Community Health Fair, June 10, 2007

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5871 University Ave, Ste 334
San Diego, CA 92115
Ph: 619-582-2360; Fax: 619-582-2297;
E-mail: btran.aphc@sbcglobal.net

Report of Community Health Fair, June 10, 2007

To promote better health practices in the community, the Asian Pacific Health Center joined forces with the UCSD Vietnamese Professional Health Organization (VPhO) to organize a comprehensive Health Fair at the offices of the Vietnamese Federation of San Diego on June 10, 2007. Members of the Vietnamese Physicians Association in San Diego, the San Diego Vietnamese Pharmacists Association and Dentists in San Diego also collaborated in the event.
A large group of over 15 physicians, pharmacists, dentists, 12 medical and pharmacy students, and a strong contingent of volunteers contributed their efforts on that day, starting at 9:00 AM. One hundred thirty five (135) persons registered for the free health services offered on the premises.

* Blood Pressure screenings: (74)
* Blood Glucose screenings: (63)
* Bone densitometry (63)
* Cholesterol screenings (106)
* Hepatitis B screenings (98)
* Medical and dental consultations

Results are tabulated in the Excel sheets, and detailed as follows:

I. BLOOD PRESSURE SCREENINGS
30 men and 44 women (74 in total) had their blood pressure checked manually, mostly on both arms. See Attachment 1.

* 35 (47%) had blood pressure readings below 120/80 (normal)

* 19 (26%) had systolic blood pressure (SBP) between 120 and 139 and diastolic blood pressure (DBP) between 80-89 (pre-hypertension)

* 14(19%) had SBP between 140 and 159 and DBP between 90 and 99 (stage 1 hypertension)

* 6 (8%) had SBP above or equal to 160 and DBP above or equal to 100 (stage 2 hypertension)

The age range was from 15 to 76. People with SBP 120-130 mmHg or DBP 80-89 mmHg are considered "Pre-hypertensive" and need healthy lifestyle modifications to prevent progressive rise in blood pressure and cardiovascular diseases. People having SBP with 20 mmHg above normal, or DBP with 10mmHg above normal need therapy. These patients were counseled to return to their regular physicians for further management.

II. BLOOD GLUCOSE SCREENINGS
25 men and 38 women (63 in total) got finger prick screenings. 52 (83%) were fasting, and 10 (16%) were non fasting. See Attachment 2.

* 3 (5%) had readings below 65 mg/dL

* 47 (75%) had readings between 65 ¨C 99mg/dL

* 10 (16%) had readings between 100-125

* 3(5%) had readings between above or equal to 126

The finger prick test is not a diagnostic procedure. For better accuracy, the fasting plasma glucose test is the preferred test. Results equal or above 126 are considered diabetic for the patient.

III. BONE DENSITOMETRY
16 men and 47 women (63 in total) went through the ankle bone densitometry testings. Eligibility was above 50 for women and above 60 for men and high risk individuals, e.g. on medications such as glucocorticoids. Results were tabulated based on the T-score: See Attachment 3.

* 26 (41%) had T-score ¡Ý -1 (normal)

* 28 (44%) had T-score [-1 to -2.5] (osteopenia)

* 9 (14%) had T-score < -2.5 (osteoporosis)

Patients were counseled by the physicians on the spot.

IV. BLOOD TRIGLYCERIDES AND CHOLESTEROL
50 men and 57 women (106 in total) got lipid panel testings, which comprise Triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol. The cholesterol/HDL ratio was also calculated by the laboratories. Results are given in Attachment 4.

A. Triglycerides

* 59 (56%) persons had triglycerides under 150mg/dL

* 47(44%) had triglycerides over 150mg/dL

B. Cholesterol

* 3 (3%) had a level of total cholesterol below 125mg/dL

* 51 (48%) had [125- 200] mg/dL

* 52 (49%) had a level above 200mg/dL

C. HDL

* 90 (85%) had a good level of HDL ¡Ý 40 mg/dL

* 16 (15%) had < 40 mg/dL

D. LDL

* 67 (63%) had LDL <130 mg/dL

* 35 (33%) had a level > 130 mg/dL

* 4 (4%) had results unmarked, because high triglycerides levels greater than 400 mg/dL invalidate the calculated LDL results

The LDL desirable range is <100 mg/dL for patients with CHD or diabetes, and <70 mg/dL for diabetic patients with known heart disease.

E. The calculated Cholesterol/HDL ratio gives the overall status for the patient

* 85 persons (79%) had a ratio under or equal to 5 (normal)

* 21 (20%) had a ratio higher than 5

So several factors are computed in the equation before deciding if a patient has high cholesterol in the blood or needs disease management.

