What Are The Complications Of Chronic Hepatitis D
Chronic hepatitis D may lead to cirrhosis, liver failure, and liver cancer. People who have chronic hepatitis B and D are more likely to develop these complications than people who have chronic hepatitis B alone.20 Early diagnosis and treatment of chronic hepatitis B and D can lower your chances of developing serious health problems.
How To Help Stop The Spread Of Hepatitis B
There are several things you can do to help stop the spread of this disease. Please follow these instructions until your doctor tells you the child with hepatitis is completely well:
- Good hand washing by all family members must be done. Hands should be washed using soap and warm water before meals, after using the bathroom and before preparing or serving food.
- Wash your hands after caring for your child. You may have come in contact with the hepatitis B virus from such things as changing diapers, cleaning up vomit, or exposure to blood.
- Wear disposable gloves when handling blood . Wash your hands after removing the gloves.
- Hepatitis B can be spread by sexual activity. Not having sex is the best way to keep Hepatitis B from being spread sexually. If an infected person has sex, a condom should be used every time. Condoms should be used until the doctor says there is no longer any risk of spreading the disease.
- All family members who are not infected should get Hepatitis B vaccines .
How Can I Contract Hepatitis A
You can contract the hepatitis A virus by eating food or drinking beverages that have been contaminated by human fecal waste.
Resort activities that may put you at risk for hepatitis A include:
Eating food handled by an infected worker who did not wash his/her hands properly after using the washroom
Eating raw or undercooked seafood and shellfish that lived in sewage-polluted water
Eating salads or produce rinsed in contaminated water
Drinking contaminated water or drinks with contaminated ice
Bathing, showering, or swimming in contaminated water
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How Do You Get Hepatitis B
sharing toothbrushes and razors
sharing needles for shooting drugs, piercings, tattoos, etc.
getting stuck with a needle that has the Hep B virus on it.
Hepatitis B can also be passed to babies during birth if their mother has it.
Hepatitis B isnt spread through saliva , so you CANT get hepatitis B from sharing food or drinks or using the same fork or spoon. Hepatitis B is also not spread through kissing, hugging, holding hands, coughing, sneezing, or breastfeeding.
Poor Infection Control For Tattooing And Piercing
The notes that HCV may be transmitted by receiving tattoos or piercings from unregulated settings with poor infection control standards.
Commercially licensed tattooing and piercing businesses are generally thought to be safe.
More informal settings may not have adequate safeguards to help avoid the spread of infections. Receiving a tattoo or piercing in settings such as in a prison or in a home with friends carries a of HCV transmission
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Who Should Be Tested
Testing for hepatitis A is not routinely recommended.
CDC recommends hepatitis B testing for:
- Men who have sex with men
- People who inject drugs
- Household and sexual contacts of people with hepatitis B
- People requiring immunosuppressive therapy
- People with end-stage renal disease
- People with hepatitis C
- People with elevated ALT levels
- Infants born to HBV-infected mothers
CDC recommends hepatitis C testing for:
- All adults aged 18 years and older
- All pregnant women during each pregnancy
- About 24,900 new infections each year
- About 22,600 new infections in 2018
- Estimated 862,000 people living with hepatitis B
- About 50,300 new infections in 2018
- Estimated 2.4 million people living with hepatitis C
Hepatitis B And Pregnancy
If youâre pregnant, you might pass the virus to your baby at birth.
If your baby gets the virus and isnât treated, they could have long-term liver problems. All newborns with infected mothers should get hepatitis B immune globulin and the vaccine for hepatitis at birth and during their first year of life.
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Can You Be A Blood Or Organ Donor
People with hepatitis C cant currently donate blood. The American Red Cross eligibility guidelines prohibit people who have ever tested positive for hepatitis C from donating blood, even if the infection never caused symptoms.
According to the Department of Health and Human Services , information on organ donation, those with underlying medical conditions shouldnt rule themselves out as organ donors. This reflects new guidelines for organ donation announced by the HHS.
People with HCV are now able to be organ donors. This is because advances in testing and medical technology can help the transplant team determine which organs or tissues can be safely used for transplantation.
Sexual Transmission And Hepatitis B
Hepatitis B can be transmitted through sexual activity. Unvaccinated adults who have multiple sex partners, along with sex partners of people with chronic hepatitis B infection, are at increased risk for transmission. Injection-drug use and sexual contact are other common modes of hepatitis B transmission in the United States.
Among adults seeking treatment in STD clinics, as many as 10%40% have evidence of past or current hepatitis B virus infection. Many of these infections could have been prevented through universal vaccination during delivery of STD prevention or treatment services. Offering vaccination to all adults as part of routine prevention services in STD treatment facilities has been demonstrated to increase vaccination coverage among adults at risk for hepatitis B infection, as the behavioral risk factors for STDs and hepatitis B are similar.
