Page 87 - 2024 Taiwan Health and Welfare Report
P. 87

06 | Communicable Disease Control






                       medical services for HIV/AIDS patients. The   Examination and Additional Vaccination Program for
                       Plan for Service Quality Improvement in      Children at High Risk of Hepatitis B" continues to be
                       Hospitals Designated for Treatment of HIV/   promoted. The follow-up examination rate increased
                       AIDS was launched. 96% of HIV patients       from less than 60% in 2021 to 83.9% in 2023.
                       received medication, and 95% of those receiving   There is no vaccine available to prevent hepatitis C
                       medication had an undetectable viral load.   infection. Groups at higher risk of infection include
                    (7)  Local health departments (health centers) were   intravenous drug users, HIV-infected individuals,
                       instructed  to  ensure  that  patients  received   those undergoing blood dialysis, and the sexual
                       medical assistance regularly and reinforce   partners and children of individuals infected with
                       consultation services and follow-ups for their   hepatitis C. In addition to providing health education
                       partners. Subsidies were also provided to NGOs   to high-risk groups and confirmed hepatitis C
                       that assist with patient care as halfway houses   cases, follow-up care and referrals for treatment are
                       or offer treatment arrangements, emergency   conducted six months after a patient's diagnosis.
                       accommodation, and case management         Section 5 Influenza Control
                       services. Placement was offered in 794 cases,
                       and case management services were provided   1. Seasonal influenza
                       to 3,478 patients.                           (1)  In 2023, there were a total of 1,058 confirmed
                  2. Acute viral hepatitis B and C                     cases of influenza with severe complications,
                    In 2023, there were 132 confirmed cases of acute    including 248 fatalities, resulting in a mortality
                                                                       rate of 23.4%, as shown in Figure 6-6.
                    viral hepatitis B and 501 cases of hepatitis C. The
                    risk of transmission has been reduced through   (2)  The MOHW launched the "Influenza Vaccine
                    prenatal hepatitis B screening for pregnant women   Immunization Program" in October 2023. As
                    and hepatitis B vaccination for newborns. The      of May 13, 2024, a total of over 6,560,000
                    carrier rate among 6-year-old children in Taiwan has   immunizations were administered.
                    decreased from 10.5% before the implementation of   (3)  The MOHW rigorously monitored influenza
                    newborn vaccination (1989 survey) to approximately   activity, strengthened the quality of medical care
                    0.8% (2007 survey). According to a 2019 survey,    available for acute cases, and the allocation of
                    the carrier rate in the vaccinated generation      resources. The MOHW set up approximately
                    decreased to 0.64%. To reduce the probability of   4,300 locations to dispense subsidized influenza
                    hepatitis B incidence in children born to hepatitis   antivirals.
                    B carrier (HBsAg positive) mothers, the "Follow-up


                    Figure 6-6   Confirmed Cases of Severe Influenza Complications in 2023

                          Cases
                          200
                                                                          168
                                                                     163
                          160

                          120                              115  116             116
                                                      92                                   91
                                                 76
                           80                                                        70

                           40
                                 17    18   16

                            0
                                 Jan.  Feb.  Mar.  Apr.  May.  Jun.  July.  Aug.  Sep.  Oct.  Nov.  Dec.  Month
                           Source: Taiwan Centers for Disease Control
                                                                                                                  85
   82   83   84   85   86   87   88   89   90   91   92