Other Body Fluids And Tissues
Hepatitis B is found in semen and vaginal secretions. The virus can be transmitted during unprotected sexual intercourse, and from mother to infant during birth.
Synovial fluid , amniotic fluid, cerebrospinal fluid, and peritoneal fluid can contain the hepatitis B virus, but the risk of transmission to workers is not known.
Feces, nasal secretions, sputum, sweat, tears, urine, and vomit have not been implicated in the spread of hepatitis B. Unless they are visibly contaminated with blood, the risk of contracting hepatitis B from these fluids in the workplace is very low.
Hepatitis B is not transmitted by casual contact. For example, hospital employees who have no contact with blood, blood products, or blood-contaminated fluids are at no greater risk than the general public. However, the virus can spread through intimate contact with carriers in a household setting, possibly because of frequent physical contact with small cuts or skin rashes. The virus can also spread through biting and possibly by the sharing of toothbrushes or razors. It is not spread through sneezing, coughing, hand holding, hugging, kissing, breastfeeding, sharing eating utensils, water or food.
Whats The Prognosis For Hepatitis B
Your doctor will know youâve recovered when you no longer have symptoms and blood tests show:
- Your liver is working normally.
- You have hepatitis B surface antibody.
But some people don’t get rid of the infection. If you have it for more than 6 months, youâre whatâs called a carrier, even if you donât have symptoms. This means you can give the disease to someone else through:
- Unprotected sex
How Can You Prevent Hepatitis B And Hepatitis C
Hepatitis B: Vaccination is the best way to prevent all of the ways that hepatitis B is transmitted. People with HIV who do not have active HBV infection should be vaccinated against it. In addition to the 3-dose series of hepatitis B vaccine given over 6 months, as of 2017, there is a 2-dose series given over 1 month.
Hepatitis C: No vaccine exists for HCV and no effective pre- or postexposure prophylaxis is available. The best way to prevent hepatitis C infection is to never inject drugs or to stop injecting drugs by getting into and staying in drug treatment. If you continue injecting drugs, always use new, sterile needles or syringes, and never reuse or share needles or syringes, water, or other drug preparation equipment.
Read Also: Can You Get Rid Of Hepatitis B
Reducing The Risk Of Hepatitis B
Simple steps that everyone can take to protect themselves against hepatitis B include:
- Making sure you and your children are immunised this is the best protection.
- Using condoms every time you have anal or vaginal sex with new partners until you both get a check-up .
- Avoiding oral sex if you or your partner have herpes, ulcers or bleeding gums it is unlikely that you will contract hepatitis through oral sex unless blood is present.
- Choosing to have any body piercing or tattooing done by an experienced practitioner who follows good sterilisation and hygiene practices, and who works at premises registered by the local council.
- Wearing single-use gloves if you give someone first aid or need to clean up blood or body fluids.
- Never sharing needles and syringes or other equipment , if you inject drugs. Always use sterile needles and syringes. These are available from needle and syringe programs and some pharmacists. Always wash your hands before and after injecting.
If you have hepatitis B:
If you think you have been exposed to hepatitis B, see a doctor immediately. Your doctor can give you treatment in some instances, which greatly reduces the risk of you becoming infected with hepatitis B.
Acute Hepatitis B Infection
There is no specific treatment for acute hepatitis B, and most people recover within one to two months. Usually, you can manage symptoms at home with painkillers if necessary. Your healthcare professional should advise you to have regular blood tests and physical check-ups. Most people make a full recovery from acute hepatitis B.
You May Like: What Does Hepatitis C Do To You
Chronic Hepatitis B Complications
Chronic hepatitis B can lead to
- cirrhosis, a condition in which scar tissue replaces healthy liver tissue and prevents your liver from working normally. Scar tissue also partly blocks the flow of blood through the liver. As cirrhosis gets worse, the liver begins to fail.
- liver failure, in which your liver is badly damaged and stops working. Liver failure is also called end-stage liver disease. People with liver failure may require a liver transplant.
- liver cancer. Your doctor may suggest blood tests and an ultrasound or another type of imaging test to check for liver cancer. Finding cancer at an early stage improves the chance of curing the cancer.
Hepatitis B And Pregnancy
If youâre pregnant, you might pass the virus to your baby at birth. Itâs less likely to happen during your pregnancy.
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.
Read Also: What Are The Signs Of Having Hepatitis C
Can Hbv Infection Be Prevented
Yes. The best way to prevent HBV is to get the hepatitis B vaccine.
CDC recommends that people with HIV and people who are at risk for HIV get the HBV vaccine . The housemates and sexual partners of people with HBV should get the HBV vaccine, too.
People, including people with HIV, can also take the following steps to reduce their risk of HBV infection:
- Use condoms during sex to reduce the risk of HBV infection and infection with other sexually transmitted diseases, such as gonorrhea and syphilis.
- Do not inject drugs. But if you do, do not share needles, syringes, or other drug injection equipment.
- If you get a tattoo or body piercing, make sure the instruments used are sterile.