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How Do Doctors Treat The Complications Of Hepatitis B
If chronic hepatitis B leads to cirrhosis, you should see a doctor who specializes in liver diseases. Doctors can treat the health problems related to cirrhosis with medicines, minor medical procedures, and surgery. If you have cirrhosis, you have an increased chance of liver cancer. Your doctor may order blood tests and an ultrasound or another type of imaging test to check for liver cancer.
If chronic hepatitis B leads to liver failure or liver cancer, you may need a liver transplant.
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Signs And Symptoms Of Hepatitis D
Symptoms are similar to those of hepatitis B and may include:
- yellow skin and eyes
- dark urine and pale faeces
- muscle and joint pain
Image Courtesy Public Health Image Library , Department of Health and Human Services, Centers for Disease Control and Prevention CDC,Dr. Thomas F. Sellers / Emory University
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Hepatitis B Causes And Risk Factors
Itâs caused by the hepatitis B virus, and it can spread from person to person in certain ways. You can spread the hepatitis B virus even if you donât feel sick.
The most common ways to get hepatitis B include:
- Sex. You can get it if you have unprotected sex with someone who has it and your partnerâs blood, saliva, , or vaginal secretions enter your body.
- Sharing needles. The virus spreads easily via needles and syringes contaminated with infected blood.
- Accidental needle sticks.Health care workers and anyone else who comes in contact with human blood can get it this way.
- Mother to child.Pregnant women with hepatitis B can pass it to their babies during childbirth. But thereâs a vaccine to prevent newborns from becoming infected.
Hepatitis B doesnât spread through kissing, food or water, shared utensils, coughing or sneezing, or through touch.
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How Serious Is It
- People can be sick for a few weeks to a few months
- Most recover with no lasting liver damage
- Although very rare, death can occur
- 15%25% of chronically infected people develop chronic liver disease, including cirrhosis, liver failure, or liver cancer
- More than 50% of people who get infected with the hepatitis C virus develop a chronic infection
- 5%-25% of people with chronic hepatitis C develop cirrhosis over 1020 years
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The Path To Personalised Hepatitis D Treatment
EU supports multicentre project with a total of 6.75 million euros
Looking for new strategies for personalised treatment of hepatitis D: Professor Dr Heiner Wedemeyer and Professor Dr Markus Cornberg Copyright: Karin Kaiser / MHH
Hepatitis D is by far the most severe form of chronic viral hepatitis, often leading to liver failure, liver cancer and death. However, knowledge about the disease is still very limited. The reason why those affected have very different courses of the disease is also still unknown. An international research project led by Professor Dr. Heiner Wedemeyer, Director of the MHH Clinic for Gastroenterology, Hepatology and Endocrinology at the Hannover Medical School , now aims to clarify this. Together with the Centre for Individualised Infection Medicine , an institution of the MHH and the Helmholtz Centre for Infection Research in Braunschweig, the research team wants to study a large multicentre cohort of hepatitis D patients to better understand which personal characteristics determine the outcome of the infection. The D-SOLVE project is funded by the European Union for four years with a total of 6.75 million euros. Around two million euros of this will go to the MHH.
Hepatitis D puzzles medicine
Developing a new treatment approach
Blueprint for personalised infectious medicine
Who Should Get The Hepatitis B Vaccine
All newborn babies should get vaccinated. You should also get the shot if you:
- Come in contact with infected blood or body fluids of friends or family members
- Use needles to take recreational drugs
- Have sex with more than one person
- Are a health care worker
- Work in a day-care center, school, or jail
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What Causes Hepatitis D
The hepatitis D virus causes hepatitis D. The hepatitis D virus spreads through contact with an infected persons blood or other body fluids. Contact can occur by
- sharing drug needles or other drug materials with an infected person
- having unprotected sex with an infected person
- getting an accidental stick with a needle that was used on an infected person
The hepatitis D virus rarely spreads from mother to child during birth.
You cant get hepatitis D from
- being coughed on or sneezed on by an infected person
- drinking water or eating food
- hugging an infected person
- shaking hands or holding hands with an infected person
- sharing spoons, forks, and other eating utensils
- sitting next to an infected person
What Is The Risk
Because universal vaccination of newborns has been recommended since 1991, rates of Hepatitis B in the United States have been going down. But certain groups are still at higher risk, including:
- Infants born to mothers with hepatitis B
- People born outside the United States, or those who travel to areas like Asia or sub-Saharan Africa, where hepatitis B is more common
- Sexual partners of people with hepatitis B
- Men who have sex with men
- People who inject drugs and share needles or syringes
- People who live with someone who has hepatitis B
- Abdominal pain, nausea, or vomiting
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Is Hepatitis B Contagious
Hepatitis B is highly contagious. Its transmitted through contact with blood and certain other bodily fluids. Although the virus can be found in saliva, its not transmitted through sharing utensils or kissing. Its also not transmitted through sneezing, coughing, or breastfeeding.
