Good liver Magazine June/July 2016 by Hepatitis Victoria

The Magazine of Hepatitis Victoria

June/July 2016

Good Liver GET TESTED

EASY

TO TREAT

BE TREATED

BE FREE

SPREAD THE

WORD

BE FREE!

FROM HEP C

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TEST, TREAT, TOSS HEP C

NEW MEDICATIONS

95% CURE RATES

LESS

SIDE EFFECTS

Spreading the word... Be Free From Hep C campaign

LIVERability Festival 2016

Joelâ&#x20AC;&#x2122;s treatment Journey

Be Free From Hep C is a new community awareness campaign that aims to get people to test, treat with the new hepatitis C treatment drugs.

This year events are being held across the west of Melbourne, the City of Greater Dandenong, and in central Melbourne.

Joel tells of his hepatitis C treatment journey and talks about his personal life experiences on the road to recovery from hepatitis C.

Staff

Contents

Communique

SPREAD THE

From the desk of the Chief Executive Officer Contact and postal address:

Aurora Tang

Hepatitis Victoria

Health Promotion Officer Telephone: 9385 9103 aurora@hepvic.org.au

Suite 5, 200 Sydney Road, Brunswick, Victoria 3056. Telephone: (03) 9380 4644 Facsimile: (03) 9380 4688 Email: admin@hepvic.org.au Website: www.hepvic.org.au

HepatitisInfoline

1800 703 003 Melanie Eagle CEO

Telephone: 9385 9102 melanie@hepvic.org.au

Garry Irving Programs and Operations Manager Telephone: 9385 9109 garryi@hepvic.org.au

Martin Forrest Health Promotion Program Manager Telephone: 9385 9111 martin@hepvic.org.au

Damian Salt Office Coordinator Telephone: 9380 4644 admin@hepvic.org.au

Jawid Sayed Health Promotion Project Officer Telephone: 9380 4644 jawid@hepvic.org.au

Tuan Nguyen Health Promotion Project Officer Telephone: 9385 9105 tuan@hepvic.org.au

Melissa Wright Health Promotion Officer Telephone: 9385 9104 melissa@hepvic.org.au

Shwetha Shankar Health Promotion Officer Telephone: 9385 9108 shwetha@hepvic.org.au

Kaz Cochrane Development Coordinator Telephone: 9385 9110 kaz@hepvic.org.au

Marina Mazza Community Education and Engagements Manager Telephone: 9385 9112 marina@hepvic.org.au

Shaun Knott Digital and Online Services Officer Telephone: 9385 9106 shaun@hepvic.org.au

Reece Lamshed HEPReady Business Development Manager Telephone: 9385 9116 reece@hepvic.org.au

Karen Greening HEPReady Project Officer Telephone: 9385 9117 karen@hepvic.org.au

Sione Crawford Health Promotion Project Officer Telephone: 9380 4644 sione@hepvic.org.au

4 6

Communiqué

about being free from hepatitis C after 34

example. Through a combination of

From the desk of the Chief Executive Officer

years. Joel takes us through his relatively

specifically tailored on-line, and face-to-

easy treatment journey on the new medicine

face training modules HEPReady aims

De-livering the news

compared to the old regime, and Julie

to encourage a systematic change in the

Spreading the word throught workforce training

anticipates her positive future in advance of

way the Victorian healthcare workforce

undertaking the treatment. GP, Nicole Allard

diagnoses, works with and treats viral

highlights the importance of getting people

hepatitis. It also works to empower

living with hepatitis C onto treatment, and

community and health care workers to join

cured. You can find out more at:

in the fight to eliminate hepatitis.

Spreading the word among health professionals

Spreading the word through festivals and events

WORD

www.befreefromhepc.org.au

But Hepatitis Victoria does not only act

10 Spreading the word through

We have found that it is the personal stories

locally. We also support global efforts aimed

that resonate most, and so we encourage as

at elimination through our membership of

12 Spreading the word through personal stories 14 StreetShot:

many people as possible, who are living with,

the World Hepatitis Alliance, and promotion

or who know of someone living with viral

of their efforts.

18 19

20 23

awareness campaigns

Spreading the word among young people

preading the word locally is key to tackling viral hepatitis head on.

Hepatitis Victoria is continually looking at new ways to help spread the word, to raise

Powerful voices in custody: Staying safe inside

awareness of the risks of viral hepatitis,

Uptake of new hepatitis C treatments: Kirby Institute report

management options, and to educate on

New Hep Hero: Lyn Morgain

to inform people of their treatment and prevention and elimination, as well as stigma and discrimination. Recently we have undertaken one of our

Be Winter Smart this season

biggest ‘spreading the word’ initiatives yet.

Winter warmer recipe: Vegetable soup

The BE FREE FROM HEP C campaign aims

Liver clinics Contacts

to raise awareness of the new, easy, highly successful treatment options, and encourage people to test, treat and toss hepatitis C. We encourage you to take a look at, and share the details of the campaign.

Kate Sievert

Our campaign heroes, Billy, Julie and Joel,

Community Participation Officer Telephone: 9380 4644 kate@hepvic.org.au

are sharing their very personal stories in an effort to help spread the word. Billy talks

hepatitis, to speak publicly about their experience. We have yet another new Hepatitis Hero. Lyn Morgain, Chief Executive of cohealth has taken the pledge, to speak out against stigma and discrimination. You can find out more about Lyn and our other Hep Heroes at: www.hepvic.org.au/page/95/customhepheroes-page

‘Spreading the word globally’ Through its significant engagement efforts, the World Hepatitis Alliance has recently been successful in getting the unanimous commitment of 196 countries to adopt the WHO strategy to eliminate viral hepatitis by 2030. This is a huge development – it is in fact the greatest global commitment in viral hepatitis to date.

Building the capacity of people who come into contact with others living with, or at risk of hepatitis, through workforce training is another opportunity to further help break down stigma and discrimination, and get people living with viral hepatitis

2016 has, and looks set to continue to be, a year of marked change and progress in the fight to eliminate viral hepatitis.

Melanie Eagle CEO

into appropriate management and treatment regimes. Hepatitis Victoria’s workforce training program – HEPReady – is one such

Good Liver is produced by Hepatitis Victoria, with support from the Victorian Government. The opinions and language expressed in this magazine are not necessarily those of Hepatitis Victoria or the Department of Health and Human Services.

Reader response Your comments or experiences in regard to any articles in Good Liver are welcome. Email: admin@hepvic.org.au

Graphic Design: Swivel Design 0435 733 206

SIDE EFFECTS

NEW

EASY

CURE 3

De-livering the news

SPREAD THE WORD

Help us help our HEP Heroes

Volunteer week

We are evaluating our HEP Heroes program and would like to hear from you. Have your say in how we improve and give direction to the program. If you have ever read about one of our HEP Heroes, please complete the short survey on our website: (www.surveymonkey.com/r/hephero),

It is estimated almost a quarter of people living with hepatitis C in Australia, and around 43% of people living with chronic hepatitis B in Australia remain undiagnosed.

While universal vaccination against hepatitis B implemented in the

So it is absolutely essential that effective screening, testing, liver health management and treatment (where it is needed) is in place if we are going to successfully meet the 2030 target and commitment.

and public health burden in Australia.

To read more about the Global Viral Hepatitis Strategy go to:

and tell us what you think.

chronic hepatitis B-related morbidity and mortality remains a financial

Key facts about hepatitis B:

• Over 218,000 Australians are currently living with chronic

hepatitis B – this is around eight times the number of people

www.worldhepatitisalliance.org/

win a $50 Coles/Myer gift voucher.

Eliminate hep C Symposium Eliminating hepatitis C in Australia will be the focus of a Melbourne symposium on July 26. The event marks the official launch of the Burnet Institute’s Eliminate Hep C Program and attendees will hear from leading experts about how elimination could be achieved.

celebrating the contributions of so many people during the past the contributions of our ‘new’ team of peer-facilitators working in the

A highlight of the past year certainly is the affordable access to the new hepatitis C treatments, and a special mention was dedicated to and participated in the BE FREE FROM HEP C treatment

of the community and affected populations.

awareness campaign. We also paid tribute to our HEPSpeakers,

The event will take place Tuesday, 26 July, 2016 from 9.45am at

Community Advocates, HEP Heroes, and HEPConnect

eliminate_hep_c_symposium_prevent_test_cure

Global commitment to end hepatitis

10th Australasian Viral Hepatitis Conference, 29 September – 1 October 2016, Gold Coast, Australia

At the 69th World Health Assembly (WHA), 194 governments involved in the World Health Assembly unanimously committed to adopting the first ever Global Viral Hepatitis Strategy. This was a momentous occasion, signalling the greatest global commitment in viral hepatitis to date. The Strategy embodies a commitment to eliminate viral hepatitis by 2030, and includes a set of prevention and treatment targets which, if reached, will reduce annual deaths by 65% and increase treatment to 80%, saving 7.1 million lives globally by 2030.

multidisciplinary viral hepatitis conference in Australasia. There has never been a more exciting time to be involved in discussions and exchange of learnings about the major changes happening in the sector. For further information contact: Conference Secretariat P: (02) 8204 0770 E: info@hepatitis.org.au W: www.hepatitis.org.au

hepatitis B will die from it.

Take a sneak peek into the projects we’ll be working on for the next two years around hepatitis B:

peer workers, and numerous other volunteers who regularly provide support.

The WHA emphasised that although the adoption of the strategy demonstrates considerable political will, more work will be needed to make the elimination of viral hepatitis a reality. As of February 2016, 36 countries had viral hepatitis national plans in place and 33 had plans in development. Which means there are 125 WHO Member States that don’t have national strategies to tackle this global killer. A dramatic scale up in resources and prioritisation is essential. In Australia we have national strategies, but there is much more that needs to be done to identify and engage those people living with viral hepatitis, who do not yet know that they are living with the virus.

Islander people and some migrant and refugee communities.

• 3 – 5% of Australian prisoners have chronic hepatitis B. • If left untreated, hepatitis B is a major cause of liver cancer. • Only 14% of those living with the virus receive ongoing care. • Without access to care, one in four people living with chronic

hepatitis B outreach projects across Melbourne.

those volunteers who courageously made their faces public

The Australasian Viral Hepatitis Conference is the leading

•

they have it.

Hepatitis B disproportionally affects Aboriginal and Torres Strait

year. Frank Carlus, Hepatitis Victoria’s President, acknowledged

and clinicians, collaborating partners, government, and members

For further information go to: www.burnet.edu.au/events/197_

•

chronic hepatitis B.

