What is Hepatitis B?

Hepatitis B virus (HBV) is a common sexually transmitted infection that can be prevented with vaccination. It is a viral disease that attacks the liver and causes jaundice. It is around 100 times more infectious than the AIDS virus and second only to cigarette smoking as a cause of cancer.

Although 90-95 percent of adults with HBV recover completely, the virus can cause severe liver disease and death.

 

Unless they are treated within an hour of birth, 90 percent of the infants born to women with HBV will carry the virus. Pregnant women who may have been exposed to HBV should consider being tested before giving birth so that their babies can be vaccinated at birth or treated if they become ill. Like many other viruses, HBV remains in the body for life.

Common symptoms

The symptoms can often be vague and are sometimes mistaken for mild flu:

 

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  • Extreme fatigue, headache, fever, hives

  • Lack of appetite

  • Nausea

  • Vomiting

  • Tenderness in the lower abdomen

 

One third of adults will display no symptoms of Hepatitis B. Another third will only be mildly affected with the flu-like symptoms, while the remaining third will suffer from increasingly severe symptoms e.g. more abdominal pain, dark urine, clay-coloured stool, yellowing of the skin and white of the eye - jaundice. Hepatitis may be invisible during its most contagious phases. After 6 months, if a person is still infected with the virus, they are considered a chronic carrier. Approximately 5-10% of infected adults go on to become chronic carriers and are highly infectious to others.

How is HBV spread?

It is spread in semen, saliva, blood, and urine by:

 
  • Intimate and sexual contact, from kissing to vaginal, anal, and oral intercourse

  • Use of unclean needles to inject drugs

  • Accidental pricks with contaminated needles in the course of health care

Diagnosis

Blood Test

 

Treatment

There is no satisfactory cure at present. In most cases the infection clears within 4-8 weeks. Some people, however, remain contagious for the rest of their lives. A healthy diet and rest may help recovery. A vaccine to prevent Hepatitis B is available. A complete course of vaccination can provide immunity for up to 5 years. Thereafter a booster dose may be needed to maintain a protective level of antibodies.

How to avoid Hepatitis B

Condoms may offer limited protection against hepatitis during vaginal, anal, and oral intercourse. However the virus can be passed through kissing and other intimate touching. Children and adults who do not have HBV can get permanent protection with a series of HBV vaccinations.

 

Where to get tested for Hepatitis B

Referral to a STD clinic is needed for diagnosis and screening for other STDs. Partners should also be screened.

Under the Safety, Health and Welfare at Work (Biological Agents) Regulations, 1994, all employers in Ireland are legally responsible for protecting their employees from exposure to biological agents, which includes Hepatitis B. It declares:

  • To provide training and information on biological hazards

  • To perform a risk assessment for each employee on the basis of what work is done

  • To offer vaccination free of charge to all employees exposed to biological hazards

  • To record vaccination details or refusal of vaccination by employees