂþýõþĄ òĉ üõ÷ñü ñôĆÿóñóĉ ÷ĂÿąĀă ñþô ñ öÿĂýõĂ ùþýñĄõ éĄõĆõþ éùýÿþă ćøÿ ćñă ùþöõóĄõô with hepatitis C while

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ùþóñĂóõĂñĄõô êøõĉ ñĂ÷ąõ ĄøñĄ Ąøõ ęĊõĂÿ ĄÿüõĂñþóõĚ Āÿüùóĉ ĀĂõĆùÿąăüĉ Ąñûõþ ñ÷ñùþ㥠ôĂą÷ă ñþô þõõôüõă ĆùÿüñĄõă ñ óÿþăĄùĄąĄùÿþñü Ăù÷øĄ Ąÿ üùöõ üùòõĂĄĉ ñþô ăõóąĂùĄĉ ÿö Ąøõ person. × íÿĂüô ÞõñüĄø åĂ÷ñþùĊñĄùÿþ ăąĂĆõĉ ÿö ÛąĂÿĀõñþ þõõôüõ õĈóøñþ÷õă ùþ ĀĂùăÿþă öÿąþô þÿ ùþóĂõñăõ ùþ ôĂą÷ ąăõ þÿĂ ôùô Ąøõĉ Łþô ñþĉ ùþăĄñþóõă ÿö þõõôüõă òõùþ÷ ąăõô Ąÿ ĄøĂõñĄõþ ĀĂùăÿþ ăĄñŀ ôõăĀùĄõ persistent concerns on the ĀñĂĄ ÿö ĀĂùăÿþ ăĄñŀ ąþùÿþă ñþô ĂõĀĂõăõþĄñĄùĆõă

Affected by hepatitis C? 3KRWR ‹ 6 $OOHQ

Ú×éé× ÙõþĄĂñü éõĂĆùóõă ÞõĀñĄùĄùă Ù êĂõñĄýõþĄ Ùüùþùó 91 Magill Rd, Stepney êąõăôñĉă 5¯-.AM Ú×éé× ÙõþĄĂñü æøñĂýñóĉ êøąĂăôñĉă 5¯-.AM

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ÜĂõõ ñöĄõĂ«øÿąĂă ăąĀĀÿĂĄ ùă ñĆñùüñòüõ öÿĂ ñþĉÿþõ ăĄĂą÷÷üùþ÷ ćùĄø ñôôùóĄùĆõ òõøñĆùÿąĂ êøõ éã×èê ±éõüö ãñþñ÷õýõþĄ ñþô èõóÿĆõĂĉ êĂñùþùþ÷² èõóÿĆõĂĉ ÷ĂÿąĀ ýõõĄùþ÷ă Ăąþ öÿĂ 5, ýùþąĄõă õñóø íõôþõăôñĉ öĂÿý

Hepatitis C peer educators ñĂõ ñĆñùüñòüõ Ąÿ ĀĂÿĆùôõ treatment information and support to clients at the öÿüüÿćùþ÷ ăõĂĆùóõă

Port Adelaide is no longer being held due to low attendance numbers.

1 /,PM ñĄ / Þñóûþõĉ èÿñô Þñóûþõĉ ùþ Ąøõ ýõõĄùþ÷ Ăÿÿý ñĄ Ąøõ ĂõñĂ ÿö ÞõĀñĄùĄùă é× ÜÿĂ ýÿĂõ ùþöÿĂýñĄùÿþ óñüü âùăñ ÿþ 4/2.

400/ ÿĂ ĆùăùĄ ăýñĂĄĂõóÿĆõĂĉñąăĄĂñüùñ

Ú×éé× éÿąĄøõĂþ éõĂĆùóõ 82 Beach Rd, Christies Beach ãÿþôñĉ ýÿþĄøüĉ 10AM¯-PM ëĀóÿýùþ÷ ôñĄõă Ring Lisa on 8362 8443 öÿĂ ôõĄñùüă Ú×éé× äÿĂĄøõĂþ éõĂĆùóõ .. âñþ÷öÿĂô ÚĂ ÛüùĊñòõĄø êøąĂăôñĉ öÿĂĄþù÷øĄüĉ 10AM–12PM ëĀóÿýùþ÷ ôñĄõă Ring Lisa on 8362 8443 öÿĂ ôõĄñùüă ÞąĄĄ éĄĂõõĄ ÙõþĄĂõ .14 ÞąĄĄ éĄ ×ôõüñùôõ íõôþõăôñĉ ćõõûüĉ 10AM–12.30PM íõăĄÙñĂõ ÙõþĄĂõ -3 ãùüüõĂă ÙÿąĂĄ ±ÿŀ íĂù÷øĄ St), Adelaide íõôþõăôñĉ ćõõûüĉ 10.30AM–12.30PM