Almost half of those living with chronic hepatitis B don’t know

Hepatitis Victoria marked National Volunteers Week 2016, by

Guest speakers will include Burnet Institute’s leading researchers

the AMREP Lecture Theatre, 75 Commercial Road, Melbourne.

living with HIV in Australia.

• In Victoria approximately 56,000 people are living with

Those who complete the survey could be in the running to

year 2000 has significantly reduced the number of new infections,

WHA says NOhep On 28 July the World Hepatitis Alliance will launch NOhep, a global movement aimed at galvanising support toward the elimination of viral hepatitis by 2030. The Alliance also plans to move forward with the second World Hepatitis Summit in March 2017, which they are co-sponsoring with WHO and which will convene a wide range of stakeholders, from health ministers, international aid agencies, hepatitis-focused organisations and civil society groups, funding agencies, and members of the private sector. The theme will be “Implementing the Global Health Sector Strategy on viral hepatitis: Towards elimination of hepatitis

Targeted communities:

Some of our project aims:

• People who use drugs • Migrant and refugee

• Decrease number of new

communities

• Improve testing and

vaccination of hepatitis B amongst migrant communities

• Aboriginal people in custody • Afghani and Vietnamese • Raise awareness of chronic communities • Children from priority populations

as a public health threat.”

hepatitis B prevalence and prevention

• Improve patient journey to

accessing hepatitis-specific services

• Reduce incidence of hepatitis

Scaling up our work on chronic hepatitis B We are excited to announce that for the first time ever, Hepatitis Victoria has been successful in securing funding to expand our health promotion activities around chronic hepatitis B. The much needed funding comes from the Commonwealth Government, in a move to advance the country’s response against hepatitis B as per the Second National Hepatitis B Strategy 2014-2017.

hepatitis B infections

B in Aboriginal people in custody

We would like to acknowledge the efforts of both staff and volunteers at Hepatitis Victoria as well as other stakeholders who provided support and advice, and greatly contributed to the success of the project proposals.

Hepatitis Australia was allocated the responsibility to manage and distribute the funding amongst all state and territory

Similarly, we invite organisations and community members who

hepatitis organisations.

Marina Mazza on 03 9380 4644 or marina@hepvic.org.au

might be interested in participating in these projects to contact

Spreading the word...

SPREAD THE

through workforce training

ne of the ongoing concerning situations about viral hepatitis is the number of people in our community who have either hepatitis B or hepatitis C, but don’t seek testing or treatment. The reasons for this are manifold, but in our experience, it often comes down to the fact that many people are reluctant to reveal their hepatitis status because they are afraid of what others will say or think about them. This is very unfortunate, as a person’s medical condition should not influence

This can happen unwittingly when a person first walks in the door of a health or community service provider. That first point of contact can be critical. It can also be counterproductive to encouraging individuals with viral hepatitis to seek testing or treatment. In order to address this, a significant part of the training provided by Hepatitis Victoria targets this “empathy disconnect”. We refer to it as “starting the conversation” or “how to conduct sensitive and culturally specific communication”.

WORD

Spreading the word...

replaced with an online tutorial environment where participants can speak to one another,

treatments under prescription. Supply should

see presentations, chat and ask questions,

be available in all geographical areas but it

as they would in a classroom. This means

is probably good to ring your local pharmacy

that those in the community and health

first to make sure they can ensure continuity

workforce in regional centres will be able to

of access for your patient.

attend training without having to travel.

take this “sensitive and culturally specific communication” conversation even further. Comprehensive will address each risk group – CALD, migrant and refugee, Aboriginal and Torres Strait Islander – and explore the cultural, religious, financial and other barriers that may be present in their understanding of viral hepatitis. We will also review the communication

For any queries about pharmacies contact

General practitioners can now treat hepatitis C in consultation with specialists. For all other health professionals, there is a range of good information that can assist you in providing advice and support to clients

these at risk groups – verbal and non-verbal, using interpreters, through awareness campaigns and other media. Feedback on the Essentials online training has shown that virtual training is the way to go. Participants have been impressed and engaged by the range of information tools including animations, videos, and self-testing options. And we will continue to employ these

how we feel about them or how they are

Our HEPReady Essentials training

treated. Most illnesses elicit empathy and

currently includes an online component

tools in future training offerings.

support, however because hepatitis is

as well as face-to-face training. The online

But real success will be measured by the

often associated with injecting drugs,

component allows participants to explore

impact it has on eliminating this disease

people often draw their own prejudiced

the required clinical material ahead of

entirely from our community.

conclusions (although there are a variety

the face-to-face training session where

of transmission routes).

the complexities of discrimination and

For further information about the

communication can be adequately

HEPReady Workforce Development

canvassed and discussed.

Training initiative, and future courses or

Professions that deal with people who may have viral hepatitis, or may be in an “at risk” community sometimes can, unknowingly,

To enable widespread, convenient access

display some of the same prejudices that

to this training, we will soon be delivering

the wider community displays.

all the Essentials training virtually.

customised training, please call: Reece Lamshed on (03) 9380 4644 or email: reece@hepvic.org.au.

the Hepatitis Infoline on 1800 703 003.

there is evidence of cirrhosis or not, what

Q: Do GPs need to undertake any special training to treat patients with hepatitis C? A: The only requirement is that you treat

other medication the person is on, and whether ot not they are ready for treatment.

Q: How is a diagnosis of hepatitis C confirmed? A: People need to be both antibody and PCR positive to confirm a diagnosis of

diagnosed with hepatitis C.

hepatitis C. Antibody positive alone only confirms exposure at some point. It does

Frequently asked questions (FAQs)

not mean the virus is still present in their blood. Also we need to know genotype to decide on the best treatment to use.

Q: As a GP can I treat hepatitis C? A: Yes GPs can treat patients with hepatitis C. It is very straightforward. The new

Q: What tests are needed? A: Initial diagnosis of hepatitis C can only be

treatments are all oral, usually taken once

confirmed through a PCR test, which shows

a day for around 12 weeks (sometimes 24

whether or not the virus is present in the

weeks) and generally very well tolerated.

blood. A PCR test is only undertaken if a

Treatment needs to be undertaken in consultation with a specialist by phone, fax or email. There is an example of a standard remote consultation form (https://engonethepvic.blob.core.windows. net/assets/uploads/files/ALA%20Remote%20 consultation%20request%20form.pdf). Once you have the approval from a specialist it is a standard call to the PBS Authority Line.

Q: What does ‘in consultation’ mean? A: ‘In consultation’ with a specialist can be by

previous antibody test has shown the patient has been exposed to the virus. If a PCR test comes back as positive then a range of other tests will be needed to determine the genotype, state of the liver, and viral load.

Q: Should I treat someone who is still injecting? A: Yes treatment is available to all and should be offered to anyone with hepatitis C who want to be cured in a non-judgemental manner. New treatments not only provide a

a patient in consultation with a specialist. However for those interested in further training there are a range of options: HEPReady – www.hepvic.org.au/page/1153/ hepready-landing Australian Society for HIV Medicine (ASHM) training: www.ashm.org.au/HCV/training National Prescribing Service Online Training: http://learn.nps.org.au/mod/page/view. php?id=7278 HealthPathways http://melbourne.healthpathways.org.au (to login please email info@ healthpathwaysmelbourne.org.au for the username and password).

Further information for GPs and health professionals: HEP C Treatment Guidelines: http://www.hepcguidelines.org.au/ Clinical guidance for treating hepatitis C virus infection with a checklist for pre-treatment assessment of people with hepatitis C virus infection: www.gesa.org.au/files/editor_upload/ File/PBS%20and%20MBS/GP%20 algorithm%20v3.pdf

phone, fax or email with your local specialist

cure, they also help to prevent transmission

service. If you don’t have access to a local

to others. You might want to engage other

specialist ring the Hepatitis Victoria Infoline on

services that work with this community to

1800 703 003 and they will be able to put you

Hepatitis C quick reference wall flipchart for health workers: (courtesy Hepatitis NSW) https://issuu.com/ hepatitisnsw/docs/

assist treatment completion.

hep_c_quick_ref_flipchart

with touch with one.

You need to know the genotype and whether

who are concerned about, or may have been

techniques open to us as workforce professionals in delivering information to

WORD

Q: How easy is it to access the treatments? A: Any pharmacy can supply these

face-to-face training sessions will be

called HepReady Comprehensive, will

THE

among health professionals

It’s an exciting development for us. The

The next course currently under development,

SPREAD

Spreading the word...

SPREAD THE

through festivals and events

WORD

LIVERability Festival 2016 and World Hepatitis Day 2016

Calendar of events.

Date

Event

Location

Details

26 July

Burnet Institute

AMREP Lecture Theatre,

www.burnet.edu.au/events/197_eliminate_

75 Commercial Road, Melbourne, 3004

hep_c_symposium_prevent_test_cure

Sunshine Market

Community engagement with giveaways

Brimbank Council

very year, on 28 July, the World Health

and information stall at Sunshine Market

Organisation (WHO) collaborates

with partners including the World Hepatitis

27 July

Alliance and its member organisations, to

Spotlight on Hepatitis B

urge policy-makers, health workers and the

Department of Health and Human Services,

Victoria Hepatitis B Alliance

50 Lonsdale Street, Melbourne, 3000

www.hepvic.org.au/events/26/spotlight-onhepatitis-b

public to act to prevent infection and death from hepatitis.

28 July

Doherty Symposium

This date, 28 July, was chosen in honour of the birthday of Nobel Laureate Professor

awareness of viral hepatitis and to improve public health outcomes.

Hepatitis Day and events held which target clinicians, priority populations and the

and taking the lead from the WHO, we

For the past two years Hepatitis Victoria has conducted the Western LIVERability Festival, which has engaged with the community at the local level. The Festival

collaborate with partner agencies to raise

has been run in the weeks adjacent to World

focus has been on the western region of

Baruch Samuel Blumberg, discoverer of the hepatitis B virus and developer of the first hepatitis B vaccine. This is a significant date for Hepatitis Victoria,

Doherty Institute,

Annual symposium for researchers,

792 Elizabeth Street Melbourne, 3000

clinicians, health workers and students https://www.burnet.edu.au/events/197_ eliminate_hep_c_symposium_

a range of audiences, from researchers,

prevent_test_cure

community at large. 2016 sees a continuation and expansion of our Festival agenda. While previously the Melbourne, this year we are expanding the reach of events to incorporate other regions where there is significant burden of disease associated with viral hepatitis.

