Hepatitis B Basics

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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

• Major role in metabolism and detoxification
• Fights against infections and controls bleeding

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CHRONIC Hepatitis B is

• A life-long disease.
• Once infected there is NO cure.

It can cause
Liver failure/cirrhosis (scarring) Liver
cancer And ultimately, premature death!!!
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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
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Transmission B.B.S

• Hepatitis B is spread through
• Blood Birth Sex

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Transmission Myths

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Who does HBV affect?

• 1/3 of the worlds population has been infected
  at one point in time. Thats 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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Asian Pacific Islander Population

• 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 States
• 1 in 12 Korean-Americans
• 1 in 10 Chinese-Americans
• 1 in 8 Vietnamese-Americans

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• WHAT SHOULD I DO?

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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!
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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
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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

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UNITE AGAINST HEPATITIS BWHAT YOU CAN DO
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Protect Your Liver

• If you have chronic hepatitis B, you should also
• Avoid drinking alcohol
• Get the hepatitis A vaccination

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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!

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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!
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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
Note HBsAg and HBsAb tests can be done at the
same time
positive
negative
HBsAb test
ALT
ultrasound
AFP
Every 6 mo.
Every 6 mo.
Every year
positive
negative
normal
abnormal
vaccine
immunity!
Maintain regular checkups
Treatment
3 shots in 6 mo.

• interferon
• lamivudine
• adefovir

• avoid alcohol
• get hep A shot

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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!

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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