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13 1 3

éĄù÷ýñ ôùăóĂùýùþñĄùÿþ ñþô ăÿóùñü ùþóüąăùÿþ

ÞõĀñĄùĄùă ùă ÿòĆùÿąăüĉ ñ óÿþôùĄùÿþ ĄøñĄ ùă Āüñ÷ąõô ćùĄø ùăăąõă ÿö ôùăóĂùýùþñĄùÿþ ñþô ăĄù÷ýñ ¯ ñþô ùĄėă ćõüü ôÿóąýõþĄõô ĄøñĄ Ąøùă ăõĂùÿąăüĉ ñŀõóĄă ñþ ùþôùĆùôąñüėă ñòùüùĄĉ Ąÿ ñóóõăă ăąĀĀÿĂĄ ÿĂ ăõĂĆùóõă

âñþ÷ąñ÷õ ýñĄĄõĂă

Þßì ñþô øõĀñĄùĄùă ôùăóüÿăąĂõ

Network of Alcohol and Other Drug Agencies (NADA), Sydney, 2018. 2p.

SA Health, Adelaide, 2016. 4p.

ęßþĄõþôõô öÿĂ Ąøõ þÿþ ÷ÿĆõĂþýõþĄ ×åÚ ăõóĄÿĂ Ąøõ ĂõăÿąĂóõ ĀĂÿĆùôõă ćÿĂûõĂă ćùĄø òõ㥫ĀĂñóĄùóõ ÷ąùôõüùþõă ÿþ øÿć Ąÿ ąăõ üñþ÷ąñ÷õ to empower clients and ĂõùþöÿĂóõ ñ ĀõĂăÿþ«óõþĄĂõô approach.” bit.ly/stigma_language

êøõ öÿüüÿćùþ÷ ăõüõóĄùÿþ ÿö öĂõõ ĂõăÿąĂóõă óÿýõă öĂÿý ÿąĂ ÿþüùþõ óñĄñüÿ÷ąõ ñĄ hepatitissa.asn.au/library ±ăóĂÿüü ôÿćþ Ąÿ Ąøõ Ėāąùóû üùþûăė ăõóĄùÿþ öÿĂ õñăĉ ñóóõăă Ąÿ ýÿĂõ ²

ÜüùĀăùôõ ĀĂùĆñóĉ óÿþŁôõþĄùñüùĄĉ ñþÿþĉýùĄĉ Assoc. of Participating Service Users (APSU), Melbourne, 2015. 16p.

òùĄ üĉ³łùĀăùôõ ĀĂùĆñóĉóÿþŁôõþĄùñüùĄĉ

ÚùăóüÿăąĂõ ÿö ÞõĀ Ù ăĄñĄąă Hepatitis Australia, Canberra, 2016 (rev). 4p. æĂÿĆùôõă òĂùõö ùþöÿĂýñĄùÿþ ñòÿąĄ ćøõþ ĉÿą ýù÷øĄ þõõô Ąÿ ôùăóüÿăõ ćøÿ Ąÿ ±ăõĈąñü partners, employment, health workers) - and how to ÷ÿ ñòÿąĄ ùĄ bit.ly/disclosureofstatus