30 July

StreetShot

MetroWest at VU

Announcement of winners of 2016

Gallery Launch

138 Nicholson Street, Footscray, 3011

StreetShot entries: www.streetshot.org.au

City of Greater

Public space outside council library

Display on large screen and distribution

Dandenong

of resources to promote WHD to broad

community event

community based audience

Melbourne City Council

Melbourne Multicultural Hub

Now known as the LIVERability Festival, in

Community engagement with display at Melbourne Central and Federation square

2016 events are being held across the west of Melbourne, the City of Greater Dandenong, and in central Melbourne. In addition to specific Festival events,

11-31 July

Hobsons Bay

Hobsons Bay Library

Educative display on viral hepatitis

July-mid August

LIVERability grants

Various

For further information visit: www.hepvic. org.au/page/1178/liverability-grants-2016

community organisations have been invited to apply for LIVERability grants. Grants of up to $1,000 are available for organisations that can help raise awareness and reduce stigma and discrimination

4 August

City of Greater

Conference rooms at Monash Refuge

Professional development for health workers,

Dandenong & Partners

Health Service

focussing on hepatitis B and new hepatitis C treatments

associated with viral hepatitis.

Spreading the word...

SPREAD THE

through awareness campaigns HOW TO… BE FREE

HEPATITISCTESTING

THENEWHEPATITISCTREATMENTS

To test for hepatitis C, start by making an appointment with your doctor, nurse or clinic.

Talk to your doctor, nurse or clinic about getting ready for treatment.

IS YOUR TEST ANTIBODY POSITIVE?

Billy is free after 34 years… Joel will soon be free after six years… Julie is looking forward to being free after 32 years… And Nicole is looking forward to helping thousands of people be free over the next few years.

WORD

This means you have been exposed to hepatitis C at some time in your life. IF YOU HAVE BEEN EXPOSED TO HEPATITIS C For a six months period, your body will try to clear the virus. 1 in 4 people will clear hepatitis C in six months. IS YOUR PCR TEST POSITIVE?

Your doctor, nurse or clinic will do a Pre-treatment Assessment to help them work out the best treatment for you. They could include any of the tests below. PCR GENOTYPE TEST LIVER FUNCTION TEST FIBROSCAN PCR VIRAL LOAD FIBROSIS MARKER

BLOOD TEST

–

Sofosbuvir pills and Ribavirin pills

Sofosbuvir pills and Daclatasvir pills

Paritaprevir/Ritonavir/ Ombitasvir pills and Dasabuvir pills

HARVONI

SOVALDI & IBAVYR

SOVALDI & DAKLINZA

VIEKIRA PAK

FOR GENOTYPE

NO MORE BLOOD TESTS ARE NEEDED.

YOU WILL NEED A SECOND BLOOD TEST

PCR test which shows whether the virus is present in your blood or not.

Single pill made up of Sofosbuvir and Ledipasvir

This means you have never had hepatitis C.

Antibody test to see if you have ever been exposed (had the Hep C virus in your blood)

BLOOD TEST

IS YOUR TEST ANTIBODY NEGATIVE?

–

95%

IS YOUR PCR TEST NEGATIVE?

This means you have cleared the virus and you no longer have hepatitis C. NO MORE BLOOD TESTS ARE NEEDED. *should you have concerns in the future about new exposure, a PCR test should be undertaken.

95%

OF PEOPLE + CURED

12 OR 24 WEEKS*

1&3

95%

OF PEOPLE + CURED

12 OR 24

WEEKS*

WHO ARE THEY FOR?

Adults who have hepatitis C genotypes 1, 2 or 3, and a Medicare Card + Most people have no or very mild side-effects

* For most people, treatment is usually taken for 12 weeks

Note: People with genotypes 4-6 are treated with Sofosbuvir taken with Pegylated Interferon and Ribavirin treatment. They have more than a 90% chance of cure.

e Free From Hep C is a new

anxiety of not knowing if, or when,

community awareness campaign that

the virus is going to start impacting

aims to get people to test, treat and toss hepatitis C. The new, ground-breaking treatments, available to all people over the age of 18 living with hepatitis C, mean we have the opportunity to cure the more than 65,000 Victorians living with disease. By encouraging a wide take-up of action and treatment, we have the potential to eliminate hepatitis C within a generation. The campaign provides this encouragement through the personal stories of Billy, Joel and Julie, and their journey to and through treatment. For all three, the new treatments mean freedom. Freedom from the stigma that is associated with the disease, the discrimination that goes with that, and the

on their health. GP Nicole Allard says that with one percent of the population living with hepatitis C we should be aiming to cure everyone. “As a clinician it’s a wonderful thing to

be able to say to patients, let’s cure you of this problem,” says Nicole.

Hepatitis Victoria CEO, Melanie Eagle, is urging media and community to get on board and help spread the word:

“It really is remarkably simple to cure someone of a life-threatening condition that they’ve been living with for sometimes decades,” she says.

“You can help Victorians Be Free From Hep C by sharing the stories and campaign messages through your professional and personal networks.”

Because there are no symptoms, people can live with hepatitis C for many years, enduring damage to the liver, without realising they have it.

“You can help drive momentous change, and achieve the elimination of this deadly disease.”

Hepatitis C can affect anyone. Any blood-toblood contact poses a risk.

For more information go to: www.Befreefromhepc.Org.Au.

Spreading the word...

SPREAD THE

through personal stories

WORD

HEPCTREATMENTPATIENTJOURNEY

Joel’s

PATIENTS 18 AND OVER. SEE YOUR DOCTOR

treatment journey I had my appointment with the doctor on 2 March. He wrote me a prescription on the spot. He was able to do that as I had been getting annual Fibroscans. I discussed with him my current lifestyle. I had decided to let my hair down at Mardi Gras, then start treatment.

lmost six years ago I got a call from

FOLLOW UP WITH YOUR DOCTOR

was feeling tired because of that. I was trying

So I need to know the risks and try not to

to reduce my commitments after work so that

get it again.

only been diagnosed with HIV six months

feel like eating. I had trouble sleeping and

before. I wondered what on earth could be

tell other positive gay guys that there was

then would sleep all weekend after the

wrong with my liver? I went in to speak to the

a chance they could get hep C from sex. A

doctor asked me about injecting drugs and I told him the truth. He told me that there were others like me. Other positive gay guys with hep C but most of us hadn’t even injected before. There was a possibility that we had

interferon injection at the end of each week.

Last year, my doctor said that I should be able to get on treatment in 2016. I was at my

I could relax at home. I continued to work without any major interruptions.

Now I am encouraging other people living with hep C to get on treatment. If we all clear

parent’s house over Christmas. I read in the

Quickly I moved through week after week of

the virus then we can reduce how much hep

newspaper the big news that the government

treatment without a worry. I had overdone

C is out there in the community. We can

was going to spend one billion dollars on hep

the drinking one night (free drinks are hard

support and encourage each other through

C. My family were really happy for me – what

to resist) and suffered a very bad hangover.

put my part-time study on hold. After six

great news to receive on Christmas Eve!

Luckily this was only once during the entire

months when I started getting coldsores and

I had my appointment with the doctor on

12 weeks. Before I knew it, there was only

My doctor was pretty keen to get me on

blisters inside my mouth, my doctor stopped

2 March. He wrote me a prescription on the

four weeks to go, then three, then two

treatment as soon as possible. We knew

the treatment. Sadly, it didn’t work and a

spot. He was able to do that as I had been

and then only days left. In the final week I

from the regular blood tests that there was

blood test confirmed I still had hep C.

getting annual Fibroscans. I discussed

checked in with myself. Yes, I did get the

a three-month window where I could have

And so I waited.

with him my current lifestyle. I had decided to

feeling that I was finally hep C free.

let my hair down at Mardi Gras, then

Now that I have finished treatment, I have

friend of mine was the host of a community radio program that talked about sex and sexuality. He invited me on to talk about my experiences. This was the first time I spoke publicly about living with HIV and hep C.

got hep C. Because I was genotype 1A, it was harder to treat. The doctor wanted me to have the best chances of clearing hep C. So I started on pegulated interferon and ribavirin

got hep C through sexual transmission.

a few months after my diagnosis.

I got pretty angry. Where were the education

This old treatment was really awful. The

messages? Had I missed something?

side effects on my body and my brain were

The pharmacy may need to order stock

be able to clear hep C soon.

something for my community. I needed to

A few weeks later I returned to the clinic. The

START TAKING YOUR MEDICATION

approval process. I was hopeful that I might

loss and felt sick to my stomach so I didn’t

arranged for me to see a doctor.

Make sure you finish the course

give me immunity; I can get hep C again.

HIV was now coming undone. I had to do

used fits but I hadn’t done that. The nurse

Liver health

and chest infection in week four so maybe I

the progress I had made in accepting my

I knew there was a risk if someone shared

Type of Hep C

TAKE YOUR SCRIPT TO THE PHARMACY

it passed each stage in the government

the sexual health clinic to come in to

how did I get it? I knew very little about hep C.

Your treatment will be decided by your GP or you may be referred to a specialist

very intense. My existing anxiety went out of

discuss some abnormal liver results. I had

mind started racing. hep C? What is that and

DISCUSS YOUR TEST RESULTS WITH YOUR DOCTOR

I felt ashamed, dirty and diseased. All

control. I got hot and cold sweats, memory

nurse and she told me that I had hep C. My

You may need blood tests or other investigations

My body felt weak and heavy so I stopped being able to exercise. Even easy things, like walking to the shops to get food was a struggle. I had to quit my part-time job and

Then I heard about some trials of new hep C drugs. This new treatment was supposed to

start treatment.

three more blood tests before I can get the

the treatment.

Take a look at Joel’s video story (and others): www.hepvic.org.au/page/1172/personal-stories

I took one pill every morning along with my

all clear. One test now immediately after

NOTE: Hepatitis Victoria supports

getting on a trial but each time I didn’t quite

other HIV meds. I was really happy to see

treatment. Another test in three months and

healthy liver management, and

meet the criteria. I got involved with Hepatitis

after the first week that I hadn’t had any side

the final test in six months. I cannot wait

recommends that where possible people

Victoria and started to write to politicians

effects. By about week three I got some

to hear if I am hep C free. I do need to be

undergoing treatment for hepatitis C

headaches and felt a bit tired. I did get a cold

careful though. The treatment doesn’t

refrain from drinking alcohol.

be very good. I kept asking my doctor about

about the new treatment. I would hear as

spreading the word...

SPREAD THE

among young people

treetShot is an annual photographic/ short video

competition, which aims to reduce the incidence of hepatitis C infections among at risk young Victorians.