How To Prevent Transmission
Between 2% and 6% of adults infected with hepatitis B virus will develop chronic hepatitis B. Chronic hepatitis B can lead to liver failure and liver cancer, so protecting yourself is important.
The hepatitis B vaccine is safe for almost everyone and about 95% effective for providing long-term protection against hepatitis B infection.
While anyone can benefit from the vaccine, people who are at a greater risk of being exposed to the virus because of their work, lifestyle or medical history are strongly encouraged to be immunized. In many countries, babies born to infected mothers get vaccinated at birth. All babies born in the United States are routinely vaccinated.
Hepatitis B immune globulin , is another way to prevent hepatitis B infection in babies born to infected mothers or after exposure to the virus. This uses concentrated antibodies to provide immediate protection. According to the Centers for Disease Control and Prevention, it is given as a shot and can provide short-term protection against hepatitis B.
Because the hepatitis B vaccine does not protect against HIV, hepatitis C or other diseases spread through sex and contact with blood, it’s still important to keep using basic protective strategies. Practicing safer sex and not sharing needles are recommended even if you’re immune to hepatitis B.
Also Check: What Organ Does Hepatitis B Affect
Causes Of Hepatitis B
Hepatitis B is spread through contact with blood that contains the hepatitis B virus. If infected blood or body fluids enter another persons bloodstream, that person may become infected.
The time from exposure to the hepatitis B virus to the appearance of the illness is 45 to 180 days.
Risky activities that can cause infection include:
- Sharing unsterile or unclean equipment for injecting drugs.
- Piercing the skin with equipment that is not properly cleaned, disinfected and sterilised.
- Sharing razor blades or toothbrushes.
- Coming into contact with infected blood through open cuts or the mucous membranes of another person.
- Having unprotected sex , especially if there is blood present.
Mothers who have hepatitis B can pass the virus to their babies or children at the time of birth or after birth. If the newborn baby is quickly immunised with 2 vaccines, they can be protected from getting hepatitis B.
All blood and blood products produced for medical purposes in Australia are carefully screened for hepatitis B and other blood-borne viruses. The risk of getting infected with hepatitis B from a blood transfusion is extremely low .
How Long Before I Have Symptoms
Many people have mild symptoms or no symptoms, which is why hepatitis is sometimes called a âsilentâ disease.
Hepatitis A. The symptoms usually show up 2 to 6 weeks after the virus entered your body. They usually last for less than 2 months, though sometimes you can be sick for as long as 6 months.
Some warning signs that you may have hepatitis A are:
Hepatitis B. The symptoms are the same as hepatitis A, and you usually get them 3 months after you’re infected. They could show up, though, anywhere from 6 weeks to 6 months later.
Sometimes the symptoms are mild and last just a few weeks. For some people, the hep B virus stays in the body and leads to long-term liver problems.
Hepatitis C. The early symptoms are the same as hepatitis A and B, and they usually happen 6 to 7 weeks after the virus gets in your body. But you could notice them anywhere from 2 weeks to 6 months later.
For about 25% of people who get hep C, the virus goes away on its own without treatment. In other cases, it sticks around for years. When that happens, your liver might get damaged.
Remember, it’s possible to spread all the types of hepatitis even if you don’t show any signs of being sick.
Also Check: Pro Plan Hepatic Dog Food
Newly Diagnosed With Hepatitis B How Did I Get This Learning The Hbv Transmission Basics
If you have just been diagnosed with hepatitis B virus then you need to understand how HBV is transmitted. This is important whether you have an acute or chronic infection. You must understand you are infectious and can transmit the virus to others.
How is hepatitis B transmitted? Hepatitis B is transmitted through direct contact with infected blood. This can happen through direct blood-to-blood contact, unprotected sex, unsterile needles, unsterile medical or dental equipment, and from a HBV infected mother to her baby at birth. For kids, pediatric experts report that the fluid that oozes from cuts and open sores is also highly infectious, so keep those open cuts covered. HBV can also be transmitted inadvertently by the sharing of personal items such as razors, toothbrushes, nail clippers, body jewelry and other personal items that have small amounts of blood on them.
If you do, or have participated in high-risk activities at some point in your life, you are also at greater risk. This is not a time to judge or be judged.
What Is Hepatitis B
Hepatitis B is an infection of your liver. Itâs caused by a virus. There is a vaccine that protects against it. For some people, hepatitis B is mild and lasts a short time. These âacuteâ cases donât always need treatment. But it can become chronic. If that happens, it can cause scarring of the organ, liver failure, and cancer, and it even can be life-threatening.
Itâs spread when people come in contact with the blood, open sores, or body fluids of someone who has the hepatitis B virus.
It’s serious, but if you get the disease as an adult, it shouldnât last a long time. Your body fights it off within a few months, and youâre immune for the rest of your life. That means you can’t get it again. But if you get it at birth, itâ unlikely to go away.
Also Check: Is Hepatitis Ca Sexually Transmitted Disease
Should People With Hiv Get Tested For Hbv
CDC recommends that all people with HIV get tested for HBV. Testing can detect HBV even when a person has no symptoms of the infection.
