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Read the 3 For Life Project article featured in San Francisco Medicine, a publication of the San Francsico Medical Society.

"3 for Life" Hepatitis A & B Project (completed)

The San Francisco Department of Public Health and the Asian Liver Center at Stanford pooled their resources to create a pilot project offering low-cost hepatitis B testing and vaccination in a community setting. The 3 For Life project provided fee for service hepatitis B testing and vaccination on the first and third Saturday of each month from 11 am to 2 pm at the Richmond District YMCA for a period of one year. Download the 3 For Life Project Findings.


Hepatitis B is currently one of the top five causes of premature mortality in the Asian community in San Francisco. The greater San Francisco Bay Area has 33% of the state's Asian/Pacific Islander population and has the highest incidence of liver cancer in California and in the country. One in three San Francisco residents is of Asian decent (more than 30% of the total population). The estimated rate of chronic infection with the hepatitis B virus is approximately 10% of the Asian/Pacific Islander population. Without treatment or regular screening, 25% of those who are chronically infected, will eventually die of liver cancer or liver failure. The only way to know if one is chronically infected is through blood tests. Vaccination can also prevent infection.


The primary goals of the project were to:

  • Raise awareness among Asian/Pacific Islander adults on the importance of hepatitis B testing, vaccination if unprotected, and monitoring if chronically infected with the hepatitis B virus
  • Improve the percentage rate of Asian/Pacific Islander adults who have been screened for hepatitis B and vaccinated.
  • Raise awareness among health care providers of Asian/Pacific Islander adults of the need to test and/or monitor hepatitis B status.
  • Further understand the barriers to hepatitis B screening and vaccination among the Asian/Pacific Islander population.

Project participants were required to pay a fee, in cash, for the blood test and the complete series of shots (hepatitis B, hepatitis A and combination hepatitis A and B were available). Each client received the lab results, in the mail, of the blood tests (HBsAg & HBsAb) with a comprehensive, bi-lingual letter explaining the results and what steps they should take next.


Learn more about hepatitis A and hepatitis B and where to get vaccinated.


For more information about the 3 for Life project contact Janet Zola at


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