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Hepatitis B

The Untold Story of a Silent Killer

About Hepatitis
The

word hepatitis means inflammation


of the liver
Hepatitis B (HBV) is a virus that infects
liver and causes liver cirrhosis and liver
cancer

Silent Killer
Most

people with HBV do not have any


symptoms until it is too late

in 4 adults with chronic HBV will die


from liver cancer or liver cirrhosis (WHO)

HBV

is transmitted by contact with blood


or body fluid from an infected person
There are 10x more people with chronic
HBV than HIV/AIDS worldwide (WHO)
HBV is 50-100x more infectious than HIV
(WHO)
HBV can survive outside the body for at
least 7 days (WHO)

Health Disparity
HBV

disproportionally affects Asian and


Pacific Islanders (API)
1 in 10 Asian American has HBV.
Liver cancer is the 2nd most common
cause of cancer death in Asian men

Perinatal Transmission
Most

infections occur from mother to

child
Over 90% of babies infected during
the first year of life develop chronic
infection (CDC)
20,000 hepatitis B infected women
give birth each year in U.S. (CDC)

HBV Vaccination
Newborns

born to infected mothers


should be vaccinated (1st dose vaccine +
HBIG) within 12 hours of birth
3 vaccine doses: month 0, 1, 6

Hepatitis

B has been vaccinepreventable since 1982


Yet, 1 person still die every 30-45
seconds of HBV-caused liver cancer and
liver failure
It is a silent epidemic!

Adrian Elkins
Adopted

as an infant from India


Received HBV vaccination upon
arrival to U.S
Diagnosed with HBV only when
he was dying from liver cancer
at 20-years-old

http://www.hepb.org/patients/personal_stories_adrian.htm

Mark Lim, MD
Diagnosed

with HBV at 26-year-old, but


was told by a doctor to not worry since
he was a "healthy" asymptomatic carrier
Diagnosed with advanced liver cancer at
31-years-old
Died before 32nd birthday

http://www.sfweekly.com/2002-05-01/news/dying-to-know/

HBV Worldwide

2 billion people worldwide (1/3 world


population) have been infected with HBV
(WHO)
350 million people worldwide have chronic
(lifelong) HBV (CDC)
1 million people die each year from liver
disease and liver cancer (CDC)
Every 3045 seconds, one person dies from
the vaccine-preventable HBV

HBV in the U.S.


1.2

million Americans have chronic HBV


(CDC)
More than half are APIs
5,000 Americans die each year from
hepatitis B-related liver disease (CDC)
$700 million in medical and work loss
costs (CDC)

What Can You Do?


Get

educated about HBV

Get

tested for HBV

Get

protected with HBV vaccine

Break the Silence


Read

Know HBV brochure


Talk to your family, friends, colleagues,
patients, and general public about HBV
Write to House of Representatives to
support Viral Hepatitis and Liver
Cancer Control and Prevention Act of
2009 (HR 3974)

References
Centers for Disease Control and Prevention, Hepatitis
Branch
http://www.cdc.gov/hepatitis/HBV/index.htm
World Health Organization
http://www.who.int/immunization/topics/hepatitis_b/en/index.h
tml
Asian Liver Center at Stanford University
http://liver.stanford.edu/
Team HBV Collegiate Chapters
http://teamhbv.org
USF Asian Pacific Medical Student Association
http://hsc.usf.edu/medstud/apamsa/hepatitis.html

For General Public


Hepatitis B Foundation
http://www.hepb.org/
American Liver Foundation
www.liverfoundation.org
Tampa Bay Hepatitis & Liver Disease Support Group
http://thechancecenter.org/
Hillsborough County Epidemiology Program Perinatal
Hepatitis B Prevention Program (PHBPP)
http://www.hillscountyhealth.org/epi/epi_main.htm

For Health Professionals


Physicians Guide to Hepatitis B
http://liver.stanford.edu/Public/pguide.html
CDC Interpretation of Hepatitis B Serologic Test Results
http://www.cdc.gov/hepatitis/HBV/ProfResourcesB.htm
CDC Recommended Doses of Hepatitis B Vaccines by Age Group and
Vaccine Type
http://www.cdc.gov/hepatitis/HBV/HBVfaq.htm#recctbl
CDC Recommendation for Routine Testing and Follow-up for Chronic
Hepatitis B Virus Infection
http://www.cdc.gov/hepatitis/HBV/ProfResourcesB.htm
Continuing Medical Education Courses on Hepatitis B
http://www.hepb.org/learning_guide/cme_course.htm
The Florida Hepatitis Prevention Program Presents: Hepatitis 101
Training
http://www.doh.state.fl.us/disease_ctrl/aids/hep/

Website: http://hsc.usf.edu/medstud/apamsa/

Email: usfapamsa@googlegroups.com