hepatitis b basics.??? “a silent killer” 10x more common and 100x more infectious than hiv the...
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Hepatitis B Basics
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Hepatitis B is…
Inflammation of the liver caused by infection by the hepatitis B virus (HBV).
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A Healthy Liver
o Major role in metabolism and detoxificationo Fights against infections and controls bleeding
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A life-long disease. Once infected there is NO cure.
CHRONIC Hepatitis B is…
Liver failure/cirrhosis
(scarring)
Liver cancer
And ultimately, premature death!!!
It can cause:
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Even if you feel perfectly healthy…o You could still be
chronically infected with HBV
o Most people with chronic HBV infection have no symptoms
o Blood tests for liver enzymes are often normal
Chronic HBV infection:A Silent Killer in API Community
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Hepatitis B is spread through…
Blood Birth Sex
Transmission: B.B.S
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Transmission Myths:
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Who does HBV affect?
1/3 of the world’s population has been infected at one point in time. That’s 2 billion people! 350- 400 million people worldwide are chronically infected. That is 1 in 20 people!
Compare this to the 35 million with HIV/AIDS.
Without appropriate monitoring or treatment, 1 in 4 with chronic hepatitis B will die of liver cancer.
This leads to 1-2 deaths every minute…
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Why should Asians & Pacific Islanders be concerned?
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HBV is the greatest health disparity between API and general population.
1 in 10 APIs is chronically infected with HBV, compared to 1 in 1,000 for Caucasian Americans.
1-1.5 million affected in the United States1 in 12 Korean-Americans 1 in 10 Chinese-Americans
1 in 8 Vietnamese-Americans
Asian & Pacific Islander Population
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WHAT SHOULD I DO?
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o Simple blood test
o Hepatitis B surface antigen test (HBsAg)o Positive (+): has hepatitis Bo Negative (-): does not have hepatitis B
o Hepatitis B surface antibody test (HBsAb)o Positive (+): has immunityo Negative (-): does not have immunity
Get Tested!
“Silent Killer”
Remember, chronic hepatitis B usually DOES NOT have any symptoms until it is too late.
Get tested today!
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Total: 6-month, 3 shot series
Get Vaccinated!o If you are:
Hepatitis B surface antigen (-) & hepatitis B surface antibody (-), then you are susceptible and should get the vaccineo The first “anti-cancer” vaccine - CDCo Confers life-long protection “3 for life”
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o If you have chronic hepatitis B:o There is NO cure, but hepatitis B can be managed
o Everyone is different; discuss treatment with doctor
o Important regular check-upso ALT for liver damage and AFP for liver cancer, 6
monthso Ultrasound, 12 months
o Can still live a long and healthy life with appropriate monitoring and treatment
Get Treatment!
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UNITE AGAINST HEPATITIS B:
WHAT YOU CAN DO
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o If you have chronic hepatitis B, you should also:
o Avoid drinking alcohol
o Get the hepatitis A vaccination
Protect Your Liver
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o Spread the word! o Make sure family members are tested and
vaccinatedo Expecting mothers can protect their newborns
by making sure that their doctors administer to their newborns the necessary shots!
Protect Your Family
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Mothers with chronic hepatitis B can protect their babies
o Her newborn should be given two shots:o The first shot of the 3-shot hepatitis B vaccine AND o The HBIG (hepatitis B immunoglobulin) shot
o These need to be given within 12 hours of birth to prevent transmission of hepatitis B.
All newborns in the U.S. should receive the hepatitis B vaccination and HBIG at birth!
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People chronically infected with HBV should…
Get screened regularly for liver cancer and liver damage
Test Screens For: Frequency of Test
ALT(alanine
aminotransferase)Liver damage Every 6 months
AFP(alpha-fetoprotein)
Liver cancer Every 6 months
Ultrasound Liver cancer Every year
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HBsAg test
ALT
vaccine
ultrasoundAFP
HBsAb test
immunity!Maintain regular
checkups Treatment
o avoid alcohol
o get hep A shot
o interferon
o lamivudine
o adefovir
3 shots in 6 mo.
Every 6 mo. Every 6 mo. Every year
* Note: HBsAg and HBsAb tests can be done at the same time
positive negative
norm
al
abnormal
posi
tive n
egative
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• Be informed– 1 in 10 API are infected with hepatitis B– “Silent killer”– Transmitted through BBS
• Most common mode: Mother to child• Protect yourself
– Get tested– Get vaccinated– Get treated
• Protect & educate your family• Join the Jade Ribbon Campaign• Unite against hepatitis B and liver cancer!
Remember…
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The Jade Ribbon Campaign• Launched in 2001
• Mission: Increase awareness about hepatitis b and provide ethnic-sensitive health information to API community
• Jade = Longevity and good luck
• Folded in shape of “person” to represent all voices united against hepatitis B and liver cancer.
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UNITE AGAINST HEPATITIS BGET INVOLVED