hepatitis-slider

Early Detection Through
Screening And Diagnostics

The Key To Overcoming This 'Silent Disease'

Hepatitis Crisis Card

Understand Hepatitis[3]

Hepatitis is the term used to describe inflammation of the liver, often caused by viral infections, excessive alcohol consumption, certain medications, or exposure to toxins.

  • Hepatitis A is most commonly transmitted by consuming food or water contaminated by faeces from an infected person.[4]
  • Hepatitis B is transmitted through contact with infectious body fluids, unsafe sex, or sharing razors, etc. with an infected person.[5]
  • Hepatitis C is transmitted through direct contact with infected body fluids, typically through injection drug use and sexual contact.[6]
  • Hepatitis D is a rare form of Hepatitis that only occurs in conjunction with Hepatitis B infection [3].
  • Hepatitis E is a waterborne disease caused by the Hepatitis E virus (HEV) [3].

Symptoms

Most people experience mild or no symptoms[3B]. The incubation period for different Hepatitis types varies as follows:

  • Hepatitis A: 14 to 28 days[4]
  • Hepatitis B: 75 days on average, but can vary from 30 to 180 days [5B]
  • Hepatitis C: 2 weeks to 6 months[6]
  • Hepatitis D: Usually appear 3–7 weeks after infection[7]
  • Hepatitis E: 2 to 10 weeks, with an average of 5 to 6 weeks[8]

The initial phase of Hepatitis is called the acute phase [9B]. The symptoms include [9A], [9C]:

fever

Fever

itching

Jaundice

muscle-pain

Muscle Pain

dark-urine

Dark Urine

joint-pain

Joint Pain

loss-of-appetite

Loss of Appetite

fatigue

Fatigue

abdominal-pain

Abdominal Pain

The acute phase is not usually dangerous, but in certain cases, it can result in acute liver failure and death. It could also progress to a chronic infection. This is most likely with Hepatitis B and C. As the disease progresses, chronic Hepatitis can lead to [9D], [9E], [9F], [9G]:

liver-failure

Liver Failure

itching

Itching

confusion

Confusion

blood-in-the-faeces-or-vomit

Blood in the faeces or vomit

Diagnosis

Most new infections with the Hepatitis viruses are asymptomatic or undiagnosed [10B]. Due to its largely asymptomatic nature, viral Hepatitis is a silent epidemic [10C]; most people are unaware of their infection.

Diagnosis of Hepatitis infection can be done through serological tests to detect antibodies specific to the type of infection. Tests to detect viral RNA and DNA can help in diagnosing active infections and improve outcomes in viral Hepatitis. Its benefits are:[11A]

  • Lower Risk of Complications: Undetected and untreated chronic Hepatitis can lead to complications such as liver cirrhosis [11B]. Timely treatment of hepatitis can help reduce the risk of liver damage and complications.
  • Reduced Risk of Liver Cancer: Chronic Hepatitis is a risk factor for primary liver cancer [11C] . Treating it early can significantly reduce the chances of cancer.
  • Lower Risk of Transmission: Even patients with low viral load can transmit the virus to others [11D]. Starting treatment early can help eliminate the virus more quickly and prevent its transmission.
prevention

Prevention[12]

Prevention is the most effective approach against the disease. Prevention of Hepatitis requires improvements in sanitation, food safety, immunization, blood safety, and reducing the risk of exposure to the virus in health-care settings and in higher-risk populations

The spread of Hepatitis can be reduced by:

  • Getting vaccinated against hepatitis B
  • Ensuring safe injections, blood transfusions, and medical procedures
  • Preventing mother-to-child transmission of hepatitis B
  • Seeking timely treatment for chronic hepatitis B or C
  • Maintaining good sanitation and hygiene
  • Consuming safe food and drinking water
  • Taking precautions to prevent sexual transmission
  • Consuming safe food and clean drinking water

Screening Of Donated Blood[13]

Hepatitis screening involves testing of donated blood for antigens and/or antibodies to determine whether the donated blood has presence of viral Hepatitis. Advance screening involves testing for viral DNA or RNA in blood. Globally, however, there are significant variations in the extent to which donated blood is screened. As a result, in many countries, the recipients of blood and blood products remain at an unacceptable risk of acquiring life-threatening infections.


In India, according to the requirements of The Drugs and Cosmetics Act 1940[14], it is mandatory to screen every unit of blood for HBV and HCV (alongside with HIV, syphilis, and malaria) before transfusion, in all licensed blood banks. Screening for Hepatitis C was introduced in 2001[14] and made mandatory across blood banks in India.

TAKE THE

CHALLENGE

Test your knowledge of some common beliefs about Hepatitis


0%

Hepatitis can progress to jaundice

Correct! Wrong!

Only chronic hepatitis can cause liver cancer

Correct! Wrong!

In India, every unit of blood is screened for HBV and HCV

Correct! Wrong!

Hepatitis Quiz
Thank you!



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