Adults Hepatitis B Facts

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Hepatitis B can often be a “silent disease” that affects people without making them feel sick; this is more common among children. …

Facts About Hepatitis B for Adults
What is hepatitis B?
Hepatitis B is a serious liver disease caused by the hepatitis B virus (HBV). The virus can affect people of all ages. Once infected, some people are never able to rid themselves of the virus. This long-term or "chronic" HBV infection can lead to liver cirrhosis, liver cancer and death. The virus is found in the blood and body fluids of infected people and is most often spread among adults through sexual contact or by sharing needles and other drug paraphernalia with an infected person. HBV can also be spread through normal household contact with HBV-infected persons, or by passage of the virus from an HBV-infected mother to her infant during birth.

Symptoms
Hepatitis B can often be a "silent disease" that affects people without making them feel sick; this is more common among children. People who do get sick from hepatitis B might experience loss of appetite, tiredness, stomachache, nausea and vomiting. They might also experience yellowing of the whites of the eyes (jaundice) and/or joint pain. People with chronic HBV infection usually do not feel sick for many years, but will have symptoms if they develop the most serious complications from hepatitis B, like cirrhosis or liver cancer.

Treatment
There is no specific treatment for newly acquired HBV infection. Medicines are available to treat people with chronic hepatitis B. These medicines work for some people, but not for all.

Prevention
Safe, effective hepatitis B vaccines are available. The vaccines are used to protect everyone from newborn babies to older adults. The vaccination series is usually given as three doses over a six-month period. However, more flexible schedules can be used. Hepatitis B vaccine is recognized as the first anti-cancer vaccine because it can prevent liver cancer caused by chronic HBV infection.

Who should get hepatitis B vaccine?
All children and adolescents from birth through 18 years of age. Persons at risk of sexual HBV transmission: men and women who have had more than one sex partner during the previous six months or who have had a recently acquired sexually transmitted disease (STD); men who have sex with men; and persons receiving treatment for STDs, and persons with HIV infection. Persons at risk of HBV transmission by percutaneous or mucosal exposure to blood: people whose jobs potentially expose them to human blood or blood-contaminated body fluids, including most healthcare workers and some public safety workers; injection drug users; and persons with end-stage kidney disease. People living with or having sexual contact with a person who has chronic HBV infection. Travelers who live or work for at least six months in areas where HBV infection is of high or intermediate endemicity, or who stay for shorter periods and will likely have contact with blood (e.g., in a medical setting) or sexual contact with local persons. Inmates of correctional facilities, including all inmates who receive a medical evaluation in federal and state prisons, jails, and juvenile correction facilities. Residents and staff of institutions and nonresidential daycare facilities for developmentally disabled persons. People with chronic liver disease including hepatitis C. All adults requesting protection from HBV infection.

Settings where hepatitis B vaccination is recommended for all adults · STD treatment facilities · HIV testing and treatment facilities · Facilities providing drug-abuse treatment and prevention services · Healthcare settings targeting services to injection-drug users or men who have sex with men · Correctional facilities · End-stage renal disease programs and facilities for chronic hemodialysis patients · Institutions and residential daycare facilities for persons with developmental disabilities National Foundation for Infectious Diseases 4733 Bethesda Avenue, Suite 750, Bethesda, MD 20814 (301) 656-0003. Web site: www.nfid.org August 2009



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