Hepatitis B by Roel Tolentino
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Hepatitis B is a virus that attacks the liver. It can be transmitted through contact with blood or bodily fluids from an infected person. Over 350 million people worldwide have chronic hepatitis B. While some experience no symptoms, it can lead to liver cirrhosis, liver failure, and liver cancer if left untreated. Getting vaccinated is the best way to prevent hepatitis B infection and testing is important for detection and treatment. Living with chronic hepatitis B requires lifelong management.
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Hepatitis B by Roel Tolentino
- 1. HEPATITIS B AND YOU Prof. Roel Tolentino, MD, MBA FACS, FPCS, FPSGS, FPSO, FMOSP TV, Radio and Lay Health Educator Professor Level IV March 11, 2020 (Wed.), 12nn 10F Two/Neo Building 3rd Ave, BGC, Taguig City
- 2. Memorial Sloan Kettering Cancer Center (NYC) University Hospitals of Columbia University and Cornell Medical College (NYC) MD Anderson Cancer (Texas) Beijing Cancer Hospital (China) Chongqing Medical University (China) Suining Central Hospital (China) De La Salle University – BS. Biology; Medicine Manila Med – General Surgery SLMC – Surgical Oncology Ateneo GSB - MBA Prof. Roel Tolentino, MD, MBA
- 3. HEPATITIS B AND YOU Prof. Roel Tolentino, MD, MBA FACS, FPCS, FPSGS, FPSO, FMOSP TV, Radio and Lay Health Educator Professor Level IV March 11, 2020 (Wed.), 12nn 10F Two/Neo Building 3rd Ave, BGC, Taguig City
- 4. What is the Liver? What is Hepatitis B? Transmission Global/Local Impact Test, vaccinate, treat! Living with Chronic Hepatitis B FAQ Resources
- 5. Hepatitis B is Serious – Global Impact • It’s a common disease! • Over 350 million people in the world have chronic hepatitis B.
- 6. 3/11/2020 6
- 8. Hepatitis B is a germ (virus) that gets into your body and attacks your liver. Hepatitis B Virus What is hepatitis B?
- 9. What is the Liver? • What does it do? • Cleans your blood • Helps you digest food • Helps your body fight infections
- 13. How is Hepatitis B Spread? • From a mother passing the hepatitis B virus to their baby during birth
- 14. How is Hepatitis B Spread? • By having unprotected sex with a person who has the hepatitis B virus
- 15. How is Hepatitis B Spread? • By using unsterilized needles for tattoos, body piercings, injection drug use, or acupuncture
- 16. How is Hepatitis B Spread? • By sharing shaving razors, toothbrushes, or other personal items that may come into contact with blood
- 17. How Hepatitis B is NOT Spread hugging holding hands sharing food breastfeeding kissing living with an infected person
- 18. Acute vs. Chronic Hepatitis B • Acute: initial infection with the hepatitis B virus • Chronic: the hepatitis B virus remains in the blood for more than 6 months
- 19. Acute vs. Chronic Hepatitis B • The younger a person is first exposed to the hepatitis B virus, the more likely they’ll develop chronic hepatitis B
- 20. Why Do We Care About Chronic Hepatitis B? Chronic Hepatitis B Liver cirrhosis Liver failure Liver cancer
- 22. Chronic Hepatitis B is Silent Threat • Half of all people with chronic hepatitis B show no symptoms.
- 23. Chronic Hepatitis B is Silent Threat • People who have the hepatitis B virus may infect others without knowing it.
- 24. Chronic Hepatitis B is Silent Threat • People often find out they have the hepatitis B virus after they get really sick, when it’s usually too late or difficult to treat the infection.
- 26. • Chronic hepatitis B is one of the top 10 causes of death worldwide. • The hepatitis B virus is 100 times more infectious than HIV. Hepatitis B is Serious – Global Impact
- 27. Protect Yourself And Your Family! • Hepatitis B can infect EVERYONE, regardless of age. • By getting tested and vaccinated, you can protect your family.
- 28. Protect Yourself And Your Family! • If you test positive, ask your doctor about your treatment/management options. • Prevention is the best approach to hepatitis B.