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bit.ly/disclosure_sa

Stories and poems by ĀõÿĀüõ ćùĄø ñ øùăĄÿĂĉ ÿö ôĂą÷ ąăõ ñòÿąĄ Ąøõ þõõô öÿĂ óÿþŁôõþĄùñüùĄĉ ùþ ñóóõăăùþ÷ ăõĂĆùóõă ñþô ùþöÿĂýñĄùÿþ éÿ ùýĀÿĂĄñþĄ ćøõþ ñ ĖòĂõñóø ÿö ĀĂùĆñóĉ ùă üùûõüĉ Ąÿ õĈĀÿăõ Ąøõ ĀõĂăÿþ ñþô ĄøõùĂ öñýùüĉ Ąÿ ăĄù÷ýñ Ąøąă ñŀõóĄùþ÷ ĄøõùĂ õĆõĂĉôñĉ üùöõ ùþ ñ ćøÿüõ Ăñþ÷õ ÿö þõ÷ñĄùĆõ ćñĉăė

ęéĄù÷ýñ ăĄÿĀă Ąøõ ýñúÿĂùĄĉ ÿö ĀõÿĀüõ üùĆùþ÷ ćùĄø ĆùĂñü øõĀñĄùĄùă õþúÿĉùþ÷ Ąøõ āąñüùĄĉ ÿö üùöõ Ąøõĉ ôõăõĂĆõ ÜĂÿý ăÿóùñü õĈóüąăùÿþ ñþô ùþöõĂùÿĂ øõñüĄøóñĂõ Ąÿ ôõþùñü ÿö õýĀüÿĉýõþĄ ÿĀĀÿĂĄąþùĄùõă ñþô ĆõĂòñü ñăăñąüĄă ăĄù÷ýñ ñþô ôùăóĂùýùþñĄùÿþ ăĄÿĀ ĀõÿĀüõ üùĆùþ÷ ćùĄø ĆùĂñü øõĀñĄùĄùă öĂÿý öąüŁüüùþ÷ ĄøõùĂ ĀÿĄõþĄùñü Ě ~ World Hepatitis Alliance www.worldhepatitisalliance. org/stigmastops

éĀõóùŁó ùþöÿĂýñĄùÿþ ĂõüñĄùþ÷ Ąÿ ôùăóüÿăąĂõ ùþ éÿąĄø ׹ăĄĂñüùñ ćøõþ ùĄėă üõ÷ñüüĉ ĂõāąùĂõô ñþô ćøõþ ùĄėă ùþ ĉÿąĂ òõ㥠ùþĄõĂõăĄă

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ÞõĀ Ù ăĄù÷ýñ óñąăùþ÷ Āñùþ ¿ óüñùýùþ÷ üùĆõă ñýÿþ÷㥠×òÿĂù÷ùþñü ׹ăĄĂñüùñþă

ßă ׹ăĄĂñüùñ òõóÿýùþ÷ óÿýöÿĂĄñòüõ ćùĄø ùþõāąñüùĄĉ

AM, Australian Broadcasting Corporation, Sydney, 2014.

2p. (transcript or audio)

K. Chambers, ABC’s The Drum, Sydney, 2013. 2p.

ßþĄõĂĆùõć ćùĄø ÙñĂüñ êĂõüÿñĂ ñòÿąĄ øÿć Ąøõ ùýĀñóĄ ÿö Ąøõ stigma and shame that comes ćùĄø øõĀñĄùĄùă Ù ùă ñŀõóĄùþ÷ øõüĀ ăõõûùþ÷ ñþô Ąøõ ñóĄąñü ĀĂÿĆùăùÿþ ÿö ăõĂĆùóõă bit.ly/stigma_atsi

äÿòÿôĉ üõöĄ òõøùþô Ąøõ ùýĀÿĂĄñþóõ ÿö ùþĄõ÷ĂñĄùþ÷ ĀõÿĀüõ ćøÿ ùþúõóĄ ôĂą÷ă ùþĄÿ ÞÙì ĄĂõñĄýõþĄ ĀĂÿ÷Ăñýă Medecins du Monde & Int. Network of People who use Drugs (INPUD), Paris, 2014. 11p. ęÙÿĂõ ñĂ÷ąýõþĄă öÿĂ ćøĉ ùĄ ùă ĂõüõĆñþĄ öõñăùòüõ ñþô ùþôõõô óĂąóùñü Ąÿ ùþóüąôõ ĀõÿĀüõ ćøÿ ùþúõóĄ ôĂą÷ă ùþ þñĄùÿþñü ĄĂõñĄýõþĄ ÷ąùôõüùþõă ñþô ĀĂÿ÷Ăñýă öÿĂ óøĂÿþùó ÞÙì ùþöõóĄùÿþ ¯ öĂÿý òÿĄø Āąòüùó øõñüĄø ñþô øąýñþ Ăù÷øĄă ĀõĂăĀõóĄùĆõă Ě ×Ćñùüñòüõ ùþ Ûþ÷üùăø ÜĂõþóø ñþô èąăăùñþ bit.ly/nobodyleftbehind

