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Hepatitis B

Hepatitis B. The Untold Story of a Silent Killer. About Hepatitis. The word “hepatitis” means inflammation of the liver Hepatitis B (HBV) is a virus that infects liver and causes liver cirrhosis and liver cancer. Silent Killer.

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Hepatitis B

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  1. Hepatitis B The Untold Story of a Silent Killer

  2. About Hepatitis • The word “hepatitis” means inflammation of the liver • Hepatitis B (HBV) is a virus that infects liver and causes liver cirrhosis and liver cancer

  3. Silent Killer • Most people with HBV do not have any symptoms until it is too late • 1 in 4 adults with chronic HBV will die from liver cancer or liver cirrhosis (WHO)

  4. HBV is transmitted by contact with blood or body fluid from an infected person • There are 10x more people with chronic HBV than HIV/AIDS worldwide (WHO) • HBV is 50-100x more infectious than HIV (WHO) • HBV can survive outside the body for at least 7 days (WHO)

  5. Health Disparity • HBV disproportionally affects Asian and Pacific Islanders (API) • 1 in 10 Asian American has HBV. • Liver cancer is the 2nd most common cause of cancer death in Asian men

  6. Perinatal Transmission • Most infections occur from mother to child • Over 90% of babies infected during the first year of life develop chronic infection (CDC) • 20,000 hepatitis B infected women give birth each year in U.S. (CDC)

  7. HBV Vaccination • Newborns born to infected mothers should be vaccinated (1st dose vaccine + HBIG) within 12 hours of birth • 3 vaccine doses: month 0, 1, 6

  8. Hepatitis B has been vaccine-preventable since 1982 • Yet, 1 person still die every 30-45 seconds of HBV-caused liver cancer and liver failure • It is a silent epidemic!

  9. Adrian Elkins • Adopted as an infant from India • Received HBV vaccination upon arrival to U.S • Diagnosed with HBV only when he was dying from liver cancer at 20-years-old http://www.hepb.org/patients/personal_stories_adrian.htm

  10. Mark Lim, MD • Diagnosed with HBV at 26-year-old, but was told by a doctor to not worry since he was a "healthy" asymptomatic carrier • Diagnosed with advanced liver cancer at 31-years-old • Died before 32nd birthday http://www.sfweekly.com/2002-05-01/news/dying-to-know/

  11. HBV Worldwide • 2 billion people worldwide (1/3 world population) have been infected with HBV (WHO) • 350 million people worldwide have chronic (lifelong) HBV (CDC) • 1 million people die each year from liver disease and liver cancer (CDC) • Every 30–45 seconds, one person dies from the vaccine-preventable HBV

  12. HBV in the U.S. • 1.2 million Americans have chronic HBV (CDC) • More than half are APIs • 5,000 Americans die each year from hepatitis B-related liver disease (CDC) • $700 million in medical and work loss costs (CDC)

  13. What Can You Do? • Get educated about HBV • Get tested for HBV • Get protected with HBV vaccine

  14. Break the Silence • Read Know HBV brochure • Talk to your family, friends, colleagues, patients, and general public about HBV • Write to House of Representatives to support Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 (HR 3974)

  15. References • Centers for Disease Control and Prevention, Hepatitis Branch http://www.cdc.gov/hepatitis/HBV/index.htm • World Health Organization http://www.who.int/immunization/topics/hepatitis_b/en/index.html • Asian Liver Center at Stanford University http://liver.stanford.edu/ • Team HBV Collegiate Chapters http://teamhbv.org • USF Asian Pacific Medical Student Association http://hsc.usf.edu/medstud/apamsa/hepatitis.html

  16. For General Public • Hepatitis B Foundation http://www.hepb.org/ • American Liver Foundation www.liverfoundation.org • Tampa Bay Hepatitis & Liver Disease Support Group http://thechancecenter.org/ • Hillsborough County Epidemiology Program Perinatal Hepatitis B Prevention Program (PHBPP) http://www.hillscountyhealth.org/epi/epi_main.htm

  17. For Health Professionals • Physician’s Guide to Hepatitis B http://liver.stanford.edu/Public/pguide.html • CDC Interpretation of Hepatitis B Serologic Test Results http://www.cdc.gov/hepatitis/HBV/ProfResourcesB.htm • CDC Recommended Doses of Hepatitis B Vaccines by Age Group and Vaccine Type http://www.cdc.gov/hepatitis/HBV/HBVfaq.htm#recctbl • CDC Recommendation for Routine Testing and Follow-up for Chronic Hepatitis B Virus Infection http://www.cdc.gov/hepatitis/HBV/ProfResourcesB.htm • Continuing Medical Education Courses on Hepatitis B http://www.hepb.org/learning_guide/cme_course.htm • The Florida Hepatitis Prevention Program Presents: Hepatitis 101 Training http://www.doh.state.fl.us/disease_ctrl/aids/hep/

  18. Website: http://hsc.usf.edu/medstud/apamsa/ • Email: usfapamsa@googlegroups.com

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