Interventions for Acute Hepatitis C

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to pregnant women on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Education to mothers on safe sex practices Community health workers training/sensitization on Hepatitis C, including transmission & prevention measures	Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Safe handling and disposal of sharps and waste; Safe sex practices Prevention of exposure to blood during sex; Promotion of Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection	Recognition of symptoms and signs	Proper nutrition, fluids; rest and relieve pain Referral to a health facility if symptoms worsens
Primary Care
Create awareness to mothers and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Provision of education; comprehensive harm-reduction services to mothers who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence health education on hepatitis C Eduaction on safe sex practices Health workers training on Hepatitis C, including transmission &; prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Guidance to mothers on Safe sex practices prevent exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening, for hepatitis C infection	• History • Physical examination • Viral hepatitis C serology • Point of care Viral load testing • Complete blood count • Urine test • Liver function tests	Proper nutrition Optimum fluids therapy Plenty of rest Relieve of pain Monitor for any complications Referral to the next level if symptoms worsens
Referral Facility: General
Create awareness to mothers and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Provision of education & comprehensive harm-reduction services to mothers who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Education to mothers on safe sex practices Distribution of IEC materials Health workers training on Hepatitis C, including transmission, prevention measures and management	Primary prevention measures; Injection safety -safe and appropriate use of health care injections safe handling and disposal of sharps and waste screening/Testing of donated blood for HBV and HCV (as well as HIV and syphilis Screening for hepatitis C infection for the pregnant women Screening for HCV to children born to mothers infected with HCV Education/guidance on Safe sex practices -prevent exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical Diagnosis of hepatitis C in pregnant women based on signs and symptoms Supportive therapies pregnant women with Hepatitis C including; - proper nutrition; fluids therapy - plenty of rest - relieve of pain Administration of Antiviral therapy Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Diagnostic tests Serological tests for anti-HCV antibodies (hepatitis C antibody test) Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection
Referral Facility: Specialist
Health workers training on Hepatitis C, including transmission ; prevention measures; and management Education to mothers on safe sex practices Provision of education & comprehensive harm-reduction services to mothers who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Distribution of IEC materials Mass awareness campaigns during health days such as World Hepatitis Day Create awareness to mothers and families on Hepatitis C including transmission, risk factors and prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections safe handling and disposal of sharps and waste Education /guidance on Safe sex practices -prevent exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver screening/ Testing of donated blood for HBV and HCV (as well as HIV and syphilis Screening, for hepatitis C infection for the pregnant women Screening for HCV to children born to mothers infected with HCV		Physical and clinical examination Diagnostic tests Serological tests for anti-HCV antibodies (hepatitis C antibody test) Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection Diagnosis of hepatitis C in pregnant women based on signs and symptoms Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Supportive therapies pregnant women with Hepatitis C including proper nutrition; fluids therapy ; plenty of rest; relieve of pain Administration of Antiviral therapy

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to parents and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Community health workers training/sensitization on Hepatitis C, including	Guidance to children on primary prevention measures including Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Guidance to children on safe handling and disposal of sharps and waste Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection		Recognition of features indicative of Hepatitis C in children under 5 years of age including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive Home therapies for Children with Hepatitis C including; - proper nutrition - Plenty of fluids - plenty of rest - relieve pain Referral to a health facility if symptoms worsens
Primary Care
Mass awareness campaigns during health days such as World Hepatitis Day Create awareness to parents and families on Hepatitis C including transmission, risk factors and prevention measures Health workers training on Hepatitis C, including on transmission and prevention measures	Primary prevention measures Injection safety - safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for hepatitis C infection		Physical and clinical examination Diagnosis of hepatitis C in children under 5 years of age based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes. Supportive therapies for under 5s with Hepatitis C including - proper nutrition; fluids therapy - plenty of rest - relieve of pain Monitor for any complications Referral to a hospital if symptoms worsens
Referral Facility: General
Create awareness to parents and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Health workers training on Hepatitis C, including transmission, prevention measures and management	Primary prevention measures; Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel on hepatitis C Screening for hepatitis C infection Immunization with the hepatitis A and B vaccines for children with hepatitis C to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical examination Diagnosis of hepatitis C in children based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive therapies for children with Hepatitis C including - proper nutrition - fluids therapy - PLenty of rest - relieve of pain Monitor for any progression to Chronic Hepatitis C Follow up Deferring anti-retroviral treatment for children aged less than 12 years with chronic HCV infection until 12 years of age
Referral Facility: Specialist