There are several HBV blood tests. Results of different tests show different things. For example, a positive hepatitis B surface antigen test result shows that a person has acute or chronic HBV and can spread the virus to others.
What Laboratory Tests Are Available For Hepatitis B
Tests are available to detect the types of antigens used to identify the hepatitis B virus. The tests determine if the virus is present in the body tissue or blood. The amount of each type of antigen present indicates how advanced the disease is and how infective the individual has become.
Other tests are available to detect the body’s reaction to the viral infection or the body’s reaction to vaccination against the virus. These tests work by measuring the number of antibodies present in the blood.
Also Check: Is Hepatitis A Sexually Transmitted Disease
When To Call The Doctor
- The child has not felt hungry or wanted to eat in the past 24 hours.
- Your childs fever is over 100.4 degrees Fahrenheit for more than 2 days.
- Your child has a stomachache.
- Your child vomits more than 2 times in an hour.
- Your child’s skin or the white part of the eyes turns yellow.
- Your child is overly tired for more than 2 days.
Recommendation To Decrease Mtct
All pregnant women should be tested routinely for HBsAg during an early prenatal visit in each pregnancy. Women who were not screened prenatally, those who engage in behaviors that put them at high risk for infection and those with clinical hepatitis should be tested at the time of admission to the hospital for delivery.
Immunization of infants born to HBsAg-positive mothers:
Immunization of infants born to women with unknown HBsAg status:
Women admitted for delivery without documentation of HBsAg test results should have blood drawn and tested as soon as possible after admission. While test results are pending, all infants born to women without documentation of HBsAg test results should receive the first dose of single-antigen HBV vaccine 12 hours or less after birth. If the mother is determined to be HBsAg-positive, her infant should receive HBIG as soon as possible but no later than the age of 7 days, and the vaccine series should be completed according to a recommended schedule for infants born to HBsAg-positive mothers. If the mother is determined to be HBsAg negative, the vaccine series should be completed according to a recommended schedule for infants born to HBsAg-negative mothers. If the mother has never been tested to determine her HBsAg status, the vaccine series should be completed according to a recommended schedule for infants born to HBsAg-positive mothers. Administration of HBIG is not necessary for these infants.
Don’t Miss: What Is Hepatitis A And B And C
Prevention Of Prenatal Transmission
Transplacental transmission is presumed to cause the minority of infections not prevented by prompt immunization. Risk factors for transplacental transmission of HBV include:
1.Maternal HBsAg titer:
Some studies have shown a positive correlation between maternal HBsAg titers and the risk of intrauterine transmission of HBV.
2.Maternal HBeAg positivity:
HBeAg is a small secretory protein produced by HBV. It can cross the placental barrier from mother to infant. Transplacental HBeAg from the HBeAg-positive mother renders the neonates T helper cells unresponsive to HBeAg and HBcAg . This immune tolerance state persists for years to decades after neonatal infection. On the other hand, mother to infant transmission of HBV from HBeAg-negative, HBsAg-positive mothers, is the most important route of transmission for acute or fulminant hepatitis in infancy . This may be one explanation for the fact that 90% of the infants of HBeAg-positive carrier mothers became chronic carriers, while only approximately < 5% of the infants of HBeAg-negative HBsAg carrier mothers become chronic carriers.
3.Maternal HBV-DNA levels:
5.Specific polymorphisms in some genes encoding for cytokines and human leukocyte antigen class II molecules have been associated with increased or decreased susceptibility of the infants to intrauterine HBV infection.-
Complications Of Hepatitis B
A small proportion of people who become infected with the hepatitis B virus develop a long-term hepatitis B infection. They may have the virus in their bloodstream for most of their life without realising they are infected.
People with chronic hepatitis B infection may not notice any health problems until they develop liver problems such as liver disease or liver cancer later in life. Treatment for hepatitis B is essential because it is not possible to be a healthy carrier of the hepatitis B virus. Chronic hepatitis B infection occurs more commonly in some communities, including:
- Aboriginal and Torres Strait Islander communities.
- In people from parts of the world where hepatitis B is more common, such as:
- North-East Asia
- Sub-Saharan Africa.
Also Check: How Contagious Is Hepatitis C
How Common Is It
In 2006, the Public Health Agency of Canada reported the incidence of HBV as 2.0 cases for every 100,000 or about 650 cases reported annually in Canada. In the year 2013, the incident rate was 0.5 per 100,000 . Incidence of the disease varies from region to region but has been declining due to increasing use of the vaccine and universal immunization programs.
Symptoms Of Hepatitis B
Some people who are infected with the hepatitis B virus have mild, flu-like symptoms and some do not become sick at all. Children who are infected are less likely to have an illness or get sick after getting hepatitis B than adults.
In more severe cases, hepatitis B can cause:
- Loss of appetite.
- Pain in the joints.
- Jaundice .
Normally, these health problems disappear in a few weeks, but even when the person feels much better, they may still be infectious.
Most adults who become infected with the hepatitis B virus recover completely and do not become infected again. A few people become very ill in the time just after infection and need to go to hospital some may even die.
Don’t Miss: Where Do You Get Hepatitis C