- 29. Importance of Testing • The only way to know if you are infected with the hepatitis B virus is to get tested! • Not all routine blood panels test for hepatitis B. - Ask your doctor for the tests specific to chronic hepatitis B
- 30. Importance of Testing • People of all ages should be tested, especially if you’re from areas of high prevalence.
- 31. Importance of Testing • Early detection can help: - Prevent spread of the hepatitis B virus - Identify appropriate treatment options - Reduce risk for developing liver cancer
- 32. Importance of Prevention • The most effective means of preventing hepatitis B infection is through vaccination! • You need all 3 shots to be protected 1st shot – at any time 2nd shot – 1 month after the 1st 3rd shot – 6 months after the 1st
- 33. –Receiving vaccination at birth –Practicing protected sex Importance of Prevention
- 34. –NOT sharing needles or personal care items that may come into contact with blood (toothbrushes, razors, etc) –Knowing your status! Importance of Prevention
- 35. Living with Chronic Hepatitis B • Chronic hepatitis B requires management. • Ask your doctor about your concerns.
- 36. Living with Chronic Hepatitis B –Understand your test results –Avoid drinking alcohol and smoking –Help prevent transmission to others
- 37. Treatment for Chronic Hepatitis B! • Pills, shots, or a combination of both.
Editor's Notes
- Refer to map as visual. Although the U.S. is green, hepatitis B is important because of the large immigrant and refugee populations in the states
- Picture does not appear unless you click with the mouse.
- Stress the importance of preventing at an early age!
- Stress the importance of preventing at an early age!
- Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
- Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
- Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
- ALT (Alanine transaminase) to test for liver damage and AFP (alpha-fetoprotein) to screen for liver cancer. Get help: Not all people chronically infected with hepatitis B need treatment. However, if your blood levels of ALT are elevated ongoing liver damage may be occurring. Appropriate management can reduce the risk of further liver damage and liver cancer. Get Informed: People chronically infected with hepatitis B can enjoy completely normal lives, but need to take some necessary precautions. To prevent transmission to others, do not share toothbrushes, razors, injection or tattoo needles because they may be tainted with blood. Also, ensure that all members of your household are tested and vaccinated if they are not already immunized. If you are uncertain whether your partner is protected, the proper use of latex condoms is recommended. Pregnant women infected with hepatitis B must make sure the newborn receives hepatitis B immunoglobulin (HBIG) plus the first dose of the hepatitis B vaccine at birth, and then follow-up with the second dose at 1-2 months, and the third dose at 6 months. This will be 97% effective in protecting the newborn from becoming a carrier. Take control of your own health, learn about the management and treatments available for hepatitis B. Don't be fooled by advertisements for unproven methods of prevention and treatment.
- ALT (Alanine transaminase) to test for liver damage and AFP (alpha-fetoprotein) to screen for liver cancer. Get help: Not all people chronically infected with hepatitis B need treatment. However, if your blood levels of ALT are elevated ongoing liver damage may be occurring. Appropriate management can reduce the risk of further liver damage and liver cancer. Get Informed: People chronically infected with hepatitis B can enjoy completely normal lives, but need to take some necessary precautions. To prevent transmission to others, do not share toothbrushes, razors, injection or tattoo needles because they may be tainted with blood. Also, ensure that all members of your household are tested and vaccinated if they are not already immunized. If you are uncertain whether your partner is protected, the proper use of latex condoms is recommended. Pregnant women infected with hepatitis B must make sure the newborn receives hepatitis B immunoglobulin (HBIG) plus the first dose of the hepatitis B vaccine at birth, and then follow-up with the second dose at 1-2 months, and the third dose at 6 months. This will be 97% effective in protecting the newborn from becoming a carrier. Take control of your own health, learn about the management and treatments available for hepatitis B. Don't be fooled by advertisements for unproven methods of prevention and treatment.
- Treatment with either lamivudine, adefovir or entecavir (a pill taken once a day) or a course of interferon shots may be appropriate in this situation. These are the only four FDA-approved pills for chronic hepatitis B.