Health workers training on Hepatitis C, including transmission, prevention measures and management Mass awareness campaigns during health days such as World Hepatitis Day Create awareness to parents and families on Hepatitis C including transmission, risk factors and prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel on hepatitis C Immunization with the hepatitis A and B vaccines for children with hepatitis C to prevent coinfection from these hepatitis viruses and to protect their liver Screening, for hepatitis C infection		Physical and clinical examination Diagnosis of hepatitis C in children based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive therapies for children with Hepatitis C including proper nutrition; fluids therapy ; PLenty of rest; relieve of pain Monitor for any progression to Chronic Hepatitis C Follow up WHO -recommends Deferring anti-retroviral treatment for children aged less than 12 years with chronic HCV infection until 12 years of age

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to school age children on Hepatitis C including transmission, risk factors and prevention measure Mass awareness campaigns during health days such as World Hepatitis DayAwareness campaigns through schools Community health workers sensitization on Hepatitis C, including transmission & prevention measures school communities sensitization on Hepatitis C, including transmission & prevention measures	Guidance to children on Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Guidance to children on safe handling and disposal of sharps and waste Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection		Recognition of features indicative of Hepatitis C in school children including fever, nausea, vomiting, abdominal pain, and yellowing of skin and the whites of the eyes Supportive Home therapies for school children with Hepatitis C including - proper nutrition - Plenty of fluids - plenty of rest - relieve pain Referral to a health facility if symptoms worsens
Primary Care
Create awareness to school age children on Hepatitis C including transmission, risk factors and prevention measures. Mass awareness campaigns during health days such as World Hepatitis Day/ school health days School communities sensitizations on Hepatitis C, including transmission and prevention measures. Health workers training on on Hepatitis C, including transmission, prevention measures and management .	Primary prevention , Injection safety -safe and appropriate use of health care injections, Safe handling and disposal of sharps and waste Screening for hepatitis C infection Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical examination Diagnosis of hepatitis C in primary school age children based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes. Supportive therapies for school age children with Hepatitis C including - proper nutrition - fluids therapy - plenty of rest - relieve of pain Monitor for any complications Referral to a hospital if symptoms worsens
Referral Facility: General
Create awareness to school age children on Hepatitis C including transmission, risk factors and prevention measures Mass awarenes creation on Heaptitis C eg through world hepatitis Day/ through schools ie schools health programs Health education to school age children on hepatitsi C Distribution of IEC materuials on Hepatitis C Training/sensitizing school communities on Hepatitis C, including transmission, prevention measures Health workers trainings on Hepatitis C including transmission, prevention measures and management	Primary prevention measures Injection safety, safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel on hepatitis C Secondary prevention measures Screening, for hepatitis C infection Injection safety -safe and appropriate use of health care injections Immunization with the hepatitis A and B vaccines to children with hepatitis C infection to prevent coinfection from these hepatitis viruses and to protect their liver.		Physical and clinical examination Monitor for any progression to Chronic Hepatitis C Diagnosis of hepatitis C in children based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive therapies for children with Hepatitis C including; - proper nutrition - fluids therapy - PLenty of rest - relieve of pain Monitor for any progression to Chronic Hepatitis C Follow up WHO -recommends Deferring anti-retroviral treatment for children aged less than 12 years with chronic HCV infection until 12 years of age
Referral Facility: Specialist
Health workers trainings on Hepatitis C, including transmission; prevention measures and management Training/sensitizing school communities on Hepatitis C, including transmission; prevention measures Health education to school age children on hepatitsi C Distribution of IEC materuials on Hepatitis C Mass awarenes creation on Heaptitis C eg through world hepatitis Day/ through schools ie. schools health programs	Primary prevention measures Training of health personnel on hepatitis C Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Immunization with the hepatitis A and B vaccines to children with hepatitis C infection to prevent coinfection from these hepatitis viruses and to protect their liver.		Physical and clinical examination Diagnosis of hepatitis C in children based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive therapies for children with Hepatitis C including proper nutrition; fluids therapy ; PLenty of rest; relieve of pain Monitor for any progression to Chronic Hepatitis C Follow up n/b WHO -recommends Deferring anti-retroviral treatment for children aged less than 12 years with chronic HCV infection until 12 years of age

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to adolescents and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Education to adolesents on Hepatitis C Education to adolescents on safe sex practices Distribution of IEC materials Community health workers sensitization on Hepatitis C, including transmission & prevention measures	Guidance to adolescents on Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Guidance to adolescents on Safe handling and disposal of sharps and waste Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection		Recognition of features indicative of Hepatitis C in adolescents including fever, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive Home therapies for adolescents with Hepatitis C including - proper nutrition - Plenty of fluids - plenty of rest - relieve pain Referral to a health facility if symptoms worsens	Community Rehabilitation centers for adolescent at risk e.g for provision comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence
Primary Care
	Primary prevention measures,Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel Guidance on Safe sex practices-prevent exposure to blood during sex Provision comprehensive harm-reduction services to adolescents who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for hepatitis C infection		Supportive therapies for adolescents with Hepatitis C including; proper nutrition - fluids therapy - plenty of rest - relieve of pain - physical and clincal examination Diagnosis of hepatitis C in adolescents based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes. Monitor for any complications Referral to a hospital if symptoms worsens
Referral Facility: General