Day (28 July) at the Victoria University

fabulous debates, and out-ofthe young minds. We look forward to seeing the resulting creative ideas coming through in the competition submissions over the coming weeks. In the meantime, take a look at the StreetShot journey to date, and keep visiting: www.streetshot.org.au to check out the latest

StreetShot gets young people to share,

competition submissions.

through their own creativity, what

For further information contact Shwetha

Interactive education sessions help participants learn about particular risk factors for viral hepatitis, and how

Shankar on ph: (03) 9380 4644 or email: shwetha@hepvic.org.au

StreetShot is an annual photographic/video competition for young people conducted by Hepatitis Victoria and has been running since 2010. Education = Knowledge and = rates of newly acquired viral hepatitis C. Authors: Shwetha Shankar (Health Promotion Project Officer); Fathima Ijaza Lafeer (Volunteer). Email: shwetha@hepvic.org.au

The purpose of StreetShot is to raise awareness about hepatitis C amongst young people. The StreetShot program includes interactive education sessions where participants learn about particular risk factors for viral hepatitis C transmission and how they can keep themselves safe. Participants then collaborate on a creative photography/video project to visually represent their perspective on the dangers, the fears, the risks and the power of knowledge of viral hepatitis C.

OUR JOURNEY

represent their perspective on the dangers, the fears, the risks and the power of knowledge about viral hepatitis. The 2016 StreetShot competition is tracking well. To date 28 registrations from schools and youth organisations have been received which is the highest in the competition’s seven-year history. Since starting in 2009 StreetShot has had more than 700 students

HEPATITIS C FACTS 1in 4

new infections are among youth, aged 15–29 1

A silent killer that affects more than 120,000 Victorians 2

Major risk factors3 (Australia):

Sharing of • Unsterile equipment • Piercing and tattooing equipment.

New treatment available with 95% cure rates 4

Do you have any suggestions. Please write to us. We appreciate your views! Stick Post-It notes here please...

up to the exhibition launch and prize

sequel to Art Inside the West. Art Inside the West enabled people in custody to contribute to raising awareness of

because of the custodial setting can prevent people from wanting to engage with education, information and even health screening activities. Staying Safe Inside aims to de-stigmatise

the unique nuances of the prison

blood borne virus safety discussion,

environment. Staying Safe Inside

making it important to everybody in custody regardless of their perceived level of risk. Staying Safe Inside aims to arm people with

sort fact from fiction,

the resources and

and promote

2011

Institutions involved: 13 Regional: 9 Metro: 4 Youth involved: 301 Submission: 59 images

dialogue to

messages

address

of blood

all types of

borne virus

blood borne

safety, care

virus risk activities

and support.

2012

Institutions involved: 22 Regional: 15 Metro: 7 Youth involved: 353 Submission: 42 images

Participants of Staying Safe Inside have

2013

Institutions involved: 20 Regional: 12 Metro: 8 Youth involved: 307 Submission: 174 Outcome: Participants in StreetShot demonstrated an increased awareness and ability to prevent hepatitis C infections.

2014

Institutions involved: 23 Regional: 15 Metro: 8 Youth involved: 348 Submission: 74 Outcome: 85% of education participants felt they had learned something new about preventing viral hepatitis. Institutions involved: 16 Youth involved: 466 Submissions: 60 Outcome: The young people who submitted photographs demonstrated a good understanding of the principles of hepatitis prevention. (Regional projects) Hep Free Shep project.

2016

an opportunity to discuss concerns relating to blood borne viruses and identify risk and

Institutions involved: 25 services, and counting… Youth involved: 562 students, and counting… The beginning of a new venture a short video component along with the photographic component. (Regional projects) Hep C Free Campaspe project

THE WAY FORWARD

Pictured above: Street Shot viral hepatitis conference poster.

rather than only those identified “high”. Participants can then choose to become informal myth busters and credible sources of information for

protective factors people experience

their peers in prisons. Participants have

while they are incarcerated. The program

reported as being a credible source of

respects participants’ knowledge of the

information relating to new therapies

prison environment and acknowledges the

and treatment access (both inside and

challenges people in custody face.

outside of custody) amongst their peers.

Many factors can make blood borne safety

2015

References

1. Hepatitis Victoria - http://www.streetshot.org.au/page/2/about 2. Hepatitis Victoria - https://www.streetshot.org.au/page/2/about 3. Hepatitis Australia - http://www.hepatitisaustralia.com/newsarticles/ schoolies-warned-over-unsterile-diy-tattooing-and-piercings/13/11/2013 and Hepatitis Victoria - http://www.streetshot.org.au/page/2/about 4. Hepatitis Australia - http://www.hepatitisaustralia.com/hepatitis-c-facts/treatment-for-hep-c

Staying Safe Inside is Hepatitis Victoria’s

custody in Victoria to

take part in the competition. At the time of writing 15 interactive education sessions had been conducted, and the Health Promotion team is looking forward to more collaborative participation, building

consequences of stigma and discrimination

motivation of people in

Institutions involved: 10 Regional: 6 Metro: 4 Youth involved: 91 Submissions: 48 images Outcome: Enhanced hepatitis C-related work practices and organisational capacity of youth services.

young people then collaborate on a year, short video) project to visually

The potential amplification of the

to the fight against viral hepatitis by

builds upon the talent and

2010

Over the years there has been increased engagement with at risk young people particularly in rural areas aligning with the strategic aim of reaching out to target groups across Victoria.

they can keep themselves safe. The creative photography (and as of this

eople in custody continue to contribute

counteracting myth and misconception.

Metro West Gallery. As always there have been some

Staying safe inside

announcements due on World Hepatitis

the-box thinking among

they understand about viral hepatitis.

WORD

Powerful voices in custody:

challenging for people in custody. The absence of prison needle and syringe programs, or safe methods of tattooing and body piercing mean traditional messages of

Participants also promote prison services, which can protect people from blood borne virus risks as well as services, which can assist people with viral hepatitis inside and outside of prison.

infection control do not apply to people while Staying Safe Inside, like Art Inside the they are incarcerated. West, relies on the collaboration of many Fatigue experienced by people in custody

parties to reduce harms from viral hepatitis

associated with information and education

for people in custody. Some of the most

relating to viral hepatitis can make

powerful messages to come out of

stimulating people’s interest in participating

Staying Safe Inside are the voices of

in programs challenging.

the participants.

An individual’s misunderstanding about viral

For further information contact

hepatitis, is often carried with them

Melissa Wright on ph: (03) 9380 4644

into prison and can deter them from seeking

or email: Melissa@hepvic.org,au.

information while they are incarcerated.

Uptake of new hepatitis C treatments

New Hep Hero:

New Kirby Institute report

Lyn Morgain

he Kirby Institute has released the second report on the

Professor Margaret Hellard of the

number of people initiating treatment for hepatitis C, using the

Burnet Institute (Melbourne) said,

new generation medicines. Based on an extrapolation of wholesale

“If we keep tracking at that rate we will treat nearly as many people with hep C this year as we have in the past 15-20 years.”

data to PBS reimbursement data, to account for the time lag in reporting, an estimated 13,000 to 16250 patients initiated hepatitis C treatment in March - April 2016.

Number of prescriptions processed for reimbursement April/March.

To view the report go to: http://static1.squarespace.com/static/50ff0804e4b007d5a9abe0a5/ t/575f2d259f7266ebae8ec5f8/1465855281347/Kirby_HepC_ Newsletter_Issue2.pdf

SPREAD THE WORD

“I am a Hep Hero because I believe that together, we can reduce the stigma surrounding hepatitis, and help ensure that more people are able to live healthier, happier lives.’’

Those of us who might once have thought that cure was impossible, cannot help but be incredibly excited by the fact that treatment is now so readily available. Number of prescriptions processed for reinbursement – 8 weeks/12 weeks/24 weeks.

y professional history began

and the need for awareness, care and

I want everyone to be able to have the

in communities, networks and

responsibility. It also taught me about stigma,

knowledge, skills, confidence and support

organisations where blood borne viruses

discrimination and community mobilisation,

they need to avoid infection where possible,

such as hepatitis were a key focus.

and the need for those of us affected by

and to get early and effective treatment if

This understanding of the key role that peer

issues to be at the forefront of designing

they need it.

communities have in sharing information

treatment responses, community education

and adopting behaviours that keep us

and addressing community attitudes where

safe and well, remain key to my professional

these are harmful or unhelpful.

Lyn’s message to others:

Those of us who might once have thought that cure was impossible, cannot help but be

Be heroic. Get tested, get on treatment.

incredibly excited by the fact that treatment

Support those you love and know

is now so readily available.

to do the same. Talk about hepatitis.

understanding of health promotion, effective treatment and prevention. Today I am lucky to work in an organisation where these understandings shape the way we work with communities and deliver care.

Together, we can reduce the stigma

I am of the generation whose lives were

There are two things to remember about

surrounding hepatitis, and help ensure

significantly changed by the advent of BBV

hepatitis – it can and does affect anyone,

that more people are able

such as HIV and hepatitis and this taught me

and it is also preventable and treatable.

to live healthier, happier lives.

important lessons about risk, transmission

And that’s why we need to talk about it.

Be Winter Smart this season! E

very year, as soon as the first cold kicks in, we all find ourselves fighting one of

our hardest enemies: winter weight gain. This is of particular relevance to those living with liver disease, as the link between liver health

SPREAD THE WORD

Comfort Food

and healthy weight is well known and proven.

the healthier choices such as salads and wholegrain sandwiches with lean meats.

up: Winter is the ideal time for • Stock soups and they are arguably the easiest meal to cook. Furthermore, research shows that people eat 20% less when having soup

People use a variety of theories to either

as entrée – all of which makes soup your

convince themselves or others that winter

best partner against winter weight gain. So

weight gain is unavoidable and outside their

dust off those big grandma pots, cook up

control. After doing a bit of research to find

non-creamy soups, and freeze in individual

out more about these so-called ‘theories’, I

serves to have them handy for every meal.

have classified the most popular ones and

choose an exercise that can • beStaydoneactive: indoors, team up with someone

named them according to their respective followers.

to motivate you and take advantage of incidental physical activity like taking the stairs, getting off public transport one stop

Which one are you?

require you to walk. Plus look at the bright

Vegetable Soup

earlier, or volunteer to run errands that

• The Seasonal Eater: those who

side: you could always be worse off – like

Preparation time: 15 minutes

claim to eat “lighter meals” during

having metres of snow at your doorstep

Cooking time: 25 minutes

summer and heavier foods over winter.

and temperatures of -30 degrees!

• and fill up your shopping basket with fresh

Note to the reader: for some those

Shop wise: embrace winter produce

“lighter meals” include the salad that comes with the

foods and healthy staples. Make sure you

fish and chips by the beach.

with less than 400mg sodium per 100g and

believe that it is printed in our DNA

less than 10g of sugar per 100g.

to stock up on calories to survive in

ahead: never leave for tomorrow • Think what you can do today – it will be much

times of famine and scarcity. need to spend more time indoors

and blame weight gain to the lack of physical activity.