ëþôõĂăĄñþôùþ÷ òñĂĂùõĂă Ąÿ øõĀñĄùĄùă Ù ĆùĂąă óñĂõ ñþô ăĄù÷ýñĄùĊñĄùÿþ öĂÿý ñ ăÿóùñü ĀõĂăĀõóĄùĆõ Treloar C, Rance J, Backmund M in Clinical Infectious Diseases, Oxford, 2013. 5p. ęêøùă ĂõĆùõć ñĂ÷ąõă ĄøñĄ Ąøõ relationship between the ĀõĂăÿþ üùĆùþ÷ ćùĄø ÞÙì ñþô their health worker can work Ąÿ ñýõüùÿĂñĄõ Ąøõ õŀõóĄă ÿö ăĄù÷ýñ ñþô ùþĆõăĄù÷ñĄõă ñ ÷Ăÿćùþ÷ òÿôĉ ÿö øõñüĄø ăõĂĆùóõă ĂõăõñĂóø ĄøñĄ acknowledges [the dangers ÿö¶ ăĄù÷ýñ ñþô ôõýÿþăĄĂñĄõă ćñĉă Ąÿ òąùüô ĀÿăùĄùĆõ enabling relationships between patient, health worker, and health setting.”

An opinion piece that asks ùö óøñþ÷ùþ÷ ýõĄøÿôă öÿĂ ôõüùĆõĂùþ÷ ñăăùăĄñþóõ Ąÿ ĆąüþõĂñòüõ ׹ăĄĂñüùñþă Ăùăû üõñĆùþ÷ Ąøõ ýÿ㥠þõõôĉ òõøùþô âÿÿûă ñĄ þÿĄùÿþă ÿö Ąøõ ĖôõăõĂĆùþ÷ ĀÿÿĂė ñþô øÿć ùĄ ñŀõóĄă ăõĂĆùóõ ñĄĄùĄąôõă ñþô ĀĂÿĆùăùÿþ ÿö ăõĂĆùóõă bit.ly/inequality_thedrum

bit.ly/stigmabarrier

ÞñĆõ ĉÿąĂ ăñĉ êøõ ÙõþĄĂõ öÿĂ éÿóùñü Research in Health at UNSW ùă ăõõûùþ÷ ĀõÿĀüõ ćøÿ øñĆõ øñô ÿĂ ñĂõ óąĂĂõþĄüĉ üùĆùþ÷ with, hepatitis C and who øñĆõ õĈĀõĂùõþóõô ăĄù÷ýñ or discrimination to take ĀñĂĄ ùþ ñ -1 ýùþąĄõ ăąĂĆõĉ × üùþû Ąÿ Ąøõ ăąĂĆõĉ ùă óąĂĂõþĄüĉ ñĆñùüñòüõ öĂÿý ÿąĂ homepage at hepatitissa. asn.au.

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an isolated one and no other ÙĂõñĄùĆõ ÝÿąĂýõĄ ĀĂÿôąóĄă ñĂõ ñŀõóĄõô Ě ÛþĄĉóõ ăñùô ùþ the statement. ęÙąăĄÿýõĂă óñþ ĂõĄąĂþ Ąøõ ĀĂÿôąóĄ Ąÿ Ùÿüõă ăąĀõĂýñĂûõĄă öÿĂ ñ öąüü Ăõöąþô Ě ñ ăĀÿûõăýñþ ăñùô ùþ ñ ăĄñĄõýõþĄ ę×þĉ óÿþăąýõĂă óÿþóõĂþõô ñòÿąĄ ĄøõùĂ øõñüĄø ăøÿąüô ăõõû ýõôùóñü ñôĆùóõ Ě ÝõþõĄùó ĄõăĄùþ÷ ÿö Ąøõ ŁĂ㥠patients, who were based in Sydney, Wollongong and Ąøõ ÙõþĄĂñü Ùÿñ㥠ÿö äéí ùôõþĄùŁõô ñ ąþùāąõ ăĄĂñùþ ÿö Ąøõ ùþöõóĄùÿþ Hepatitis A symptoms ùþóüąôõ þñąăõñ ĆÿýùĄùþ÷ öõĆõĂ ñþô ñ ĉõüüÿćùþ÷ ÿö Ąøõ ăûùþ äéí ÞõñüĄøėă ÚĂ ìùóûĉ Sheppard explained.