V. HEPATITIS B SCREENINGS
43 men and 55 women (98 in total) were screened. The survey questions were based on the ones agreed by the American Liver Foundation, so that we can incorporate the findings in the previous data base. See Attachment 5.

Two tests were used: HBsAg and HBsAb.

* 40 (41%) persons were HBsAg negative and HBs Ab negative (Case 1), thus needed to be vaccinated

* 50 (51%) were HBsAg negative and HBsAb positive (Case 2), thus did not need to be vaccinated

* 8 (8%) were HBsAg positive and HBsAb positive (Case 3). These persons have the virus in their blood; they were contacted by phone, and were advised to see their primary care physician, or come to the Asian Pacific Health Center for further confirmatory testings.

When combined with the results obtained at the Hepatitis B screening on April 1, 2007, the findings were as follows:

Results of Hepatitis B Screenings In San Diego (2007)

Date	Location	Number screened	Case 1	Case 2	Case 3
Apr. 1, 2007	Quantum Adult Center	54	13 (24%)	33 (61%)	8 (14.8%)
June 10, 2007	Vietnamese Federation	98	40 (41%)	50 (51%)	8 (8%)
cumulative results		152	53 (27%)	83 (55%)	16 (11%)

The overall percentage of positive patients (11%) for the Asian population in San Diego falls in the range of 7 -16 % of the general population as mentioned in the literature. As more Hepatitis B screening sessions are planned by the Herald Cancer Center in collaboration with the APHC in the next months, and at the annual APHC Health Fair on October 20, 2007, the number of persons screened will be substantially increased, generating even more significant results.

VII. MEDICAL PRESENTATIONS
During lunch time, Dr Trang Nguyen presented on Breast Cancer and Dr Ton Tran spoke on Hepatitis B in the Asian population. A lively questions and answers session followed. At adjoining tables, UCSD pharmacy students gave information on heartburn to the health fair attendees.

VIII. RAFFLES AND ADJOURNMENT
Many raffle prizes were given to attendees and participants. Food was plentiful. The fair was ended at 2 PM, leaving a sense of accomplishment to all who have volunteered their time and expertise to help the community. An optometrist, Dr. Tracy Nguyen, whose office is not too far from the health fair site asked to be informed of the next events.

We thank all the sponsors and participants who helped make the Health Fair a successful event year after year.

  
Reported by
Binh Tran, Pharm.D.
Asian Pacific Health Center
 
PARTICIPATION AT THE HEALTH FAIR:
Pharmaceutical Sponsors:
Greg Nolan, Gilead Sciences
Russ Shood, Procter and Gamble
Bristol-Myers-Squibb
 
Asian Pacific Health Center:
Nghiep Le, Chairman of the Board
Khoa Nguyen, OMD, Acupuncturist
Trang Nguyen, MD, Board Member
Hiep Nguyen, MD, Board Member
Ton Tran, MD, Medical Director
Binh N. Tran, PharmD., Executive Director
Nancy Tran, Volunteer
 
Vietnamese Physicians Association of San Diego
Son Thanh Ho, MD
Phong Dao, DO
Albert Huan Le, MD
 
Dr Ton Duy Tran¡¯s Medical Office
Lani Chau, Case Manager
Angie Thach, Office Manager
Cam Thach, Computer specialist
Phuong Anh, Medical Assistant
 
San Diego Vietnamese Pharmacists Association
Katelyn Nguyen, PharmD
Dung Phan, RPh
 
Dentists in San Diego
Hien Bui, DDS
Yen Phi Le, DDS
Susan Nguyen, DDS, periodontist
 
Community Health Group
John Nguyen, Provider services
Susan Lam
 
Union of Pan Asian Communities (UPAC)
Ammalinh Navasak
Karl Pongyingpis
 
UCSD Vietnamese Professionals Health Organization (VPhO)
Medical Students:
Tuan Mai
Sang Le
Michael Lam
Doreen Nguyen
Richard Tran
Pharmacy Students (3rd year)
Lannie Duong
Jennifer Lai
Lina Meng
Hien Nguyen
Diem Nguyen
Son Nguyen
Vy Tran 
 
Volunteers:
Kyle Pimenta
Huyen Pham (SDSU VSA)
and others
 
Vietnamese Federation of San Diego
Tiet Tran, President
Liem Pham, Vice President, External
Tuan Andre Tran
Tien Bui, Former President
Tuan Bui, Board Member
Toan Huynh, RPh, Former President
Lan Le
Le Nguyen
Son Tran
Thuy Vo Dang, Former Vice-President
Kim Xuyen Vo
 
Media
Viet PBS
The FreeViet News