Create awareness to adolescents and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day provision of education & comprehensive harm-reduction services to adolescents who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Education to adolescents on safe sex practices Distribution of IEC materuials on Hepatitis C Health workers training on Hepatitis C, including transmission, prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and wastencluding to those at risk. Training of health personnel on hepatitis C Guidance/eduvation on Safe sex practices Secondary prevention measures Screening, for hepatitis C infection Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical examination Diagnosis of hepatitis C in elderly based on signs and symptoms Supportive therapies to elderly with Hepatitis C including; - proper nutrition; fluids therapy - Adequate rest - relieve pain Administration of Antiviral therapy (use of pan-genotypic direct-acting antivirals (DAAs) for chronic HCV) after careful assessment Serological tests for anti-HCV antibodies (hepatitis C antibody test) Diagnostic tests Monitoring for progression to Chronic Hepatitis C Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection
Referral Facility: Specialist
Health workers training on Hepatitis C, including transmission & ; prevention measures Create awareness to adolescents and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day provision of education & comprehensive harm-reduction services to adolescents who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence; Education to adolescents on safe sex practices Distribution of IEC materuials on Hepatitis C	Training of health personnel on hepatitis C Guidance /eduvation on Safe sex practices -prevent exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and wastencluding to those at risk.		Physical and clinical examination Diagnostic tests Serological tests for anti-HCV antibodies (hepatitis C antibody test) Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection Diagnosis of hepatitis C in elderly based on signs and symptoms Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Supportive therapies to elderly with Hepatitis C including proper nutrition; fluids therapy Adequate rest; relieve pain Monitoring for progression to Chronic Hepatitis C Administration of Antiviral therapy (use of pan-genotypic direct-acting antivirals (DAAs) for chronic HCV) after careful assessment Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to adults and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Health education on hepatitis C Education on safe sex practices Distribution of IEC materials Community health workers sensitization on Hepatitis C, including transmission & prevention measures	Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) Safe handling and disposal of sharps and waste Safe sex practices -prevention of exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection		Recognition of features indicative of Hepatitis C in adults including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive Home therapies for adults with Hepatitis C including; proper nutrition - Plenty of fluids - plenty of rest - relieve pain Referral to a health facility if symptoms worsens	Community Rehabilitation centers for Adults at risk e.g for provision comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence
Primary Care
Create awareness to adults and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Provision of education & comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence health educatioN to adults on heaptitis C Education to adults on safe sex practices Distribution of IEC materials Health workers training on Hepatitis C, including transmission, prevention measures	Primary prevention measures Training of health personnel on heaptitis C Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Safe handling and disposal of sharps and waste Provision comprehensive harm-reduction services to Adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Education /Guidance on Safe sex practices -prevent exposure to blood during sex Screening, for hepatitis C infection		Physical and clinical examination Diagnosis of hepatitis C in adults based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Supportive therapies for adults with Hepatitis C including; - proper nutrition - fluids therapy - Plenty of rest - relieve of pain Monitor for any complications Referral to a hospital if symptoms worsens
Referral Facility: General
Create awareness to the adults and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day provision of education and comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence; Education to adults on safe sex practices Distribution of IEC materuials on Hepatitis C Health workers training on Hepatitis C, including transmission and prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel on hepatitis C Guidance on Safe sex practices to prevent exposure to blood during sex; Secondary prevention measures Screening for hepatitis C infection including to those at risk Immunization with the hepatitis A and B vaccines for adults with hepatitis C infection to prevent coinfection from these hepatitis viruses and to protect their liver
Referral Facility: Specialist
Health workers training on Hepatitis C, including transmission & prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Create awareness to the adults and families on Hepatitis C including transmission, risk factors and prevention measures provision of education & comprehensive harm-reduction services to adults who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence; Education to adults on safe sex practices Distribution of IEC materuials on Hepatitis C	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnel on hepatitis C Guidance on Safe sex practices to prevent exposure to blood during sex; Secondary prevention measures Immunization with the hepatitis A and B vaccines for adults with hepatitis C infection to prevent coinfection from these hepatitis viruses and to protect their liver

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to the elderly and families on Hepatitis C including transmission, risk factors and prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Health education on hepatitis C - Education on safe sex practices - Distribution of IEC materials Community health workers sensitization on Hepatitis C, including transmission & prevention measures	Avoiding sharing personal care items that might have blood on them (razors, toothbrushes, nail clippers) - Safe handling and disposal of sharps and waste - Safe sex practices -prevention of exposure to blood during sex Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver Screening for Hepatitis C infection		Recognition of features indicative of Hepatitis C in the elderly including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes Referral to a health facility if symptoms worsens Supportive Home therapies for the elderly persons with Hepatitis C including; proper nutrition - Plenty of fluids - plenty of rest - relieve pain Referral to a health facility if symptoms worsens	Community Rehabilitation centers for elderly at risk e.g for provision comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence.
