BMSHV is the acronym for Bordeaux Métropole Sans Hépatite Virale.

Background

In 2017, the WHO (World Health Organization) set a goal for countries around the world: the elimination of viral hepatitis by 2030. Indeed,

Hepatitis B is a disease for which there is a vaccine that prevents contamination by the virus
Hepatitis C is a disease for which there are treatments capable of curing it, and numerous means of preventing recontamination

So, in France the government has seized the objective of the WHO and, in 2018, the Prime Minister set in his Priority Prevention plan: "the objective of eliminating hepatitis C by 2025". Thus, in 2019, Bordeaux Métropole Sans Hépatite Virale was born.

The BMSHV project is labeled by the Direction Générale de la Santé (DGS) and by the Agence Régionale de Santé (ARS).

Our goal?

Bordeaux Metropole Without Viral Hepatitis depends on the Aquitaine Viral Hepatitis Expert Center, and aims to eliminate viral hepatitis in the Bordeaux metropole, and more globally in the Gironde.

How can we do this?

By "going out", we can reach all the populations concerned by viral hepatitis. To do this, we have set up several actions.

Priority consultations

The "priority" consultation facilitates the care of patients in precarious situations who are carriers of viral hepatitis. It takes place every Friday morning in the Aquitaine Viral Hepatitis Expert Center.

In case of any suspicion of infection by the hepatitis B, C or D virus, a request for treatment is sent to the following address: info.bmshv@chu-bordeaux.fr. As soon as we receive this email, we organize a first appointment within a maximum of 15 days. On that day, patients receive a complete and comprehensive care:

consultation with the doctor
complete blood test and FibroScan examination (non-invasive and non-painful examination of the liver to evaluate its condition);
therapeutic education session with a nurse
meeting with professionals from the AIDES association

It takes about 1 hour of presence in the service. At the end of these discussions, the patient's follow-up is organized and he/she leaves with the invitation for his/her next appointment.

In order to improve the patient's adherence to the care, we have implemented several actions that are bearing fruit since we have a 92% rate of attendance at the first appointment despite the distance of the Haut Lévêque hospital group from downtown Bordeaux:

we send the appointment notice directly to the patient and, if necessary, translate the notice into the patient's native language;
we systematically contact patients by phone, email, SMS or WhatsApp before their consultation;
we send them a precise itinerary including streetcar stops and how to reach us once the streetcar leaves. If needed, we also translate this itinerary.

The Hepatitis Free University Hospital project

In 2021, BMSHV launched another project: the CHU de Bordeaux Sans Hépatite Virale (CHUSHV), whose objective is to identify possible untreated viral hepatitis in patients hospitalized in different units of the hospital. The different care units were contacted to present our project and our actions. Their mission is simple: send us an email on the dedicated address, as soon as they see the word "hepatitis" in a medical file. We then look at the file and evaluate whether a consultation is necessary or not. If it is, we transfer the call to the team and notify the patient.

Information and screening sessions

BMSHV organizes information sessions on viral hepatitis for all those involved in the care of patients at two meetings per year.

We also participate in training and screening activities organized by our partners.

Actions "outside”

In order to reach all populations, the physicians of the Aquitaine Viral Hepatitis Expert Center provide consultations called "advanced consultations". They travel and take care of patients infected by a viral hepatitis virus:

in the CSAPA / CAARUD of the CEID Addictions
in the Gradignan prison.

About us