San Francisco Hep B Free Campaign

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Hepatitis B What you need to know

• San Francisco Hep B Free Campaign

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Hepatitis B is a Silent Killer
Dr. Mark Lim (1969-2003) Internist learned at
26 that he was a Healthy hepatitis B
carrier Diagnosed with liver cancer at 30 years
of age. Died before 32nd birthday.
Had he or his doctors been trained to know that
Asians are at accelerated risk because they are
typically infected as children, he might still be
alive today.
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Hep B is Global Problem
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But why should I care?

• 1 out of every 10 Asian Americans has hepatitis B

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SF Hep B Free

• CAMPAIGN GOALS
• To create public and healthcare provider
  awareness about the importance of testing
  vaccinating Asian Pacific Islanders (API) for
  hepatitis B.
• To promote routine hepatitis B testing and
  vaccination within the primary care medical
  community.
• To ensure access to treatment for chronically
  infected individuals.

• STRATEGIES
• Public Awareness
• Screening
• Vaccination
• Treatment / Follow-up

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What is hepatitis B?

• Hepatitis B is a virus that infects the liver.

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Liver King of Organs

• Largest solid organ
• Performs many important functions
• Breaks down and storage of fats and sugars
• Detoxifies (cleans) body
• all drugs, alcohol and toxins are processed by
  the liver!

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Why does hepatitis B matter?

• Can lead to serious liver illness
• Scarring
• Liver cancer
• Liver failure
• It is contagious (can be given to others)
• 100X more infectious than HIV

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Why does hepatitis B matter?

• Many people who have hepatitis B do not know they
  are infected
• There is no such thing as a healthy carrier

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Did you know?

• 370-400 million people worldwide have hepatitis
  B!
• Every 30 seconds, 1 person dies from hepatitis B
  complications, worldwide
• Without proper monitoring and treatment, 1 in 4
  will die prematurely

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Did you know?

• Hepatitis B is easily prevented
• Effective treatments are available
• A simple blood test detects infection

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How is hepatitis B spread?

• Birth by infected Mother
• Blood by infected blood
• sharing personal items (toothbrush/razor/nail
  clippers)
• sharing needles/syringes/medical
  device/body piercing
• Sex unprotected sex with infected partner

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Hepatitis B CANNOT be spread by

• Coughing or sneezing
• Sharing food and water
• Sharing chopsticks or other utensils
• Eating food prepared by an infected person
• Breastfeeding
• Casual contact
• Kissing
• Shaking hands or holding hands
• Hugging

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HepatitisLiver Inflammation
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How do I know if I have hepatitis B?

• A simple blood test is the only way to be sure
• Most people do not experience any symptoms until
  it is too late!
• 70 of people with chronic hepatitis B have no
  symptoms

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Blood Test Results
Two tests are used to determine hepatitis B status

• Hepatitis B Surface Antigen (HBsAg)
• POSITIVE () result means you have hepatitis B
• NEGATIVE (-) result means you do NOT currently
  have hepatitis B
• Hepatitis B Surface Antibody (Anti-HBs)
• POSITIVE () result means you are protected
  against hepatitis B
• NEGATIVE (-) result means you are NOT protected

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What next?

• It depends on what your test results are!
• Hepatitis B Surface Antigen POSITIVE ()
• You have hepatitis B
• Next Step Follow up with your doctor now to get
  regular monitoring
• Hepatitis B Surface Antibody NEGATIVE (-)
• You are not protected from hepatitis B
• Next Step Begin the 3 dose hepatitis B vaccine
  series now
• Hepatitis B Surface Antibody POSITIVE ()
• You are protected from hepatitis B
• Next Step Encourage your friends and family to
  get tested!

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Tell me more about the vaccine

• Hepatitis B vaccine
• Complete 3 shots in six months for life-long
  protection

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What if I have chronic hepatitis B?

• Get regular check-ups with your doctor
• Eat healthy
• Avoid alcohol
• Tell your doctor which over-the-counter
  medications or herbal supplements you take
• Protect others by preventing blood contact
• Tell your family to get tested or vaccinated

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Where can I get tested? Best Place Your Doctors
Office!!

• http//www.sfhepbfree.org/

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Quiz Question 1

• What percentage of Asian and Pacific Islander
  people living in the US are infected with
  hepatitis B?
• 5
• 10
• 25
• 40

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Quiz Question 2

• Your friend, who has hepatitis B, drinks a glass
  of soda. You drink from the same glass. Can you
  get hepatitis B?

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Quiz Question 3

• You just went to see your doctor and feel super.
  Do you still need to get tested for hepatitis B?

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Quiz Question 4

• True or false Once a person is infected with
  hepatitis B, liver cancer or liver failure is
  likely.

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Questions?