• The ‘All of the above’ believers. We have all been guilty of using at least one of these – or a combination if you are an ‘All of the above’ believer. Surprisingly, when looking at the scientific data there is little to no evidence to support these claims. For instance, while some mammals have a marked change in energy demands according to seasons (such as those who hibernate and migrate) we do not find these behaviours in humans. Modern living, including climate control and artificial lightning means that the Hibernators claim has no basis.

Storage: Store covered in the fridge – suitable for freezing

always check the labels and aim for foods

• The Neanderthalist: those who • The Hibernators: those who

Serves: 6

Similarly for the Neanderthalists, the current food supply enables us to access a huge variety of foods all year round, which in combination with the other features of modern living mentioned before, makes the need to stock up on calories unsustainable. And lastly, there is some controversy on the amount of food and calories we eat each season: some studies have found no differences between seasons (or even higher intake of some nutrients during summer) whereas others have found small calorie increases during autumn and winter – so I’ll give the Seasonal Eaters the benefit of doubt. Nevertheless, almost half of Australian adults are expected to put on up to five kilos over winter which may not be lost throughout the rest of the year. However, considering the

scarce evidence as to whether temperature changes causes weight gain, it seems that the urban food myths might be the ones to blame for this correlation. The good news is that winter weight gain is avoidable and you can welcome spring in good health. I have put together 10 tips to beat winter weight gain and keep your liver happy:

•

Cut down on take away: people tend to consume more take-away foods during winter. These foods are usually higher in kilojoules, saturated fat, sugar and sodium – as well as expensive. Homemade meals are not only better for your health but they save you money and give the opportunity to practice your cooking skills or get the family cooking together. When you do elect for take- away pick smaller portions and go for

harder to change behaviours once summer arrives. It is never too late to start looking after your health. Make small achievable goals, plan your meals for the week and find someone who can support or motivate you on the journey and you’re ready to go.

For further information and tips: www.daa.asn.au http://theconversation.com/gaining-weightin-winter-isnt-inevitable-unless-you-decideyou-will-40320 NSW Health Authority and the NSW Health survey, 2012: www.8700.com.au/

Marina Mazza Health Promotion Project Officer

Ingredients:

• • • • • • • • • • • • •

1 onion, diced 1 tablespoon oil 1 teaspoon minced garlic or 1 fresh clove 1 teaspoon cumin 1 green capsicum, chopped 1 red capsicum, chopped 2 large carrots, chopped 400g tin crushed tomatoes 1.5 litres beef stock (salt reduced) 0.5 cup red or brown lentils 1 zucchini, chopped 400g tin red kidney beans, drained and rinsed

Method 1. Place the oil, onion, garlic and cumin into a large pan 2. Cook over a medium temperature until the onion softens 3. Add the stock, tomatoes, carrots, zucchini, capsicum and lentils and bring to the boil 4. Reduce the heat and simmer for approximately 20 minutes 5. Add the kidney beans and simmer for another couple of minutes 6. Pour contents into a blender and puree, or serve as is.

1 small sweet potato, diced

Liver clinics and liver specialists

Contacts Community-based Hepatitis C Treatment Services

Albury

Albury Community Health - Hepatitis Clinic 596 Smollett Street, Albury Contact: (02) 6058 1800 Fax: (02) 6058 1801

Bairnsdale

Bairnsdale, Regional Hospital, Specialist Consulting Rooms 122 Day Street, Bairnsdale Contact: (03) 5150 3478 Fax: (03) 5150 3404

Ballarat

Ballarat Health Services 577 Drummond Street North, Ballarat Contact: (03) 5320 4211 Fax: (03) 5320 4097 Ballarat Community Health 12 Liliburne Street, Lucas Contact: (03) 5338 4500

Bendigo

Bendigo Health Lucan Streets, Bendigo Contact: (03) 5454 8422 Fax: (03) 5454 8419

Bentleigh East

Moorabin Specialist Centre (Private) 873 Centre Road, Bentleigh East Contact (03) 9579 0100 Fax: (03) 9563 7554

Berwick

76 Clyde Street, Berwick Contact: (03) 9796 1500 Fax: (03) 9796 1300

Box Hill

Box Hill Hospital 8 Arnold street, Box Hill 3128 Contact: (03) 9895 3352 (OPD) 1300 342 255 (General)

Caulfield South

Caulfield Endoscopy (Private) 544 Hawthorn Road, Caulfield South Contact: (03) 9595 6666 Fax: (03) 9595 6611 Email: info@caulfieldendoscopy.com.au

Clayton

Southern Health Monash Medical Centre 246 Clayton Road, Clayton Contact: (03) 9594 6666 Fax: (03) 9594 6111 Email: outpatient.enquiries@monashhealth.org

Coburg

John Fawkner Private Hospital (Private) 275 Moreland Road, Coburg Contact: (03) 9385 2500 Fax: (03) 9385 2170

Cranbourne

Cranbourne Integrated Care Monash Health 140-154 Sladen Street; Cranbourne Contact: (03) 5990 6789 Fax: (03) 5990 6350

East Ringwood

Maroondah Hospital – Eastern Health Davey Drive, Ground Floor Outpatients. East Ringwood Contact: (03) 9879 1570 Email: outpatients@easternhealth.org.au

Eltham

(Dr.Tony Dr Michealson, and weakly visiting Hepatitis C nurse Rhonda O’Malley) 1170 Main Rd, Eltham. Contact: (03) 9496 6846 Fax: 9496 2732 Email: Rhonda.o’malley@austin.org.au

Epping

Northern Hospital 185 Cooper Street, Epping Contact: (03) 8405 8000 Fax: (03) 8405 8761 Epping Medical Centre 230 Cooper Street Contact: (03) 8401 1777 Fax: (03) 8401 1788

Fitzroy

Malvern

Victorian HepatoPancreato Biliary Surgery Group. (Private) 29/183 Wattletree Road, Malvern Contact: (03) 9508 1222 Fax: (03) 9509 1522 Cabrini Hospital (Private) 183 Wattletree Road Malvern Victoria 3144 Contact: (03) 9508 1222 Fax: (03) 9508 1098

Maroondah

Parkville

Royal Melbourne Hospital, Infection Diseases Department, OPD Ninth floor, 300 Grattan Street (Corner of Royal Parade), Parkville Contact: (03) 9342 7212 Fax: (03) 9342 7277

Prahran

Alfred Hospital, Infectious Diseases Department 55 Commercial Road, Prahran Contact: (03) 9076 6081 Fax: (03) 9076 6528

Maroondah Hospital – Eastern Health (Outpatients) Ground Floor, Davey Drive, Ringwood East Contact: (03) 9895 3333 Fax: (03) 9895 4852

Preston

Melbourne

Richmond

Alfred Centre, Gastroenterology Department Ground floor, 99 commercial Road, Melbourne Contact: (03) 9076 2223 Fax: (03) 9076 2194 Melbourne City Gastroenterology (Private) Mailing address: Melbourne City Gastroenterology PO Box 2159 Royal Melbourne Hospital Contact: 1300 700 789

Victorian Aboriginal Health Services Wednesdays 9.00-4.00pm 238-250 Plenty Road Preston Phone: 9403 3300 for an appointment or drop in. The Epworth Centre (needs referrals) Suite 7.6 Erin Street, Richmond Contact: (03) 9428 9908 Fax: (03) 9421 3432

Shepparton

Goulburn Valley Health Outpatients Graham Street, Shepparton Telephone: (03) 5832 3600 Fax: (03) 5831 6032

Springvale

St. Vincent’s Hospital 35 Victoria Parade, Fitzroy Contact; (03) 9288 3771 Fax: (03) 9288 3489

Melbourne East

Footscray

Melbourne GI & Endoscopy (Private) 130-132 Grey Street, East Melbourne Contact: (03) 9417 5306

Springvale Community Health – Monash Medical Centre 55 Buckingham Avenue, Springvale Contact: (03) 9594 3088

Mildura

Traralgon

Western Hospital 148 Gordon St Footscray VIC 3011 Contact: (03) 8345 6666 Fax: (03) 8345 6856

Frankston

Peninsula Liver Clinic (Private) 141 Cranbourne Road, Frankston Contact: (03) 9770 0139 Fax: 9781 2644

Geelong

University Hospital Geelong Gippsland Central Gippsland Health Services 292-322 Ryrie Street, Geelong Contact: (03) 4215 1396 Fax: (03) 4215 1385 155 Guthridge Parade, Sale.

Heidelberg

Austin Liver Clinic 145 Studley Road, Heidelberg Contact: (03) 9496 2787 Fax: (03) 9496 7232

Mildura Base Hospital 231-237 Thirteenth Street, Mildura Contact: (03) 5022 3333 Fax: (03) 5033 3228

Mitcham

Mitcham Private Hospital – consulting rooms (Private) 23 Doncaster East Road, Mitcham Contact: (03) 9210 3146 Fax: (03) 9210 3139

Moonee ponds

Moonee ponds Gastrolab (Private) Suite 1, level 1, 28 Young Street, Moonee Ponds Contact: (03) 9331 3122 Fax: (03) 9331 3133 Moonee Valley Specialist Centre (Private) Private Facility, including Fibroscan. Ground Leve| 767 Mt Alexander Road Moonee Ponds Contact: (03) 9372 0372

Latrobe Regional Hospital Private Consulting Suites 3 and 4 Princes Highway, Traralgon West. Contact: (03) 5173 8111 Fax: (03) 5173 8097

Wantirna

Knox Private Hospital – consulting rooms (Private) 262 Mountain Highway, Wantirna Contact: (03) 9210 7300 Fax: (03) 9210 7301

Warrnambool

Western Region Alcohol and Drug Centre (limited hepatitis treatment services) 172 Merri Street, Warrnambool Contact: 1300 009 723 Fax: (03) 5564 5700

West Heidelberg

Banyule Community Health Centre 21 Alamein Road, West Heidelberg. Contact: (03) 9496 6846

Wodonga

Murray Valley (Private) Hospital Nordsvan Drive, Wodonga. Contact: (02) 6056 3366 Fax: (02) 6056 3466 Gateway Health 155 High Street, Wodonga Contact: (02) 6022 8888 Fax: (02) 6024 5792

Community-based Hepatitis C Treatment Services Community based treatment clinics have been developed to enable more people to access treatment in their local communities.

