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Brochure anglais_web

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  • 1. HEPATITIS AND GET YOURSELF SCREENED, THAT WAY YOU'LL KNOW AND CAN DO SOMETHING ABOUT IT WHAT IS THE POSITION WITH HEPATITIS B AND C WORLDWIDE? HOW ARE THE VIRAL FORMS OF HEPATITIS TRANSMITTED? Hepatitis is very widespread - 410 million people worldwide are chronic hepatitis B or C carriers and the viruses kill almost a million people every year. They are especially common in Africa, Southern Asia (China, India, etc.) and Eastern Europe. There are 500,000 people who are affected in France and almost half of them do not know that they are infected. There are several forms of viral hepatitis: A, B, C, Delta and E. Hepatitis B is transmitted through blood and sexual fluids, hepatitis C only through blood. They are highly resistant even to the open air (alcohol and bleach do not kill them) and there are many situations in which they can be transmitted: HBV Human contact (touching) O +++ + +++ + Excision, circumcision +++ +++ Tattooing, piercings, acupuncture scarring +++ +++ The use of unsterilised or poorly sterilised equipment by the medical profession +++ +++ Dental treatment with equipment which has been reused without being sterilised +++ +++ Sharing objects such as razors, toothbrushes, etc. +++ +++ Sharing equipment when taking drugs +++ +++ Low < 2% Low/Intermediate 2-4% High/Intermediate 5-7% High > 8% No data O No risk MAP OF THE WORLD SHOWING THE HEPATITIS C EPIDEMIC Low < 1,5% Prevalence Intermediate 1,5-3,5% K. Mohd Hanafiah et al. Global epidemiology of hepatitis V virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology, Month 2012, 1-10. + Mother-to-child transmission at birth J.J. Ott et al. Global epidemiology of hepatitis B virus infection: New estimates of age-specific HBsAg seroprevalence and endemicity. Vaccine 30 (2012) 2212– 2219 O Unprotected sexual intercourse Prevalence of chronic infections O French kissing MAP OF THE WORLD SHOWING THE HEPATITIS B EPIDEMIC HCV High > à 3,5% + Low risk +++ High risk There is an effective vaccine against hepatitis B. The best thing is to be vaccinated from birth. Not only does getting vaccinated as soon as possible offer lifelong protection for yourself, it also protects the people you love. The vaccine will protect you from HBV but not from other STIs1 or from hepatitis C, so make sure that you protect yourself and your partner and always use a condom whenever you have sex. No data 1 STI: Sexually transmitted infection
  • 2. WHAT ARE THE SYMPTOMS OF HEPATITIS B OR C INFECTION? In most cases, HBV2 or HCV3 infection goes unnoticed because it does not produce any symptoms. So be on your guard and see a doctor if you have been in an at-risk situation or have the slightest doubt. When the infection does produce symptoms, these can include fatigue, a temperature, a yellowing of the eyes and skin (jaundice), or itching. TO FIND OUT: SCREENING If you have been in at least one of the at-risk situations or have had any of the symptoms, it is important to undergo screening. In France there are two ways in which you can get yourself screened: > By going to a CDAG4 or a CIDDIST5 . There will be a medical consultation, a blood sample will be taken and you will get the results of your tests, all in one place. The CDAGs and CIDDISTs are anonymous and free of charge and they will not ask you for your identity card or social security card. > By going to see a doctor who will give you a prescription. If you are looking for a CDAG or a CIDDIST close to where you live Call the 0 800 004 372 freephone number (calls are free from a landline telephone) WHAT SHOULD YOU DO FAIRE AFTER SCREENING? If the analyses have not picked up any traces of HBV, you should get yourself vaccinated in order to protect yourself against any future infection - talk to a doctor who will tell you how to go about this. If the analyses have detected a virus, you will need to have a blood sample taken to find out how the infection is developing. When you have contracted hepatitis B or C, there are two possible scenarios. After the incubation and acute infection phases: > You may get well spontaneously. This means that your immune system has responded to the attack from the hepatitis B or C virus and beaten it. The fact that you will have an antibody against HBV will mean you are now protected against any further infections. This is not the case with hepatitis C, as the antibodies do not protect you and another infection is always possible. This is the scenario in most cases among young adults. > Your infection has set in and after six months it has become chronic. This case of chronic hepatitis B or C means that you will need to see a hepatologist who will prescribe additional examinations and treatment, if necessary. Both hepatitis B and C are very common so get yourself screened! www.soshepatites.org There is a vaccine against hepatitis B, so get yourself vaccinated! If you do have chronic hepatitis B or C, remember that there are effective treatments available! The hepatitis B and C viruses are both transmitted through blood. Unlike hepatitis B, hepatitis C is not an STI and cannot be transmitted by a kiss or unprotected sexual intercourse. Authors: Patrick Favrel, Michelle Sizorn, Johann Volant Grphic design : ouf-atelier.com Printed by: Fargier Fabrication Registration: 2013 Print run: 2500 copies Also available in French, Bulgarian, Russian and Mandarin Brochure produced with the support of 2 HBV: Hepatitis B virus 3 HCV: Hepatitis C virus 4 CDAG: anonymous, free screening centre 5 CIDDIST: information and screening centre for sexually transmitted infections With full editorial independence