“In most people the symptoms ĂõăÿüĆõ ñöĄõĂ ñ öõć ćõõûă ćùĄø ăąĀĀÿĂĄùĆõ ĄĂõñĄýõþĄ ýñùþüĉ Ăõ㥠ñþô łąùôă Ě ăøõ ăñùô ùþ ñ ăĄñĄõýõþĄ ׹ăĄĂñüùñþ«÷Ăÿćþ Āÿýõ÷ĂñþñĄõ°òÿĄø öĂõăø ñþô öĂÿĊõþ°øñă þÿĄ òõõþ implicated. êøõ ùþöõóĄùÿþă óñýõ úąăĄ ćõõûă ñöĄõĂ óÿþăąýõĂă ćõĂõ ñôĆùăõô ñ÷ñùþ㥠õñĄùþ÷ Ăÿóûýõüÿþ öĂÿý óõĂĄñùþ ăÿąĂóõă ñöĄõĂ ăùĈ ôõñĄøă ćõĂõ üùþûõô Ąÿ ñþ ÿąĄòĂõñû ÿö üùăĄõĂùñ öĂÿý óÿþăąýùþ÷ Ąøõ

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W

orld Hepatitis Day 2018 ùă óÿýùþ÷ ÿþ .4 àąüĉ

(continued from p1) öĂąùĄ êøõĂõ ćõĂõ þÿ óñăõă ÿö üùăĄõĂùñ ùþ éÿąĄø ׹ăĄĂñüùñ linked to rockmelon ßþ ׹ăĄĂñüùñ ĄøõĂõ ñĂõ approximately 300–500 cases ÿö øõĀñĄùĄùă × ĂõĀÿĂĄõô ĀõĂ ĉõñĂ êøõ þąýòõĂ ÿö óñăõă reported has been declining nationally since the late -55,ă êøõ Ăõñü þąýòõĂ ÿö øõĀñĄùĄùă × ùþöõóĄùÿþă ùă üùûõüĉ Ąÿ òõ ýÿĂõ Ąøñþ Ąøõ þąýòõĂ ÿö ùþöõóĄùÿþă ĂõĀÿĂĄõô êøùă ùă òõóñąăõ ýñþĉ ĀõÿĀüõ ćùĄø øõĀñĄùĄùă × ôÿ þÿĄ øñĆõ ÿòĆùÿąă ăĉýĀĄÿýă ôÿ þÿĄ ÷ÿ to the doctor and so are not ĄõăĄõô öÿĂ øõĀñĄùĄùă × ßþöñþĄă ñþô ĉÿąþ÷ óøùüôĂõþ ùþöõóĄõô ćùĄø øõĀñĄùĄùă × will rarely show symptoms ÿö ùþöõóĄùÿþ ñþô ýñĉ ñĀĀõñĂ āąùĄõ ćõüü ÿĂ øñĆõ ÿþüĉ ýùüô ăĉýĀĄÿýă êøõ ýñúÿĂùĄĉ ÿö ñôąüĄă ćùüü ăøÿć ăĉýĀĄÿýă ÚõñĄø òõóñąăõ ÿö øõĀñĄùĄùă × ùþöõóĄùÿþ ùă ĆõĂĉ ĂñĂõ êøõ üùûõüùøÿÿô ÿö ăõĆõĂõ ôùăõñăõ ÿĂ ôõñĄø ĂõăąüĄùþ÷ öĂÿý øõĀñĄùĄùă × ùþöõóĄùÿþ ùă ýąóø ÷ĂõñĄõĂ ùþ ĀõÿĀüõ ćùĄø ĀĂõ«õĈùăĄùþ÷ üùĆõĂ ôñýñ÷õ ùþóüąôùþ÷ ĀõÿĀüõ ćùĄø óøĂÿþùó üùĆõĂ ôùăõñăõ ôąõ Ąÿ hepatitis B or C, and people ÿĆõĂ 1, ĉõñĂă ÿö ñ÷õ ×ôôùĄùÿþñü ĂõĀÿĂĄùþ÷ òĉ ׹ăĄĂñüùñþ ×ăăÿóùñĄõô æĂõăă

