Clinical Corner
  • Severe mental illness and certain chronic bloodborne infections are often linked, creating unique considerations for patient care. Unfortunately, the oft fragmented delivery of health care leads to subpar management of these conditions.
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  • The United States has historically been called the land of opportunity, a place where people of any faith, ethnicity, or lifestyle can live without fear of persecution while pursuing economic prosperity. Enticed by these personal and financial freedoms, more than 35 million immigrants currently reside in America. However, with about 45% of the global population living in areas with a high prevalence of chronic hepatitis B (CHB), vaccination, screening, and awareness efforts for immigrants are vital to public health.
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  • Hepatitis B virus is often referred to as a silent killer—an apt moniker because chronically infected patients may be asymptomatic for years despite ongoing liver damage. Recent data suggest that up to 1.4 million individuals in the United States may be unaware of their CHB serostatus.
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  • In the tropical state of Hawaii, the sunlight is shining on a potentially deadly virus living quietly within many of its inhabitants. Hawaii’s diverse population1makes chronic hepatitis B, a largely asymptomatic condition and leading cause of liver cancer, a common, albeit unknown, burden.2 But primary care physicians (PCPs) in the “Aloha State” are taking the lead in bringing the disease into the open with preventative screening measures and slowing its progression with appropriate patient care.
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