Croatia |
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Hepatitis B and C (HBV and HCV) Prevention, Diagnosis, Treatment | - Coverage (3rd dose) for childhood HBV vaccination is around 95%
- Percentage of pregnant women screened for HBV is above 95%
- Percentage of new-borns receiving timely (within 24 hours of birth) HBV birth-dose vaccination is 85-95%
- Official organised efforts to vaccinate affected adult populations against HBV exist, organised by government, patient organisations, non-governekmental organisations
- HCV treatment is accessible and reimbursed
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Awareness campaigns… | - about liver disease, hepatitis and liver cancer exist, organised by government, medical societies, charities/patient organisations
- about the benefits of HBV vaccination exist, organised by medical societies, government, charities/patient organisations
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Awareness level about HCC… | - risk factors, of the general public is poor-moderate
- risk factors, of primary care physicians is poor
- signs and symptoms, of at-risk populations is poor
- signs and symptoms, of the general public is poor
- signs and symptoms, of primary care physicians is moderate
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Prevention efforts | - Official organised efforts to prevent people from developing metabolic syndrome exist, organised by government, patient organisations, non-governmental institutions
- Official organised efforts to control the accessibility and popularity of alcohol consumption exist, organised by government, patient organisations, non-governmental institutions
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Stigma | - There is stigma associated with HBV infection, HCV infection, liver disease and HCC
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HCC surveillance | - County-specific guidelines that recommend the surveillance of HCC exist, adherence is around 50%
- HCC surveillance in patients for whom surveillance is recommended (eg. patients with liver cirrhosis) is performed every 6 months, nonadherence to surveillance most likely due to clinicians not referring patients to screening test(s), patients not attending appointments and no recall system
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Diagnosis stage | - Advanced stage (stage C)/Intermediate stage (stage B)
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Timings related to diagnosis | - After a GP referral patients seen by a specialist doctor within 4 weeks
- After initial referral diagnostic investigations are usually completed within 4 weeks
- After staging and diagnosis treatment usually starts within 4 weeks
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Multidisciplinary approach | - Diagnosis and staging of HCC managed by a multidisciplinary medical team most of the time
- Initial treatment plan after diagnosis designed and discussed by a multidisciplinary medical team most of the time
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Incidence and prevalence data | - HBV prevalence 0.2-0.7 %, incidence 100 cases per year (on 3.8 mil. population), source Croatian Institute of Public Health, 2023.
- HCV prevalence 0.5-0.9 %, incidence 150-200 cases per year (on 3.8 mil. population), source Croatian Institute of Public Health, 2023.
- HCC prevalence 8.5%, incidence 400 cases per year (on 3.8 mil. population), 480 people died of HCC in 2022.; The Report on Causes of Death for 2022. by National Institute for Public Health, published January 16 2024.
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