Hepatitis B

Beware:

  • About 1% of persons living with HBV infection are also infected with HIV

About

  • Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic disease

Symptoms

  • Most people do not experience any symptoms during the acute infection phase
  • However, some people have acute illness with symptoms that last several weeks, including yellowing of the skin and eyes, dark urine, extreme fatigue, nausea, vomiting and abdominal pain
  • A small subset of people with acute hepatitis can develop acute liver failure, which can lead to death.
  • In some people, the hepatitis B virus can also cause a chronic liver infection that can later develop into cirrhosis (a scarring of the liver) or liver cancer.

Contagion

  • The virus is transmitted through contact with the blood or other body fluids of an infected person.
  • The hepatitis B virus can survive outside the body for at least 7 days. During this time, the virus can still cause infection if it enters the body of a person who is not protected by the vaccine.
  • Hepatitis B is most commonly spread from mother to child at exposure to infected blood, especially from an infected child to an uninfected child during the first 5 years of life.
  • The development of chronic infection is very common in infants infected from their mothers or before the age of 5 years.
  • exposure to infected blood and various body fluids, as well as through saliva, menstrual, vaginal, and seminal fluids

Treatment

  • There is no specific treatment for acute hepatitis B
  • Care is aimed at maintaining comfort and adequate nutritional balance, including replacement of fluids lost from vomiting and diarrhoea.
  • Chronic hepatitis B infection can be treated with medicines, including oral antiviral agents. Treatment can slow the progression of cirrhosis, reduce incidence of liver cancer and improve long term survival.

Prevention

  • The hepatitis B vaccine is the mainstay of hepatitis B prevention.
  • WHO recommends that all infants receive the hepatitis B vaccine as soon as possible after birth, preferably within 24 hours. 

Consequences

  •  acute liver failure, which can lead to death.
  • In some people, the hepatitis B virus can also cause a chronic liver infection that can later develop into cirrhosis (a scarring of the liver) or liver cancer.

Medical examination

  • The incubation period of the hepatitis B virus is 75 days on average, but can vary from 30 to 180 days.
  • The virus may be detected within 30 to 60 days after infection and can persist and develop into chronic hepatitis B.

Prevention

  • However, it can be prevented by currently available safe and effective vaccine.
  • A vaccine against hepatitis B has been available since 1982. The vaccine is 95% effective in preventing infection and the development of chronic disease and liver cancer due to hepatitis B

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