What is Hepatitis B Virus Infection?
Hepatitis B is a potentially life-threatening liver infection caused by
the hepatitis B virus (HBV). It is a major global health problem. It can cause
chronic infection and puts people at high risk of death from cirrhosis and
liver cancer.
Facts
- Hepatitis
B is a viral infection that attacks the liver and can cause both acute and
chronic disease.
- The
virus is most commonly transmitted from mother to child during birth and
delivery, as well as through contact with blood or other body fluids.
- WHO
estimates that in 2015, 257 million people were living with chronic
hepatitis B infection (defined as hepatitis B surface antigen positive).
- In
2015, hepatitis B resulted in an estimated 887 000 deaths, mostly from
cirrhosis and hepatocellular carcinoma (i.e. primary liver cancer).
- As
of 2016, 27 million people (10.5% of all people estimated to be living
with hepatitis B) were aware of their infection, while 4.5 million (16.7%)
of the people diagnosed were on treatment.
- Hepatitis
B can be prevented by vaccines that are safe, available and effective.
Transmission
·
hepatitis B is most
commonly spread from mother to child at birth (perinatal transmission)
·
through horizontal
transmission (exposure to infected blood), especially from an infected child to
an uninfected child during the first 5 years of life.
If you enjoy giving a
head (oral sex), thinking of getting a tattoo, if you like swallowing of sperm, and unprotected sex , this might interest you:
·
Hepatitis B is also
spread by needlestick injury, tattooing, piercing and exposure to infected
blood and body fluids, such as saliva and, menstrual, vaginal, and seminal
fluids
If you are LGBT or you have multiple sex partners, this might interest you:
·
Sexual transmission
of hepatitis B may occur, particularly in unvaccinated men who have sex with
men and heterosexual persons with multiple sex partners or contact with sex
workers.
Health care and veterinary workers, please note:
·
Transmission of the
virus may also occur through the reuse of needles and syringes either in
health-care settings or among persons who inject drugs. In addition, infection
can occur during medical, surgical and dental procedures, through tattooing, or
through the use of razors and similar objects that are contaminated with
infected blood
Vaccination
is key, sterilization is key and having protected sex is also crucial.
Symptoms
·
Yellowing of the
skin and eyes (jaundice), dark urine, extreme fatigue, nausea, vomiting and
abdominal pain.
·
A small subset of
persons 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.
Who is at risk of chronic disease?
In infants and children:
- 80–90% of infants infected
during the first year of life develop chronic infections; and
- 30–50% of children infected
before the age of 6 years develop chronic infections.
In adults:
- less than 5% of otherwise
healthy persons who are infected as adults will develop chronic
infections; and
- 20–30% of adults who are
chronically infected will develop cirrhosis and/or liver cancer.
HBV-HIVCOINFECTION
According to WHO, about
1% of persons living with HBV infection (2.7 million people) are also infected
with HIV. Conversely, the global prevalence of HBV infection in HIV-infected
persons is 7.4%. Since 2015, WHO has recommended treatment for everyone
diagnosed with HIV infection, regardless of the stage of disease. Tenofovir,
which is included in the treatment combinations recommended as first-line
therapy for HIV infection, is also active against HBV.
Treatment
There is no specific
treatment for acute hepatitis B. Therefore, care is aimed at
maintaining comfort and adequate nutritional balance, including replacement of
fluids lost from vomiting and diarrhoea. SEE A DOCTOR. NO SELF MEDICATION!
In most people,
however, the treatment does not cure hepatitis B infection, but only suppresses
the replication of the virus. Therefore, most people who start hepatitis B
treatment must continue it for life.
Challenging
Realities
There is still limited access to diagnosis and treatment of hepatitis B
in many resource-constrained settings. In 2016, of the 257 million people
living with HBV infection, 10.5% (27 million) were aware of their infection. Of
those diagnosed, the global treatment coverage is 16.7% (4.5 million). Many
people are diagnosed only when they already have advanced liver disease.
Among the long-term complications of HBV infections, cirrhosis and
hepatocellular carcinoma cause a large disease burden. Liver cancer progresses
rapidly, and since treatment options are limited, the outcome is generally
poor.
Prevention
- Vaccination is the most assured preventive measure against HBV.
- All children and adolescents younger than 18 years and not previously
vaccinated should receive the vaccine
- In addition vaccination, implementation of blood safety strategies,
including quality-assured screening of all donated blood and blood components
used for transfusion, can prevent transmission of HBV.
- Safe injection practices, eliminating unnecessary and unsafe injections,
can be effective strategies to protect against HBV transmission.
- Safer sex practices, including minimizing the number of partners and
using barrier protective measures (condoms), also protect against transmission.
Stay safe guys!
xxx 😘 ❤️❤️
Gpland
From
The House_House_of _GP
Insightful.. Love this one 💞
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