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?? ??????(HAV) ??????(HBV) ??????(HCV)
???????? ??????????????????? ????(????) ???????????? ???????????????? ????????????????? ???????????? ???????????????? ?????????????????
???? ? ? ?

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• ????????????????,??????????????1

?????????????????? 2 ?????????????????? 2
??? 90
?? 50
?? 5-10
1 Asian Liver Center. FAQ about Hepatitis B.
Available at http//liver.stanford.edu/Education/
faq.htmlquestion1. Accessed Jan 28 2010 . 2
Hepatitis B Foundation. Acute vs. Chronic
Hepatitis B. Available at http//www.hepb.org/pat
ients/acute_vs_chronic.htm. Accessed Jan 28 2010 .
9
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• ?25??????????????????????????????????????
• ???60-80??????????????????1

1Asian Liver Center. FAQ about Hepatitis B.
Available at http//liver.stanford.edu/Education/
faq.htmlquestion1. Accessed Jan 28 2010 .
10
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• ?????? ??????????????????
• ?????????????????????????,?????????
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1 Centers for Disease Control and Prevention.
Hepatitis B. Available at http//www.cdc.gov/comm
unication/tips/hep-b.htm. Accessed May 21, 2004.
11
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• ???? 3.5??????????1

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?
?
1 Centers for Disease Control and Prevention.
Hepatitis B FAQs for Health Professionals.
Available at http//www.cdc.gov/hepatitis/HBV/HBV
faq.htmb12. Accessed January 28,
2010. 2 World Health Organization. Hepatitis B.
Available at http//www.who.int/emc-documents/hep
atitis/docs/whocdscsrlyo20022/disease/world_distri
bution.html. Accessed June 1, 2004.
12
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• ????????? 10??????? 1
• ??????????? HIV ??? 100? 2

1 Lavanchy D. Hepatitis B virus epidemiology,
disease burden, treatment, and current and
emerging prevention and control measures.J Viral
Hepatitis. 20041197-107.2 2 Hepatitis B
Foundation. Hep B Statistics. Available at
http//www.hepb.org/hepb/statistics.htm. Accessed
December 29, 2009.
13
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???????? 2
??????(??????) 4.3 - 5.6
??????? 80? - 140??
???????????????????? 3,000
1 Centers for Disease Control and Prevention.
Hepatitis B and the vaccine. Available at
http//www.cdc.gov/nip/vacsafe/concerns/
hepb/qa.htm. Accessed June 1, 2004. 2 Centers
for Disease Control and Prevention. Available at
http//www.cdc.gov/hepatitis/statistics.htm.
Accessed February 20, 2010.
14
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• ??3.5??????????781
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• ????????,???????????3

1 Stanford School of Medicine. Hep B Education
FAQ. Available at http//liver.stanford.edu/Educa
tion/faq.html. 2 Asian Liver Center at Stanford
University. Hepatitis B in Asian Americans.
Available at http//liver.stanford.edu/index2.asp
?langengpagehepinasians. Accessed June 1,
2004. 3 International Agency for Research on
Cancer. GLOBOCAN 2000. Available at
http//www-dep.iarc.fr. Accessed June 1, 2004.
15
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• ?? (King County )(64)
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• ???? (Pierce County)(7)
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• ??2.8???????????????2

1 Washington State Department of Health.
Washington State Chronic Hepatitis B and Chronic
Hepatitis C Surveillance Report.
Available http//www.doh.wa.gov/cfh/IDRH_Assessme
nt/default.htm. Accessed Jan 29 2010. 2 Email
communication from DOH Public Health staff
16
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1 Public Health Seattle King County
1996-2009 Refugee Health Screening Report
17
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???????(2008?)
???????(2009?)
CDC recommends testing refugees from countries
with a prevalence of HBsAG of 2 or greater.
Eastern European refugees are not screened. 1
Public Health Seattle King County 1996-2009
Refugee Health Screening Report
18
??????? (??? - ??)
??????????????? (2008?)
?? ??????(HBsAG) ?????????? ???????? (HBsAG)
?? 24 263 9.1
??? 5 111 4.5
????? 2 19 10.5
??? 2 11 18.2
??? 2 117 1.7
?? 35 (??????,?????????? 2.93) 521
No. screened may be too small to draw accurate
conclusions Public Health Seattle and King
County
19
??????? (??? - ??)
??????????????? (2009?)
?? ??????(HBsAG) ?????????? ???????? (HBsAG)
?? 20 358 5.6
??? 9 118 7.6
?? 3 446 0.7
??? 2 175 1.1
?? 2 17 11.8
????? 1 82 1.2
???? 1 18 5.6
?? 38 (??????,?????????? 2.49) 1214
No. screened may be too small to draw accurate
conclusions Public Health Seattle and King
County
20
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Asian Liver Center. For Hepatitis B and Liver
Cancer Patients. Available at http//liver.stanf
ord.edu/Education/hepbpatients.html. Accessed Jan
28 2010.
25
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26
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  ???,????????????????
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  ?? ???????????!

27
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• ?????,????????????????
• ??,????????????????????(HBsAg)???????????(anti-H
  Bs),??????????????????????????????????????!
  ???????????
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29
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30
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• ????????? - http//www.hepbwa.org/
• WithinReach - http//withinreachwa.org/
• ??????????(AAPCHO) - http//www.aapcho.org
• ?????? - http//www.cdc.gov/ncidod/diseases/hepat
  itis/b/fact.htm
• ???????(Hepatitis B Foundation) -
  http//www.hepb.org/
• ?????????(APIAHF) - http//www.apiahf.org

31
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• ??????????(ICHS) - www.ichs.com/

32
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  AmeriCorps ?????)???????????????

33
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