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Lancet. 2015 Jul 18;386(9990):245-6. doi: 10.1016/S0140-6736(15)61276-4.
Discrimination against people with hepatitis B in China.
Kan Q1, Wen J2, Xue R3.
Author information
1Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
2Institute of Clinical Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
3Institute of Clinical Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. Electronic address: [email protected].
In April, 2015, a student from Tianjin Normal University, Tianjin City, China, died by suicide in her school dormitory 4 months after her diagnosis with hepatitis B virus (HBV).1 This incident caused wide public concern about discrimination against people with HBV in China.
A recent publication2 showed that there are about 100 million HBV carriers in China. Poor understanding of HBV and its transmission persist, even among carriers of HBV. The dangers of HBV are overestimated, and many believe that HBV can be transmitted through contacts and eating together. In the last month of this student's life, the university arranged for her to live in a single room instead of to share a dormitory with other students. Ultimately, fear and prejudice against carriers of HBV led to her death.
This misunderstanding highlights the poor knowledge about HBV in China. Information is not sufficiently or accurately communicated by the government, pharmaceutical industries, therapeutic institutions, health-care workers, and researchers.3 Misperceptions about HBV (such as that HBV can be spread by sharing of drinking glasses, utensils, and toothbrushes) can be worse than ignorance and lack of awarness.
In 2011, in a Comment published in The Lancet,4 Yang and Wu warned about discrimination against people with HBV in China. Yang and Wu claimed that public education is key to eliminate HBV discrimination and that China's health authorities should play a crucial part in this process. However, 4 years later, no improvements have been made. Almost all efforts by the government to eliminate discrimination against people with HBV have had little effect. Although blood tests for HBV before starting school or a job were banned,5 HBV tests are still done and employees who test positive for HBV are not hired and provided reasons other than HBV.6
Strong science on HBV is needed. Efforts should be made by the authorities to make research into HBV a priority. Moreover, HBV carriers should make their voices heard. And perhaps anti-discrimination laws with strict penalties for transgressors are needed to protect the rights of people with HBV in China.
We declare no competing interests.
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