Symptoms of hepatitis B may not appear for 3 months after exposure. Symptoms can last for several weeks.
But even without symptoms, you can still transmit the infection to others. The virus can live outside the body and remains infectious for at least
Hepatitis B is a highly contagious condition. Its associated with many serious complications, some of which can be life threatening.
But there are many treatment options available and multiple ways you can prevent infection, including getting vaccinated.
If you suspect you may have been exposed to hepatitis B, its important to talk with a doctor to prevent infection and determine the best course of treatment for you.
Prevention Of Hepatitis D
- Exclusion of people with hepatitis D from childcare, preschool, school and work is not necessary.
- Hepatitis B vaccination will prevent infection with hepatitis D. Hepatitis B vaccination is recommended for infants and those at a higher risk of acquiring hepatitis B infection and/or at higher risk of severe infection. Vaccination for hepatitis B, when given to newborn infants, is effective in preventing hepatitis D .
- Any open sores, cuts or abrasions should be covered with waterproof dressings
- Practice safer sex use condoms consistently and correctly.
- Injecting drug users should never share injecting equipment.
- If required to handle blood or body fluids, the use of standard precautions will reduce the risk of spreading hepatitis D virus.
- Infected health care workers must comply with the requirements of their professional boards.
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How Hepatitis D Is Spread
Hepatitis D is spread when infectious body fluids come into contact with body tissues beneath the skin or mucous membranes . In Australia most infections are associated with:
- immigration from a country where hepatitis D is relatively common
- sharing injecting equipment
- mother-to-baby transmission of hepatitis D virus at or around the time of birth can occur, although this is uncommon.
Hepatitis B In The United States
In the United States, about 862,000 people have chronic hepatitis B.6 Asian Americans and African Americans have higher rates of chronic hepatitis B than other U.S. racial and ethnic groups.10 Researchers estimate that about half of the people living with chronic hepatitis B in the United States are Asian Americans and Pacific Islanders.11 Chronic hepatitis B is also more common among people born in other countries than among those born in the United States.7
The hepatitis B vaccine has been available since the 1980s and, in 1991, doctors began recommending that children in the United States receive the hepatitis B vaccine. The annual rate of acute hepatitis B infections went down 88.5 percent between 1982 and 2015.12 In 2017, the annual number of hepatitis B infections rose in some states.13 Experts think the rise was related to increases in injection drug use. Injection drug use increases the risk of hepatitis B infection.
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How Can Hepatitis D Be Prevented
The only known way to prevent hepatitis D is to avoid infection with hepatitis B. You can take the following preventive measures to reduce your risk for hepatitis B:
- Get vaccinated. Theres a vaccine for hepatitis B that all children should receive. Adults who are at high risk for infection, such as those who use intravenous drugs, should also be vaccinated. The vaccination is usually given in a series of three injections over a period of six months.
- Use protection. Always practice safe sex by using a condom with all of your sexual partners. You should never engage in unprotected sex unless youre certain your partner isnt infected with hepatitis or any other sexually transmitted infection.
- Avoid or stop using recreational drugs that can be injected, such as heroin or cocaine. If youre unable to stop using drugs, make sure to use a sterile needle each time you inject them. Never share needles with other people.
- Be cautious about tattoos and piercings. Go to a trustworthy shop whenever you get a piercing or tattoo. Ask how the equipment is cleaned and make sure the employees use sterile needles.
Last medically reviewed on May 17, 2018
How Can A Person Contract Hepatitis From Contaminated Food
The Washington State Department of Health states that a person can come into contact with hepatitis A if they eat food or drink water that is contaminated with the feces of a person who has the virus.
The virus can, therefore, spread from a person who does not wash their hands after using the bathroom and then touches food.
The food itself can also be contaminated with hepatitis A. For example, people can contract hepatitis A if they eat oysters that farmers have harvested from sewage-contaminated water.
of hepatitis A transmission by:
- washing their hands for 20 seconds using warm soap and water before handling raw foods
- washing their hands after changing diapers
- washing their hands after using the bathroom
People should also sanitize their kitchen using the following steps:
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What Is Viral Hepatitis
Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. In the United States, the most common types of viral hepatitis are hepatitis A, hepatitis B, and hepatitis C.
Hiv And Hbv Coinfection
About 2% of people with HIV in the United States are coinfected with HBV both infections have similar routes of transmission. People with HIV are at greater risk for complications and death from HBV infection. All people with HIV are recommended to be tested for HBV, and if susceptible, are further recommended to receive the hepatitis B vaccination or, if chronically infected, evaluated for treatment to prevent liver disease and liver cancer. For more information about HIV and HBV coinfection, visit HIV.govâs pages about hepatitis B and HIV coinfection.
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