Basic info about Hepatitis B & C
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Hepatitis B &C are common causes of carcinoma liver
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Basic info about Hepatitis B & C
- 1. Viral Hepatitis Hepatitis B & C focus
- 2. In the world, sex has infected 34 million people with HIV, how many people has blood infected with viral hepatitis? 2 million 20 million 200 million 2000 million Blood & Blood spill has infected 2,000 million people and >360 million have long- term liver infection. “three” people die every minute due to viral hepatitis. (http://www.who.int/immunization/topics/hepatitis/en/) & http://www.who.int/hepatitis/en/
- 3. What % of people living with hepatitis KNOW they are infected? Less than 5% 30% 50% >90% WHO, 2013
- 4. Hepatitis caused by different types of viruses A & E B ±D& C Sources Transmission route Chronic liver disease No Yes A, B, C, D & E
- 5. Today, a total number of people living with chronic hepatitis (B & C) is: 350,000 3,500,000 35,000,000 350,000,000 1 in 20 people infected with HBV & HCV amongst 7.4 billion population WHO, 2013
- 6. 1 in 10 Myanmar 15-80 Yrs has hepatitis HBV 6 in 10 HCV 3 in 10 B & C 1 in 10 Department of Medical Research, the Department of Public Health and the Myanmar Liver Foundation Survey in 18 townships across nine states and regions between May – Nov, 2015
- 7. The Highest % The Lowest % HBV HCV Yangon 12.4% Magway 3.3% Mon 10.3% Bago/Chin 0.3% Hepatitis B & C prevalence by Region Department of Medical Research, the Department of Public Health and the Myanmar Liver Foundation Survey in 18 townships across nine states and regions between May – Nov, 2015
- 8. Hepatitis B and C? Chronic inflammation & Fibrosis Cirrhosis Cancer
- 9. How Hepatitis B & C spread? Infection source Definitely Rarely Exposure to blood Needle stick injury IV drug used (shared needle) Orally Sexually Mother to child at birth tattooing B C B C B C B C B C B B C C http://www.hivandhepatitis.com/hep_c/vaccines.html
- 10. HBV & HCV do not spread through: Hepatitis B & C virus is not spread by sharing eating utensils, breastfeeding, hugging, kissing, holding hands, coughing, or sneezing. It is also not spread through food or water. http://www.cdc.gov/hepatitis/hcv/cfaq.htm
- 11. What happen after exposure to Hepatitis B? ESLD Cirrhosis HCC Chronic hepatitis B 1. EASL. J Hepatol. 2012;57:167-185 & http://www.meds.com/hepatitis/casebased/dienstag.html >5% 30% 10% 20% 124 32Weeks 24 HBe 52 Anti-HBe if recover HBs Ag Anti-HBsHBV exposed Hbe Ag
- 12. What happen after exposure to Hepatitis C? Inflamed liver Cirrhosis of liver Carcinoma of liver 75-85% Chronic hepatitis 5 - 20% Cirrhosis 1 - 5% Carcinoma 20 years 10 years http://www.cdc.gov/hepatitis/hcv/cfaq.htm
- 13. How do we know whether we have HBV or HCV infection?
- 14. If my hepatitis B/C is positive, what should I do? Acute infection Chronic Cirrhosis Carcinoma HBV/HCV serology testing HBV/HCV viral load Liver function test USG (liver) CT scan
- 15. Is Hepatitis B infection curable? Not curable but timely treatment of HBV infected Hepatitis: Slow down of progress of liver disease Reversal with HBV suppression
- 16. Is Hepatitis C infection curable? Over 90% of people with Hepatitis C can be completely cured within 3-6 months. http://www.who.int/campaigns/hepatitis-day/2016/en/
- 17. Is there a vaccine that can prevent Hepatitis B or C? But No Vaccine for Hepatitis C