Primary Care
Create awareness to the elderly and families on Hepatitis C including transmission, risk factors and prevention measures Provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence - Education to elderly on hepatitis C and prevention measures - Education on safe sex parctices - Distribution of IEC materials Mass awreness campaigns during world heptitis day Health workers education on Hepatitis C, including transmission and; prevention measures	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Training of health personnelon hepatitis C Guidance on Safe sex practices -prevent exposure to blood during sex Provision comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence Screening, for hepatitis C infection Immunization with the hepatitis A and B vaccines to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical examination Diagnosis of hepatitis C in elderly based on signs and symptoms including fever, fatigue, decreased appetite, nausea, vomiting, abdominal pain, joint pain and yellowing of skin and the whites of the eyes. Supportive therapies for the elderly with Hepatitis C including; - proper nutrition - fluids therapy - Plenty of rest - relieve of pain Monitor for any complications Referral to a hospital if symptoms worsens
Referral Facility: General
Create awareness to the elderly and families on Hepatitis C including transmission, risk factors and prevention measures provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence; Education to elderly on safe sex practices Distribution of IEC materuials on Hepatitis C Mass awareness campaigns during health days such as World Hepatitis Day Health workers training on Hepatitis C, including transmission & amp prevention measures	Primary prevention measures,Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Education on Safe sex practices prevent exposure to blood during sex Training of health personnel on hepatitis C Screening, for hepatitis C infection in elderly including to those at risk Immunization with the hepatitis A and B vaccines to elderly with hepatis C to prevent coinfection from these hepatitis viruses and to protect their liver		Physical and clinical examination,Diagnostic tests Diagnosis of hepatitis C in elderly based on signs and symptoms Supportive therapies to elderly with Hepatitis C including proper nutrition, fluids therapy,Adequate rest - relieve pain Serological tests for anti-HCV antibodies (hepatitis C antibody test) Monitoring for progression to Chronic Hepatitis C Administration of Antiviral therapy (use of pan-genotypic direct-acting antivirals (DAAs) for chronic HCV) after careful assessment Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection
Referral Facility: Specialist
Health workers training on Hepatitis C, including transmission & amp; prevention measures Mass awareness campaigns during health days such as World Hepatitis Day Create awareness to the elderly and families on Hepatitis C including transmission, risk factors and prevention measures provision of education & comprehensive harm-reduction services to elderly who inject drugs including sterile injecting equipment and effective and evidence-based treatment of dependence; Education to elderly on safe sex practices Distribution of IEC materuials on Hepatitis C	Primary prevention measures Injection safety -safe and appropriate use of health care injections Safe handling and disposal of sharps and waste Education on Safe sex practices prevent exposure to blood during sex Training of health personnel on hepatitis C Immunization with the hepatitis A and B vaccines to elderly with hepatis C to prevent coinfection from these hepatitis viruses and to protect their liver Screening, for hepatitis C infection in elderly including to those at risk		Physical and clinical examination Diagnostic tests Serological tests for anti-HCV antibodies (hepatitis C antibody test) Nucleic acid test for HCV ribonucleic acid (RNA) to confirm chronic infection Diagnosis of hepatitis C in elderly based on signs and symptoms Supportive therapies to elderly with Hepatitis C including proper nutrition; fluids therapy Adequate rest; relieve pain Monitoring for progression to Chronic Hepatitis C Administration of Antiviral therapy (use of pan-genotypic direct-acting antivirals (DAAs) for chronic HCV) after careful assessment Regular Monitoring for early diagnosis and management of any complications such as liver cirrhosis and liver cancer