Ballarat

Ballarat Community Health 12 Lilburne Street, Lucas Contact: (03) 5338 4500 Fax: (03) 5338 0520

Braybrook

Braybrook Community Health Service Cohealth Churchill Avenue, Braybrook

Coburg

St. Kyrollos Family Clinic 2A Moore Street, Coburg Contact: (03) 9386 0900 Fax: (03) 9386 5388

Coburg

Uniting Care Re Gen 26 Jessie Street, Coburg Contact: (03) 9386 2876

Collingwood

CoHealth (formerly North Yarra Community Health) 365 Hoddle Street, Collingwood Contact: (03) 9411 3555 Fax: (03) 9411 4300 Email: info@cohealth.org.au Cohealth INNERSPACE 4 Johnston Street, Collingwood

Cranbourne

Cranbourne Intergrated Care Centre – Monash Health (Hepatitis C outreach treatment clinic as part of Southern Health Services) 140 -154 Sladen Street, Cranbourne Contact: (03) 5990 6789

Fitzroy

Cohealth 75 Brunswick Street Fitzroy Contact: (03) 9411 3555 Fax: (03) 9411 3500

Footscray

Health Works 4 –12 Buckley Street, Footscray Contact: (03) 9362 8100 Fax: (03) 9362 8180

Footscray

Cohealth Joslin clinic 575 Barkly Street, West Footscray Contact: (03) 9912 2000

Frankston

SHARPS, NSP + community health 20 Young Street, Frankston Contact: 1800 642 287

Kensington

Cohealth – Kensington Medical Clinic, 12 Gower Street, Kensington VIC 3031 Contact: (03) 8378 1600

Melbourne

Living Room, Youth Projects (Hepatitis programs – Thursdays every fortnight) 7 – 9 Hosier Lane, Melbourne Contact: (03) 9662 4488 Fax: (03) 9662 4400 Email: living@youthprojects.org.au

North Melbourne

Harm Reduction Victoria (HRV) 128 Peel Street, North Melbourne Contact: (03) 9329 1500 Email: admin@hrvic.org.au

Nunawading

Nunawading Clinic 176 Springvale Road, Nunawading Contact: (03) 9878 9191 Fax: (03) 9877 2089

Richmond

North Richmond Community Health (Hepatitis C nurse visits every Wednesday) 23 Lennox Street, Richmond Contact: (03) 9418 9800 Fax: (03) 9428 2269 Email: nrch@nrch.com.au

St. Kilda

Barkley Street Medical Centre 60 Barkley Street, St. Kilda Contact: (03) 9534 0531 Fax: (03) 9534 6159 FIRST STEP 42 Carlisle Street, St Kilda Contact: (03) 9537 3177 Fax: (03) 9537 0133 Access Health 31 Grey Street, St Kilda Contact: (03) 9076 6081 St Vincent’s Integrated Hepatitis C Service 60 Barkly Street. St Kilda Contact: (03) 9534 0531

Contacts Needle and Syringe Programs Werribee

Belgrave

Werribee Mercy Hospital – consulting Suites

Inspiro Community Health Service

300 Princess Hwy, Werribee

1624 Burwood Highway, Belgrave

Contact: 9386 2259

Contact: (03) 9738 8801

Fax: (03) 8754 3110

Warragul, Morwell, Sale La Trobe Community Health Service, Hepatitis C Nurse 1800 242 696

Wodonga Gateway Community Health Service 155 High Street Wodonga VIC 3690 (03) 5723 2000

Needle and Syringe Programs Alexandra Alexandra Community Health Services – Needle Exchange Program 12 Cooper Street, Alexandra Contact: (03) 5772 0900 Fax: (03) 5772 0919 Email: alexandrachs@humehealth.org.au

Altona Meadows Isis Primary Care 330 Queens Street, Altona Meadows Contact: (03) 8368 3000 Fax: (03) 9360 7534

Apollo Bay Otway Health & Community Services 75 McLachlan Street, Apollo Bay Contact: (03) 5237 8500 Fax: (03) 5237 6172 Email: otwayhealth@swarh.vic.gov.au

Bairnsdale Bairnsdale Community Health Centre – Needle and Syringe Program 48 Ross Street, Bairnsdale Contact: (03) 5152 0222 Fax: (03) 5152 1500 Email: email@brhs.com.au Bairnsdale Community Health Centre – Emergency Department offer needles 24/7 122 Day Street, Bairnsdale Contact: (03) 5150 3333 Fax: (03) 5152 6784 Email: email@brhs.com.au

Carlton

Colac

Eltham

Colac Area Health 2-28 Connor Street, Colac Contact: (03) 5232 5100 Email: dmelville@cah.vic.gov.au

Fax: (03) 9739 4689

Melbourne Sexual Health Centre 580 Swanston Street, Carlton Contact: (03) 9341 6200 Fax: (03) 9341 6279 Email: enquiries@mshc.org.au

Email: hello@inspiro.org.au

Carlton North

Cohealth 4 Johnston Street, Collingwood Contact: (03) 9468 2800 Fax: (03) 9417 1499 Email: info@innerspace.org.au

Epping

365 Hoddle Street, Collingwood Contact: (03) 9411 4333 Fax: (03) 9411 4300 Email: info@cohealth.org.au

Euroa

Belmont

Barwon Health – Needle and Syringe Program 1-17 Reynolds Road, Belmont Contact: (03) 4215 6800 Fax: (03) 4215 6839 Email: receptionbelmont@barwonhealth.org.au

Benalla

Benalla Community Health 45 Coster Street, Benalla Contact: (03) 5761 4222 Fax: (3) 5761 4502 Email: communityhealth@benallahealth.org.au

Bentleigh East

Bentleigh Bayside community Health, Glen Eira Site 2A Gardeners Road, Bentleigh East Contact: (03) 9575 5333 Fax: (03) 9579 3623 Email: info@bbch.org.au

Braybrook

Cohealth, Braybrook Community Centre 107-139 Churchill Avenue, Braybrook Contact: (03) 9334 6699 Fax: (03) 9312 3507

Broadmeadows

Dianella Community Health 42-48 Coleraine Street, Broadmeadows Contact: (03) 8301 8888 Fax: (03) 8301 8889

Brunswick

Cohealth, Carlton North Centre 622 Lygon Street, Carlton North Contact: (03) 9349 7333 Fax: (03) 9349 7300 Email: info@cohealth.org.au

Castlemaine

Castlemaine District Community Health Centre 13 Mostyn Street, Castlemaine Contact: (03) 5479 1000 Fax: (03) 5472 3221 Email: email@cdch.com.au

Caulfield

Chelsea

Upper Murray Health and Community Services 20 Kiell Street, Corryong Contact: (03) 6076 3200 Fax: (03) 6076 1739 Email: Enquiries@umhcs.vic.gov.au

Caulfield Community Health Service – Alfred Health 260 Kooyong Road, Caulfield Contact (03) 9076 6666 Fax: (03) 9046 4060 Email: access@cgmc.org.au Central Bayside community Health Service 3/1 The Strand, Chelsea Contact: (03) 9782 7633 Fax: (03) 9782 7600 Email: info@cbchs.org.au

Churchill

Latrobe Community Health Service 20 - 24 Philip Parade, Churchill Contact: 1800 242 696 Fax: (03) 8746 1100 Email: info@lchs.com.au

Cobram

Cobram District Health 24 - 32 Broadway Street, Cobram Contact: (03) 5871 0777 Fax: (03) 5872 2406

Camperdown

Merri Community Health Services 93 Bell Street, Coburg Contact: (03) 9350 4000 Fax: (03) 9350 1518 Email: mch@mchs.org.au

Cann River

Cann Valley Bush Nursing Centre 27 Monaro Highway, Cann River Contact: (03) 5152 6210 Fax: (03) 5158 6409

Corio

Barwon Health - Needle Syringe Program 2 Gellibrand Street, Corio Contact: (03) 4215 7100 Fax: (03) 4215 7193

Merri Community Health Services 11 Glenlyon Road, Brunswick Contact: (03) 9367 6711 Fax: (03) 9387 5417 Email: mchs@mchs.org.au

Manifold Place Community Health Centre 140 Manifold Street, Camperdown Contact: (03) 5593 1892 Fax: (03) 5593 2010 Email: MPlace2@swh.net.au

Collingwood

Coburg

Cockatoo

Monash Health Community Services 7 - 17 McBride Street, Cockatoo Contact: (03) 5968 7000 Fax: (03) 5968 7030 Email: MHCAccess@monashhealth.org

Corryong

Cranbourne

Monash Health Community 140 - 154 Sladen Street, Cranbourne Contact: (03) 5990 6789 Fax: (03) 5990 6328

Dandenong

Community Access Partnership (CAP) 84 Foster Street, Dandenong Contact: (03) 9792 7630 Fax: (03) 9794 0979 Email: SEADS@monashhealth.org.au

Drysdale

Bellarine Community Health 21 Palmerstone Street, Drysdale Contact: (03) 5251 2291 Fax: (03) 5258 0864

Eaglehawk

Bendigo Community Health Services, Eaglehawk 3 Seymoure Street Eaglehawk Contact: (03) 5434 4300 Fax: (03) 5434 4355 Email: bchs@bchs.com.au

Echuca

Echuca Regional Health 226 Service Street, Echuca Contact: (03) 5485 5000 Fax: (03) 5482 5478 Email: erhexec@erh.org.au

Nillumbik Health 917 Main Road, Eltham Contact: (03) 9430 9100 Fax: (03) 9431 0339 Email: nchs@nillumbikhealth.org.au Plenty Valley Community Health 187 Cooper Street, Epping Contact: (03) 9409 8787 Fax: (03) 9408 9508 Euroa Health 36 Kennedy Street, Euroa Contact: (03) 5795 0200 Fax: (03) 5795 0240 Email: eh@euroahealth.com.au

Fitzroy

Turning Point Alcohol & Drug Centre 54-62 Gertrude Street, Fitzroy Contact: (03) 8413 8413 Fax: (03) 9416 3420 Email: info_group@turningpoint.org.au Cohealth 75 Brunswick Street, Fitzroy Contact: (03) 9411 3555 Fax: (03) 9411 3500 Email: info@cohealth.org.au

Footscray

Health Works, Cohealth 4 -12 Buckley Street, Footscray Contact: (03) 9362 8100 Fax: (03) 8362 8180

Frankston

Frankston City Council 30 Davey Street, Frankston Contact: (03) 9784 1888 Fax: (03) 9784 1094

Glenroy Youth Projects – Foot Patrol Needle and Syringe Program 6 Hartington Street, Glenroy Contact: (03) 9304 9100 Fax: (03) 9304 9111 admin@youthprojects.org.au

