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Hepatitis B Basics. WHAT YOU NEED TO KNOW. Hepatitis B is…. Inflammation of the liver caused by infection by the hepatitis B virus (HBV). A Healthy Liver. Major role in metabolism and detoxification Fights against infections and controls bleeding. CHRONIC Hepatitis B is….

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hepatitis b basics

Hepatitis B Basics

WHAT YOU NEED TO KNOW

hepatitis b is
Hepatitis B is…

Inflammation of the liver caused by infection by the hepatitis B virus (HBV).

a healthy liver
A Healthy Liver
  • Major role in metabolism and detoxification
  • Fights against infections and controls bleeding
chronic hepatitis b is
CHRONIC Hepatitis B is…

A life-long disease.

Once infected there is NO cure.

It can cause:

Liver failure

Liver cirrhosis (scarring of the liver)

Liver cancer

And ultimately, premature death

even if you feel perfectly healthy
Even if you feel perfectly healthy…
  • You could still be chronically infected with HBV
  • Most people with chronic HBV infection have no symptoms
  • Blood tests for liver enzymes are often normal

Chronic HBV infection:

A Silent Killer in API Community

slide7

Who does HBV affect?

1/3 of the world’s population has been infected at one point in time. That’s 2 billionpeople!

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 4with chronic hepatitis B will die of liver cancer.

This leads to 1-2deaths every minute…

transmission
Transmission:

Hepatitis B is spread through…

BloodBirthSex

asian pacific islander population
Asian & Pacific Islander Population

HBV is the greatest health disparity between API and general population.

1 in 10APIs is chronically infected with HBV,

compared to 1 in 1,000 for Caucasian Americans.

1-1.5 million affected in the United States

1 in 12 Korean-Americans

1 in 10 Chinese-Americans

1 in 8 Vietnamese-Americans

get tested
Get Tested!
  • Simple blood test
  • Hepatitis B surface antigen test (HBsAg)
    • Positive (+): has hepatitis B
    • Negative (-): does not have hepatitis B
  • Hepatitis B surface antibody test (HBsAb)
    • Positive (+): has immunity
    • Negative (-): does not have immunity

“Silent Killer”

Remember, chronic hepatitis B usually DOES NOT have any symptoms until it is too late.

Get tested today!

slide14

Get Vaccinated!

  • If you are: Hepatitis B surface antigen (-) & hepatitis B surface antibody (-), then you are susceptible and should get the vaccine
    • The first “anti-cancer” vaccine - CDC
    • Confers life-long protection “3 for life”

Total: 6-month, 3 shot series

get treatment
Get Treatment!
  • If you have chronic hepatitis B:
    • There is NO cure, but hepatitis B can be managed
    • Everyone is different; discuss treatment with doctor
    • Important regular check-ups
      • ALT for liver damage and AFP for liver cancer, 6 months
      • Ultrasound, 12 months
    • Can still live a long and healthy life with appropriate monitoring and treatment
protect your liver
Protect Your Liver
  • If you have chronic hepatitis B, you should also:
    • Avoid drinking alcohol
    • Get the hepatitis A vaccination
protect your family
Protect Your Family
  • Spread the word!
  • Make sure family members are tested and vaccinated
  • Expecting mothers can protect their newborns by making sure that their doctors administer to their newborns the necessary shots!
mothers with chronic hepatitis b can protect their babies
Mothers with chronic hepatitis B can protect their babies
  • Her newborn should be given two shots:
    • The first shot of the 3-shot hepatitis B vaccine AND
    • The HBIG (hepatitis B immunoglobulin) shot
    • 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!

people chronically infected with hbv should
People chronically infected with HBV should…

Get screened regularly for liver cancer and liver damage

slide20

HBsAg test

* Note: HBsAg and HBsAb tests can be done at the same time

positive

negative

HBsAb test

ALT

AFP

ultrasound

Every 6 mo.

Every 6 mo.

Every year

positive

negative

normal

abnormal

immunity!

vaccine

Maintain regular

checkups

Treatment

3 shots in 6 mo.

  • interferon
  • lamivudine
  • adefovir
  • avoid alcohol
  • get hep A shot
remember
Remember…
  • 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!
the jade ribbon campaign
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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