UPDATE: A shocking 13,254 new cases of hepatitis B have been reported in Santa Clara County from 2014 to 2023, underscoring a troubling health crisis predominantly affecting Asian and Pacific Islander communities. These alarming statistics were revealed as officials and health advocates ramp up efforts to combat what they describe as a “hidden tragedy” in the Bay Area.
The urgency of this issue is highlighted by the fact that nearly 60% of these infections are among Asian Americans and Pacific Islanders, a demographic that makes up only 42% of the county’s population. With hepatitis B leading to liver cancer in 1 in 4 cases, the need for immediate action is critical.
James Kang, a resident of Milpitas who immigrated from South Korea in his early 20s, is a stark example of the disease’s impact. After years of ignoring symptoms, Kang was diagnosed with cirrhosis and a cancerous liver tumor. “I ignored it, just like I ignored the knowledge that it would be better all around not to drink,” he shared, emphasizing the stigma and lack of awareness surrounding hepatitis B.
The World Health Organization recommends vaccination, yet many remain undiagnosed. In the U.S., it’s estimated that 2.4 million people are living with chronic hepatitis B, most unaware of their condition. The disease is particularly prevalent among those with origins in high-risk countries, further complicating public health efforts.
As the Bay Area grapples with this significant health disparity, health officials are pushing for universal screenings and culturally sensitive education to reach affected communities. Richard So, executive director of Hep B Free, advocates for essential screenings, stating, “Something as simple as required universal screening in a place like California, where Asians make up a third of the population, could help eliminate hepatitis B within one generation.”
County Supervisor Betty Duong poignantly remarked, “Hepatitis B is a health tragedy that is sadly hidden in plain sight in Santa Clara County.” This statement reflects the urgent need for awareness and preventive measures.
The Santa Clara County health system is taking action by offering screenings, counseling, and referrals through the new Vietnamese American Service Center, targeting underserved communities with multilingual support. However, barriers remain; many immigrants are still not screened after arriving in the U.S., leaving a significant gap in detection.
Dr. Elizabeth Hwang, the director of hepatology at the Santa Clara Valley Medical Center, emphasizes the importance of early detection, as liver cancer caused by hepatitis B can be diagnosed without cirrhosis. Screening is recommended starting at age 40 for men and 50 for women, especially crucial for those of African descent.
As World Hepatitis Day approaches on July 28, 2025, health advocates are intensifying efforts to raise awareness. Kang, who is now undergoing treatment for his liver tumor, urges others to get checked: “Don’t be afraid. You need to know to get treatment and protection.” His message resonates deeply with communities where many fear the disease, often knowing someone affected but hesitant to seek help.
With infections remaining undiagnosed, the urgency for action has never been clearer. As health officials and community organizations collaborate to address this pressing health crisis, the hope is to eliminate hepatitis B and save lives in the Bay Area.
Stay informed as this developing story unfolds and consider sharing this critical information with your community.
