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Hepatitis B: part 3

From About.com

Updated: June 15, 2006

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Prognosis for Hepatitis B
Approximately 2 per cent of chronic hepatitis B sufferers each year go on to develop cirrhosis.

  • The cumulative probability over 5years of developing cirrhosis is therefore 15 per cent to 20 per cent.

  • The 5 year survival rate after cirrhosis develops is between 52 per cent and 80 per cent.

  • If decompensated cirrhosis (cirrhosis accompanied by complications such as bleeding and encephalopathy) develops, survival rates decrease to between 14 per cent and 32 per cent.

  • There is an increased risk of liver cancer. Worldwide about 1 million people a year die from the complications of Hepatitis B.
  • Those with a less favourable prognosis include

  • those with poor general health

  • people whose health systems are inadequate, lacking funds, unhygienic etc

  • the elderly

  • people infected with hepatitis D and hepatitis B

  • people infected with hepatitis C as well as hepatitis B

  • those who are diagnosed with advanced hepatitis when they come to the attention of doctors

  • those who continue to drink alcohol after a diagnosis of chronic hepatitis.
  • Additional problems of Hepatitis B and D
    Hepatitis D is transmitted in the same way as hepatitis B. Hepatitis D can only exist with the hepatitis B virus and can be caught either at the same time as HBV (co-infection) this type is known to clear the body well (90% to 95%). Others get the HDV separately when they are already infected by HBV, (superinfection), here 70% to 95% go on to have the more serious chronic form of HDV.

    Prevention of Hepatitis B
    A vaccine is available and is advised those at risk or in contact with the disease. The vaccine is 90-95% effective in preventing Hepatitis B and preventing the chronic form of the disease.79% of World Health Organization members have adopted the universal childhood Hepatitis B vaccination policy. Unfortunately the cost of the vaccination and the simple means of transmission of this virus mean that overall the incidence of hepatitis B continues to rise.

    For people who know they are infected carriers of the hepatitis B virus they can take precautions so that they do not infect others. These include the appropriate disposal of contaminated waste, separate toothbrush, scissors, never sharing needles and syringes with others, using condoms, avoiding anal intercourse. If your job involves working in high risk areas you should consult your doctor for advice on precautions and any effects that it may have on your future health. All people infected with hepatitis B should get a hepatitis A vaccine to prevent becoming infected.

    Remember
    If you find out you have hepatitis B don't despair. Get a doctor specialising in hepatology to advise you on the best treatments and on how you can maximise your health to fight the virus. Remember you are not alone, there are millions of people with it. Find a local support group through the internet or find out what is available from your medical team that is providing your care.

    Related Information About Hepatitis on Men's Health

    Hepatitis AHepatitis CHow you Get Hepatitis

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