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This year the international Ąøõýõ ùă ęŁþô Ąøõ ýùăăùþ÷ millions”: a 3-year global awareness-raising and ñôĆÿóñóĉ óñýĀñù÷þ ñùýõô at tackling the main barriers Ąÿ ôùñ÷þÿăùă òĉ ĀąĄĄùþ÷ óùĆùü society organisations and the ñŀõóĄõô óÿýýąþùĄĉ ñĄ Ąøõ øõñĂĄ ÿö Ąøõ ăÿüąĄùÿþ êøùă ùă ăÿ ùýĀÿĂĄñþĄ òõóñąăõ ÿąĄ ÿö Ąøõ /.1 ýùüüùÿþ ĀõÿĀüõ üùĆùþ÷ ćùĄø ĆùĂñü øõĀñĄùĄùă ÷üÿòñüüĉ ąĀćñĂô ÿö .5, million (that’s 9 in 10!) are üùĆùþ÷ ćùĄø øõĀñĄùĄùă Ø ÿĂ øõĀñĄùĄùă Ù ćùĄøÿąĄ ûþÿćùþ÷ ëþüõăă ĄøõĂõ ùă ñ ýñăăùĆõ ăóñüõ«ąĀ ùþ ăóĂõõþùþ÷ diagnosis and linkage to care, more people will become ùþöõóĄõô ñþô üùĆõă ćùüü óÿþĄùþąõ Ąÿ òõ üÿ㥠Üùþô ÿąĄ ñòÿąĄ ñüü ąĀóÿýùþ÷ íÞÚ õĆõþĄă ùþ éÿąĄø ׹ăĄĂñüùñ ñĄ hepatitissa.asn.au.

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

P.E.A.C.E. HIV and hepatitis education and support for people from nonEnglish speaking backgrounds.

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

SA Sex Industry Network Promotes the health, rights and wellbeing of sex workers.

Lifeline National, 24-hour telephone counselling service.

(08) 8351 7626

Adelaide Dental Hospital A specially funded clinic provides priority dental care for people with hepatitis C with a Health Care Card.

13 11 14 (cost of a local call) www.lifeline.org.au

SAMESH South Australia Mobilisation + Empowerment for Sexual Health www.samesh.org.au

Call Hepatitis SA on 1800 437 222 for a referral.

Mental Health Crisis Service 24 hour information and crisis line available to all rural, remote and metropolitan callers.

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)

beyondblue Mental health information line 1300 224 636 www.beyondblue.org.au Clean Needle Programs in SA For locations visit the Hepatitis SA Hackney office or call the Alcohol and Drug Information Service.

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

13 14 65 MOSAIC Counselling Service For anyone whose life is affected by hepatitis.

(08) 8223 4566 Nunkuwarrin Yunti An Aboriginal-controlled, citybased health service with clean needle program and liver clinic.

(08) 8245 8100

Youth Health Service Free, confidential health service for youth aged 12 to 25.

Youth Helpline: 1300 13 17 19 Parent Helpline: 1300 364 100 Vincentian Centre Men’s night shelter run by St Vincent de Paul Society.

Assistance hotline: 1300 729 202

(08) 8406 1600 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 Jeff - 0401 717 953 North

Lucy - 0401 717 971 Michelle - 0413 285 476 South

Rosalie - 0466 777 876 rosalie.altus@sa.gov.au Emma - 0466 777 873

HEP C GET CURED We did

Talk to your GP today or phone Hepatitis SA on 1800 437 222 www.hepsa.asn.au SA Health has contributed funds towards this program.

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