http://inq.philly.com/content/inquirer/2001/08/23/national/CHINA23.htm

 

Thursday, August 23, 2001

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Hepatitis B plagues China

In one southern province, 75 pct. of the population has had the disease. Dirty needles are blamed.

By Martin Fackler
ASSOCIATED PRESS

SHANGHAI, China - The use of dirty needles in injections and acupuncture has helped give the southern province of Guangdong one of the highest rates of hepatitis B infection in the world, officials and experts said yesterday.

Blood samples taken from patients during hospital visits indicate 10 million people - 75 percent of the province's population - have had the potentially lethal disease, said Luo Huiming, of the Guangdong Disease Control and Prevention Center.

He said early surveys indicated that two-thirds of China's 1.26 billion people had been infected. That compares with about one in 20 Americans.

As with AIDS, hepatitis B is spread by contact with infected blood or through sex. But hepatitis B is easier to catch because it is 100 times more concentrated in the blood and can survive briefly outside the human body.

Because of years of screening, most of China's blood supply is probably safe from hepatitis B, said Liu Chongbo, a researcher at the China Academy of Medical Prevention.

About 60 percent of those who have had the disease caught it during childhood, usually during routine vaccinations. Mothers also infect their children during birth or while breast-feeding, Liu said.

Most of those infected with hepatitis B survive. But in acute cases, the virus attacks the liver, causing cirrhosis and cancer. These diseases kill about 300,000 people in China each year, about 80 percent of whom had hepatitis B, Liu said.

Experts also blamed an illegal trade in needles that have been inadequately cleaned and repackaged. They also said there were increasing reports of infection from acupuncture, a traditional Chinese remedy in which dozens of needles can be stuck into the skin.

Effective vaccinations exist and are now required for children in the United States. But at $25, they are too expensive for most Chinese and are not covered by national health insurance.

Also yesterday, the official Xinhua News Agency issued a warning about the spread of AIDS in China via tainted blood and unclean blood-collection methods.

"China has to learn lessons from other countries that have reported many HIV/AIDS cases associated with blood transfusion, and must take determined measures to ensure blood safety," Xinhua said.

China recently has admitted it has a tainted-blood problem, after years of trying to silence doctors and journalists who publicized high AIDS rates in rural villages. China says 600,000 people have contracted the AIDS virus, about 71 percent of them drug users who shared needles.


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