Meredith B Bailey

Stanford University, Palo Alto, California, United States

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Publications (3)3.27 Total impact

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    ABSTRACT: Incomplete hepatitis B virus (HBV) vaccine coverage and poor HBV-related knowledge in China leave millions of children unprotected from this life-threatening infection. To address these gaps, a pilot program for HBV education and vaccination was launched in rural China. In 2006, public and private organizations in the US and China collaborated to provide HBV education and vaccination to 55,000 school-age children in the remote, highly HBV-endemic area of Qinghai Province. The impact of the educational program on HBV-related knowledge was evaluated among more than 2,800 elementary school students. Between September 2006 and March 2007, the three-shot hepatitis B vaccine series was administered to 54,680 students, with a completion rate of 99.4%. From low pre-existing knowledge levels, classroom educational sessions statistically significantly increased knowledge about HBV risks, symptoms, transmission, and prevention. This program offers an effective and sustainable model for HBV catch-up vaccination and education that can be replicated throughout China, as well as in other underserved HBV-endemic regions, as a strategy to reduce chronic HBV infection, liver failure, and liver cancer.
    International Journal of Public Health 08/2011; 57(3):581-8. · 1.99 Impact Factor
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    ABSTRACT: Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by building a broad, community-wide coalition. The San Francisco Hep B Free campaign is a diverse public/private collaboration unifying the API community, health care system, policy makers, businesses, and the general public in San Francisco, California. Mass-media and grassroots messaging raised citywide awareness of hepatitis B and promoted use of the existing health care system for hepatitis B screening and follow-up. Coalition partners reported semi-annually on activities, resources utilized, and system changes instituted. From 2007 to 2009, over 150 organizations contributed approximately $1,000,000 in resources to the San Francisco Hep B Free campaign. 40 educational events reached 1,100 healthcare providers, and 50% of primary care physicians pledged to screen APIs routinely for hepatitis B. Community events and fairs reached over 200,000 members of the general public. Of 3,315 API clients tested at stand-alone screening sites created by the campaign, 6.5% were found to be chronically infected and referred to follow-up care. A grassroots coalition that develops strong partnerships with diverse organizations can use existing resources to successfully increase public and healthcare provider awareness about hepatitis B among APIs, promote routine hepatitis B testing and vaccination as part of standard primary care, and ensure access to treatment for chronically infected individuals.
    Journal of Community Health 12/2010; 36(4):538-51. · 1.28 Impact Factor
  • Janet Zola, Samuel So, Meredith Bailey, Rita Shiau, Ted Fang
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    ABSTRACT: Background: San Francisco has the highest rate of liver cancer in the country. Hepatitis is responsible for 80% of all liver cancer cases. As many as 1 in 10 Asian Americans have chronic hepatitis B (CHB), compared to 1 in 1000 in the general population. Without treatment or monitoring, 1 in 4 infected persons will die from liver cancer. There are no symptoms. A simple blood test can detect chronic infection; a safe and effective vaccine can prevent infection. Setting: City of San Francisco Population: Adults born in countries with endemic rates of CHB infection Project Description: The goal of SF Hep B Free is to make hepatitis B screening & vaccination standard of care in all primary care practices. The largest API-targeted campaign in the country, it utilizes decentralized collaboration between government, the healthcare sector, nonprofit organizations and for profit businesses. High-profile partnerships, in-kind donations and non-stop media buzz give the grassroots movement visibility. Direct outreach to all primary care providers through multiple venues creates a sustainable infrastructure for screening & vaccination. Besides the normal routes of Grand Rounds, CME’s, and staff in-services, a new approach has been launched via a Clinician Honor Roll seeking a pledge to adhere to the CDC hepatitis guidelines of 2008. Multiple approaches are used to motivate people to go to their own clinician and ask about testing and vaccination. Results/Lessons Learned:Limited resources can be greatly leveraged when diverse sectors collaborate effectively toward a common goal. Continued public awareness efforts break down barriers to discussing health issues within the Asian community. Physicians take notice when patients continue to bring up a particular health issue, such as their hepatitis B status. Several local healthcare institutions have initiated internal audits to determine the adequacy of their own screening, vaccination, and follow-up protocols.
    44th National Immunization Conference 2010 Centers for Disease Control and Prevention; 04/2010