Subject: Re: very nice to meet you
From: nino mamaladze <[email-masked]>
To: "Morgan, Juliette (CDC/CGH/DGHP)" <[email-masked]>
Date: Mon, 23 Mar 2015 12:11:09 +0000

dear Juliette,
it was very nice to meet you. thank you for all your recommendations. 
we will foresee your ideas.

-----Original Message-----
From: "Morgan, Juliette (CDC/CGH/DGHP)" <[email-masked]>
To: "[email-masked]" <[email-masked]>
Date: Mon, 23 Mar 2015 10:03:09 +0000
Subject: very nice to meet you

> Dear Nino,
> It was very nice to meet with you today.
> 
> Please see the communication "highlights" for this workshop that I
> shared with you already. This are just C, just things CDC would
> like to see mentioned but please feel free to change as you see
> necessary.
> 
> Juliette
> 
> 
> 
> *         Purpose of workshop: Bring together national stakeholders 
and
> international partners to discuss the timeline and details for Phase 
1
> of Georgia's HCV elimination program.
> 
> *         Timeline for HCV elimination: HCV elimination will be a
> process that will span a number of years.
> 
> *         What is the Goal of the HCV elimination program: reduce 
the
> morbidity and mortality caused by Hep C in Georgia, while also
> interrupting transmission of this infection and in that way 
eventually
> eliminate it from the Georgian population. This is possible with the
> advent of treatments that are highly effective at curing chronically
> infected individuals of Hepatitis C (treatment as prevention) but 
also
> other measures of prevention are necessary. The elimination plan
> therefore will include not only treatment  for all the estimated
> 150,000 Georgians infected with HCV, but also efforts dedicated to 
the
> prevention of new infections through education, policy, and 
regulation.
> Treatment availability will occur in phases, and will be dispensed 
to
> patients depending on severity of their disease.
> 
> *         How Phase 1 is defined:  Hepatitis C is a disease that
> progresses slowly over years, so Georgians who are infected are at 
all
> different stages of disease.  Phase 1 of the elimination plan will
> target Georgians in later stages of disease who are in the greatest
> need of immediate treatment. Once those who are sickest have been
> treated, Georgia will move on to phase 2 of the elimination plan a) 
to
> treat people who are in earlier stages of disease and b) to offer
> screening to those who think they may be at risk for HCV infection 
but
> do not yet know their status.
> 
> *         Outcomes of March 26 ,27 workshop: Finalize the Phase 1
> implementation plan, defining the treatment centers, and providers 
that
> will be involved in delivering care and treatment in phase 1;
> clarifying patient identification algorithms to determine who will 
be
> eligible for immediate treatment in phase 1;; develop a registration
> process for Georgians who would like to be treated; prepare for the
> introduction of HCV drugs; review training sessions to ensure that
> providers have standard operating procedures for patient registry,
> treatment, and monitoring; finalize preparations for a national
> seroprevalence survey
> 
> *         Purpose and timeline of the serosurvey: Beginning in May,
> teams of public health professionals will randomly select households 
in
> Georgia to participate in a national survey to estimate how many 
people
> in Georgia are infected with hepatitis C. Teams will travel to 
selected
> households between May and July of this year. For those who choose 
to
> participate, the teams will take a small blood sample and ask 
questions
> related to their health and possible exposure to HCV, and will 
provide
> their test results free of charge. We encourage you to participate 
in
> this important project, since it will help us begin the process of 
HCV
> elimination in Georgia.
> 
> 
> Dr. Juliette Morgan
> Medical Epidemiologist, CAPT US PHS
> CDC Country Director
> South Caucasus CDC Office
> Phone: +(995 32) 224 46 57
> Fax:     +(995 32) 224 46 59
> Mobile:  +(995) 599 577 743
> 
> NCDC, #9 M Asatiani Str.
> Tbilisi, 0186, Georgia
> Email: [email-masked]<mailto:[email-masked]>
>