Gisborne Macedon Ranges Health 5 Neal Street, Gisborne Contact: (03) 5428 0300 Fax: (03) 5428 0399 Email: healthcare@mrh.org.au

Greensborough Banyule Community Health Service, Greensborough Centre – Needle Syringe Program Unit 3, 25-33 Grimshaw Street, Greensborough Contact: (03) 9433 5111 Fax: (03) 9435 8922 Email: banyule@bchc.org.au

Hastings Hastings Community Health Service 185 High Street, Hastings Contact: (03) 5971 9100 Fax: (03) 5971 9106

Hawthorn Swinburne University Health Services Level 4, George Swinburn Building, 34 Wakefield Street, Hawthorn Contact: (03) 9214 8483 Fax: (03) 9818 7548 Email: healthservice@swin.edu.au

Healesville Healesville & District Hospital – Needle Exchange Program 377 Maroondah Highway, Healesville Contact: (03) 5962 4300 Fax: (03) 5962 3429

Frankston Integrated Health Centre 12-32 Hastings Road, Frankston Contact: (03) 9784 8100 Fax: (03) 9784 8149

Heidelberg West

Southern Hepatitis/HIV/AIDS Resources & Prevention Services (SHARPS) 20 Young Street, Frankston Contact: (03) 9781 1622 Fax: (03) 9781 3669 Email: customer.relation@phcn.vic.gov.au

Banyule Community Health Service – Needle Syringe Program 21 Alamein Road, Heidelberg West Contact: (03) 9450 2000 Fax: (03) 9459 5808 Email: banyule@bchs.org.au

Geelong

Wathaurong Aboriginal Cooperative 62 Morgan Street, Geelong North Contact: (03) 5277 2038 Fax: (03) 5277 3537 Email: healthservice@wathaurong.org.au

Horsham Wimmera Health Care Group 83 Baillie Street, Horsham Contact: (03) 5381 9111 Fax: (03) 5381 9196 Email info@whcg.org.au

Contacts Kangaroo Flat

Bendigo Community Health Services, Kangaroo Flat Site 13 Helm Street, Kangaroo Flat Contact: (03) 5430 0500 Fax: (03) 5430 0544 Email: bchs@bchs.com.au

Kyneton

Cobaw Community Health Service 47 High Street, Kyneton Contact: (03) 5421 1666 Fax: (03) 5422 2161 Email: admin@cobaw.org.au

Lakes Entrance

Gippsland Lakes Community Health Centre 18-26 Jemmeson Street, Lakes Entrance Contact: (03) 5155 8300 Fax: (03) 5155 4057 Email: contact@glch.org.au

Leongatha

Gippsland Southern Health Services Koonwarra Road, Leongatha Contact: (03) 5667 5555 Fax: (03) 5667 5516 Email: info@gshs.com.au

Lilydale

Inspiro Community Health Service 17 Clarke Street, Lilydale Contact: (03) 9738 8801 Fax: (03) 9739 4689 Email: hello@inspiro.org.au

Lucas

Ballarat Community Health Centre – Needle syringe program 12 Lilburne Street, Lucas Contact: (03) 5338 4500 Fax: (03) 5332 6617 Email: info@bchc.org.au

Mansfield

Mansfield District Hospital 53 Highett Street, Mansfield Contact: (03) 5775 8800 Fax: (03) 5775 1352 Email: reception.main@mdh.org.au

Maryborough

Community Services Maryborough 75-87 Claredon Street, Maryborough Contact: (03) 5461 0400 Fax: (03) 5461 4489

Melbourne

Melbourne City Council 200 Little Collins Street, Melbourne Contact: (03) 9658 9658 Fax: (03) 9658 9685

Melton

Djerriwarrh Health Services Yuille Street, Melton Contact: (03) 8746 1100 Fax: (03) 9743 8640

Orbost

Rosebud

Mildura

Orbost Regional Health 104-107 Boundary Road, Orbost Contact: (03) 5154 6666 Fax: (03) 5154 2366 Email: orh@orh.com.au

Moe

Monash Health Community 66-70 Princess Highway, Pakenham Contact: (03) 5941 0500 Fax: (03) 5941 0542 Email: mhcaccess@monashhealth.org

San Remo Community Services 1 Back Beach Road, San Remo Contact: (03) 5671 9200 Fax: (03) 5678 5595

Portarlington

Sebastopol

Sunraysia Community Health Services 137 Thirteenth Street, Mildura Contact: (03) 5022 5444 Fax: (03) 5022 5445 Email: schs@schs.com.au Latrobe Community Health Services 42-44 Fowler Street, Moe Contact: 1800 242 696 Fax: (03) 5127 7002 Email: info@lchs.com.au

Mornington

Mornington Community Information and Support Centre 320 Main Street, Mornington Contact: (03) 5975 1644 Fax: (03) 5975 5423 Email: manager@mcisc.org.au

Morwell

Latrobe Community Health Services 81-87 Buckley Street, Morwell Contact: 1800 242 696 Fax: (03) 5136 5450 Email: info@lchs.com.au

Pakenham

Bellarine Community Health 39 Fenwick Street, Portarlington Contact: (03) 5258 6140 Fax: (03) 5258 0864 Email: intake@bch.org.au

Portland

Portland District Health 141-151 Bentinck Street, Portland Contact: (03) 5521 0333 Fax: (03) 5521 8162 Email: pdh@swarh.vic.gov.au

Prahran

Southern Peninsula Community Support and Information Centre 878 Point Nepean Road, Rosebud Contact: (03) 5986 1285 Fax: (03) 5982 2601 Email: admin@spcsic.org

San Remo

Ballarat community Health Centre Doctors Clinic – Needle Syringe Program 260 Vickers Street, Sebastopol Contact: (03) 5338 4585

Shepparton

Primary Care Connect 399 Wyndham Street, Shepparton Contact: (03) 5823 3200 Fax: (03) 5823 3299 Email: support@primarycareconnect.com.au

South Melbourne

Inner South Community Health Services 341 Coventry Street, South Melbourne Contact: (03) 9690 9144 Fax: (03) 9696 7228 Email: adminenquiries@ischs.org.au

St. Kilda

Warragul

Inner South Community Health Services 18 Mitford Street, St. Kilda Contact: (03) 9534 0981 Fax: (03) 9525 3730

West Gippsland Healthcare Group Community Services Division 31-35 Gladstone Street, Warragul Contact: (03) 5624 3500 Fax: (03) 5624 3555 Email: info@wghg.conm.au

Resourcing Health and Education in the Sex industry (RhED) 10 Inkerman Street, St. Kilda Contact: 1800 458 752 Fax: (03) 9525 4492 Email: sexworker@sexworker.org.au Salvation Army Health Information Exchange 29 Grey Street, St. Kilda Contact: (03) 9536 7703 Fax: (03) 9536 7778

Sunbury Sunbury Community Health Centre 12-28 Macedon Street, Sunbury Contact: (03) 9744 4455 Fax: (03) 9744 6777 Email: admin@sunburychc.org.au

Timboon Timboon & District Healthcare Services 21 Hospital Road, Timboon Contact: (03) 5558 6000 Fax: (03) 5598 3565 Email: timboon@swarh.voc.gov.au

Myrtleford

Needle Exchange Program 240 Malvern Road, Prahran Contact: (03) 9525 1300 Fax: (03) 9521 2474 Email: adminenquiries@ischs.org.au

Newcomb

Darebin Community Health 125 Blake Street, Reservoir East Contact: (03) 8470 1111 Fax: (03) 8470 1107 Email: info@dch.org.au

Victorian AIDS Council/ Gay men’s Health Centre 6 Claremont Street, South Yarra Contact: (03) 9865 6700 Fax: (03) 9826 2700 Email: enquiries@vac.org.au

Torquay Community Health Centre – Needle and Syringe Program 100 Surf Coast Highway, Torquay Contact: (03) 4215 7800 Fax: (03) 4215 7843 Email: chrisinfoaccess@barwonhealth.or.au

Richmond

Springvale

Traralgon

Gateway Health 32 Smith Street, Myrtleford Contact: (03) 5731 3500 Fax: (03) 5751 1822 Email: info@gatewayhealth.org.au Newcomb Community Health Centre – Needle syringe Program 104-108 Bellarine Highway, Newcomb Contact: (03) 4215 7520 Fax: (03) 4215 7795 Email: receptionnewcomb@barwonhealth.org.au

Northcote

Reservoir East

North Richmond Community Health Needle and Syringe Program (NSP) 23 Lennox Street, Richmond Contact: (03) 9418 9800 Fax: (03) 9428 2269

Ringwood

Derebin Community Health 42 Separation Street, Northcote Contact: (03) 9403 1200 Fax: (03) 9482 3690 Email: info@dch.org.au

EACH Ltd 46 Warrandyte Road, Ringwood Contact: 1300 003 224 Fax: (03) 9870 4688 Email: info@each.com.au

Nowa Nowa

Ringwood East

Nowa Nowa Community Health 6 Bridge Street, Nowa Nowa Contact: (03) 5155 7294 Fax: (03) 5155 7296 Email: email@nnch.org.au

EACH Ltd 75 Patterson Street, Ringwood East Contact: (03) 9837 3999 Fax: (03) 9879 6356 Email: info@each.com.au

South Yarra

Monash Health Community 55 Buckingham Avenue, Springvale Contact: (03) 8558 9080 OR (03) 8558 9000 Fax: (03) 8558 9011 Email: intakeGDCHS@southernhealth.org.au

St. Albans

Isis Primary Care 1 Andrea Street, St. Albans Contact: (03) 9296 1200 Fax: (03) 9366 2086

Stawell

Stawell Health & Community Centre 8-22 Patrick Street, Stawell Contact: (03) 5358 7400 Fax: (03) 5358 4113 Email: gch@grampianscommunityhealth.org.au

Torquay

Latrobe Community Health Services Seymore Street, Traralgon Contact: 1800 242 696 Fax: (03) 5171 1470 Email: info@lchs.com.au

Warrnambool Brophy Family & Youth Services 210 Timor Street, Warrnambool Contact: (03) 5561 8888 Fax: (03) 5561 8816 Email: admin@brophy.org.au Warrnambool Community Health Koroit Street, Warrnambool Contact: (03) 5563 4000 Fax: (03) 5563 1669

Wendouree Ballarat Community Health Centre – Needle Syringe Program 10 Learmonth Road, Wendouree Contact: (03) 5338 4500 Fax: (03) 5339 3044 Email: info@bchc.org.au

Wodonga Gateway Community Health, Wodonga 155 High Street, Wodonga Contact: (02) 6022 8888 Fax: (02) 6024 5792

Wonthaggi Bass Coast Health – Needle Syringe Program 237 Graham Street, Wonthaggi Contact: (03) 5671 3333 Fax: (03) 5671 3300

Yarra Junction

Wangaratta

Yarra Valley Community Health – Needle Exchange Program 2475 Warburton Highway, Yarra Junction Contact: 1300 342 255 Fax: (03) 5962 3429

Gateway Health 45-47 Mackay Street, Wangaratta Contact: (03) 5723 2000 Fax: (03) 5722 2313 Email: info@gatewayhealth.org.au

Yarrawonga Yarrawonga Health 33 Piper Street, Yarrawonga Contact: (03) 5743 8111 Fax: (03) 5743 8118

Northeast Health 35-47 Green Street, Wangaratta Contact: (03) 5722 5239 Fax: (03) 5722 4382 Email: enquiries@nhw.hume.org.au

Yea Yea & District Memorial Hospital 45 Station Street, Yea Contact: (03) 5736 0400 Fax: (03) 5797 2391

Contacts

Alcohol and Drug Programs, Primary Health Care Centres

Related Health Services

Alcohol and Drug Programs

Shepparton

Bayswater

Anglicare Victoria 666 Mountain Highway Bayswater VIC 3153 contact: (03) 9721 3688

Cobaw

Cobaw Community Health Service 47 High Street, Kyneton Contact: (03) 5421 1666 Fax: (03) 5422 2161 Email: admin@cobaw.org.au

Craigieburn

Anglicare Victoria 59 Craigieburn Road Craigieburn VIC 3064 Contact: (03) 9483 2401

Fitzroy

Youth support + Advocacy Service (YSAS) Level 1, 131 Johnston Street, Fitzroy Contact: (03) 9415 8881 Fax: (03) 9415 8882 Email: reception@ysas.org.au Turning Point Alcohol & Drug Centre 54-62 Gertrude Street, Fitzroy Contact: (03) 8413 8413 Fax: (03) 9416 3420 Email: info_group@turningpoint.org.au

Frankston

Anglicare Victoria Level 2 / 60-64 Wells Street Frankston VIC 3199 Contact: (03) 9781 6700 Frankston Integrated Health Centre 12-32 Hastings Road, Frankston Contact: (03) 9784 8100 Fax: (03) 9784 8149

Geelong

Barwon Health – Alcohol and Drug Services 40 Little Malop Street, Geelong Contact: (03) 5273 4000 Fax: (03) 5273 4044

Lucas

Ballarat Community Health Centre – Mobile Drug Support Worker 12 Lilburne Street, Lucas Contact: (03) 5338 4500 Fax: (03) 5332 6617 Email: info@bchc.org.au

Melbourne

Druginfo Level 12, 607 Bourke Street, Melbourne Contact: 1300 85 85 84 Fax: (03) 8672 5983

Mildura

Drug Treatment Services 137 Thirteenth Street, Mildura Contact: (03) 5021 7694 Fax: (03) 5021 7695 Email: schs@schs.com.au

Eaglehawk

Eaglehawk Community House 19 Bright Street, Eaglehawk

Geelong

North Melbourne

Barwon Mental Health, Drug and Alcohol Services 40 Little Malop Street, Geelong Contact: (03) 4215 8792 Fax: (03) 4215 8793

Portland

Jigsaw Youth Health Service Yarra Street, Geelong Contact: 1300 094 187 Fax: (03) 4215 8298

Harm Reduction Victoria 128 Peel Street, North Melbourne Contact: (03) 9329 1500 Fax: (03) 9329 1501

Portland District Health 141-151 Bentinck Street, Portland Contact: (03) 5521 0333 Fax: (03) 5521 8162 Email: pdh@swarh.vic.gov.au

Preston

Anglicare Victoria 42 Mary Street Preston VIC 3072 contact: (03) 8470 9999

Richmond

Drug Safety Program 23 Lennox Street, Richmond Contact: (03) 9418 9800 Fax: (03) 9428 2269

Werribee

Anglicare Victoria 2 Market Road Werribee VIC 3030 contact: (03) 9731 2500

Primary Health Care Centres (for PWID) Melbourne

Living Room, Youth Projects (Hepatitis programs – Thursdays every fortnight) 7 – 9 Hosier Lane, Melbourne Contact: (03) 9662 4488 Fax: (03) 9662 4400 Email: living@youthprojects.org.au

North Melbourne Harm Reduction Victoria (HRV) 128 Peel Street, North Melbourne Contact: (03) 9329 1500

Regional services

These contacts are able to provide information about local viral hepatitis related services as well as active support groups.

Bendigo

Bendigo Health Lucan Street, Bendigo Contact: (03) 5454 6000 Fax: (03) 5454 8419

Healesville

Yarra Valley Community Health Service (Once per month clinic- hepatis clinic Contact: 1300 130 381 Fax: (03) 5962 3429

Lucas

Ballarat Community Health 12 lilburn street, lucas Telephone: (03) 5338 4500 Fax: 5338 0520 Email: info@bchc.org.au

Mildura

Sunraysia Community Health 137 Thirteenth Street, Mildura Contact: (03) 5022 5444 Fax: (03) 5022 5445 Email: schs@schs.com.au

Mornington

The Bays Hospital Vale Street, Mornington Contact: (03) 5975 2009 Fax: (03) 5975 2373

Morwell

Moe Community Health Centre 81-87 Buckley Street, Morwell Contact: 1800 242 696 Fax: (03) 5136 5450 Email: info@lchs.com.au

Portland

Glenelg Southern Grampians (Drug Treatment Service) Bentinck Street, Portland Contact: (03) 5521 0350 Fax: (03) 5521 0625 Email: pdhspecialistcentre@swarh.vic.gov.au Dhauwurd-Wurrung Elderly and Community Health Service (Community Health Centre) 18 Wellington Rd, Portland VIC 3305 Contact: (03) 5521 7535 Fax: (03) 55211299

Primary Care Connect 399 Windham Street, Shepparton Telephone: (03) 5823 3200 Fax: (03) 5823 3299

Tatura Tatura Medical Centre 4 Thomson Street, Tatura Telephone: (03) 5824 1244 Fax: (03) 5824 2551

Torquay Surf Coast Health Service - Barwon Health 100 Surfcoast Hwy, Torquay Telephone: (03) 4215 7850 Fax: (03) 4215 7889

Traralgon Latrobe Regional Hospital Princess Highway, Traralgon Contact: (03) 5173 8000 Fax: (03) 5173 8444

Wangaratta Gateway health 45-47 Mackay Street, Wangaratta Telephone: (03) 5723 2000 Fax: (03) 57222313 Email: infowang@gatewayhealth.org.au

Warragul West Gippsland hospital Landsborough Street, Warragul Contact: (03) 5623 0611 Fax: (03) 5622 6403 Email: info@wghg.com.au

Warrnambool Western Region Alcohol and Drug Centre (WRAD) 172 Merri Street Warnambool 1300 009 723 Fax: (03) 5564 5700 Email: wrad@wrad.org.au

Wendouree Ballarat Oncology and Haematology Services 1117 Howitt Street, Wendouree Contact: (03) 5339 8000 Fax: (03) 5339 8111

Wodonga Gateway Health 155 High Street, Wodonga Contact: (02) 6022 8888 Fax: (02) 6024 5792 Email: info@gateqayhealth.org.au

Related Health Services Carlton

Victorian Equal Opportunity and Human Rights Commission (Information on state and federal equal opportunity laws and programs) Level 3, 204 Lygon Street, Calrton Telephone 1300 891 848 Fax: 1300 891 858 Email: information@veohrc.vic.gov.au Web: www.humanrightscommission.vic.gov.au

Hampton East

Haemophilia Foundation Victoria 13 Keith St, Hampton East, VIC 3188 Contact: (03) 9555 7595 Fax: (03) 95557375 Email: info@hsv.org.au

Prahran

Alfred– HIV:Hepatitis:STI Education and Resource Centre (Statewide resource centre on HIV/AIDS, Hepatitis and Sexually Transmissible Infections) 8 Moubray Street, Prahran Telephone: (03) 9076 6993 Fax: (03) 9076 5294 Email: erc@alfred.org.au Web: www.alfredhealth.org.au

Melbourne

Health Services Commissioner 26th Floor, 570 Bourke Street, Melbourne Free call: 1300 582 113 Fax: (03) 9032 3111 Email: hsc@dhhs.vic.gov.au Cancer Council Victoria – Living with Cancer Education Program 615 St. Kilda Road, Melbourne Contact: 13 11 20 Fax: (03) 9514 6800 Email: enquiries@cancervic.org.au

Sexual Health Box Hill

Family Planning Victoria 901 Whitehorse Road, Box Hill Contact: (03) 9257 0100 Fax: (03) 9257 0112 Email: fpv@fpv.org.au

Carlton

Melbourne Sexual Health Centre 580 Swanston Street, Carlton Contact: (03) 9341 6200 Free call: 1800 032 017

Melbourne

Red Aware Level 2 south tower 485 latrobe street Melbourne Contac: (03) 9670 6171 Email: resources@yeah.org.au

Era Health 563 Bourke Street, Melbourne Contact: (03) 9944 6200 Fax: (03) 9944 6290 Email: info@erahealth.com.au

North Melbourne

Ilbijerri Theatre Company 5 Blackwood Street, North Melbourne Contact: (03) 9329 9097 Fax: (03) 9329 9105 Email: infor@ilbijerri.com.au

Richmond

Multicultural Health and Support Services (HIV, hepatitis C and sexually transmissible infections) 23 Lennox Street, Richmond. Telephone: (03) 9418 9929 Fax: (03) 9421 4662 Email: enquiries@ceh@org.au Go to: www.ceh.org.au/mhss.aspx

Southbank

Straight Arrow Suite 1, 111 Coventry Street, Southbank Contact: (03) 9863 9414 Fax: (03) 9863 9421 Email: information@straightarrow.org.au

South Yarra

Victorian AIDS Council 6 Claremont Street, South Yarra Contact: (03) 9865 6700 Fax: (03) 9826 2700 Email: enquiries@vac.org.au

St. Kilda

Royal District Nursing Services (RDNS) 31 Alma road, St. Kilda Contact: 1300 33 44 55

Rural services Geelong

Barwon Health – BRASH Clinic Outpatients Annexe, 66 Bellerine Street, Geelong Contact: (03) 4215 0000 Fax: (03) 4215 1378

Portland

Portland District Health Bentinck Street, Portland Contact: (03) 5521 0333 Fax: (03) 5521 0388

Warrnambool

Warrnambool Base Hospital Ryot Street, Warrnambool Contact: (03) 5563 1666 Fax: (03) 5563 1660

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