1. HEPATITIS B AND YOU
Prof. Roel Tolentino, MD, MBA
FACS, FPCS, FPSGS, FPSO, FMOSP
TV, Radio and Lay Health Educator
Professor Level IV
March 11, 2020 (Wed.), 12nn
10F Two/Neo Building
3rd Ave, BGC, Taguig City
2. Memorial Sloan Kettering Cancer Center (NYC)
University Hospitals of Columbia University and
Cornell Medical College (NYC)
MD Anderson Cancer (Texas)
Beijing Cancer Hospital (China)
Chongqing Medical University (China)
Suining Central Hospital (China)
De La Salle University – BS. Biology;
Medicine
Manila Med – General Surgery
SLMC – Surgical Oncology
Ateneo GSB - MBA
Prof. Roel Tolentino, MD, MBA
3. HEPATITIS B AND YOU
Prof. Roel Tolentino, MD, MBA
FACS, FPCS, FPSGS, FPSO, FMOSP
TV, Radio and Lay Health Educator
Professor Level IV
March 11, 2020 (Wed.), 12nn
10F Two/Neo Building
3rd Ave, BGC, Taguig City
4. What is the Liver?
What is Hepatitis B?
Transmission
Global/Local Impact
Test, vaccinate, treat!
Living with Chronic
Hepatitis B
FAQ
Resources
5. Hepatitis B is Serious – Global
Impact
• It’s a common disease!
• Over 350 million people in the world have
chronic hepatitis B.
8. Hepatitis B is a germ (virus) that gets into
your body and attacks your liver.
Hepatitis B Virus
What is hepatitis B?
9. What is the Liver?
• What does it do?
• Cleans your blood
• Helps you digest food
• Helps your body fight infections
10.
11.
12.
13. How is Hepatitis B Spread?
• From a mother passing the
hepatitis B virus to their baby
during birth
14. How is Hepatitis B Spread?
• By having unprotected sex
with a person who has the
hepatitis B virus
15. How is Hepatitis B Spread?
• By using unsterilized needles for
tattoos, body piercings, injection
drug use, or acupuncture
16. How is Hepatitis B Spread?
• By sharing shaving razors, toothbrushes, or
other personal items that may come into
contact with blood
17. How Hepatitis B is NOT Spread
hugging
holding hands
sharing food
breastfeeding
kissing
living with an infected person
18. Acute vs. Chronic Hepatitis B
• Acute: initial infection with the hepatitis B
virus
• Chronic: the hepatitis B virus remains in the
blood for more than 6 months
19. Acute vs. Chronic Hepatitis B
• The younger a person is first exposed to the
hepatitis B virus, the more likely they’ll develop
chronic hepatitis B
20. Why Do We Care About Chronic Hepatitis
B?
Chronic
Hepatitis
B
Liver
cirrhosis
Liver
failure
Liver
cancer
21.
22. Chronic Hepatitis B is Silent
Threat
• Half of all people with chronic hepatitis
B show no symptoms.
23. Chronic Hepatitis B is Silent
Threat
• People who have the hepatitis B virus
may infect others without knowing it.
24. Chronic Hepatitis B is Silent
Threat
• People often find out they have the hepatitis
B virus after they get really sick, when it’s
usually too late or difficult to treat the
infection.
25.
26. • Chronic hepatitis B is one of the top 10
causes of death worldwide.
• The hepatitis B virus is 100 times more
infectious than HIV.
Hepatitis B is Serious – Global Impact
27. Protect Yourself And Your
Family!
• Hepatitis B can infect
EVERYONE, regardless of
age.
• By getting tested and
vaccinated, you can protect
your family.
28. Protect Yourself And Your
Family!
• If you test positive, ask your
doctor about your
treatment/management
options.
• Prevention is the best
approach to hepatitis B.
29. Importance of Testing
• The only way to know if you are infected with
the hepatitis B virus is to get tested!
• Not all routine blood panels test for hepatitis
B.
- Ask your doctor for the tests specific to
chronic hepatitis B
30. Importance of Testing
• People of all ages should be tested,
especially if you’re from areas of high
prevalence.
31. Importance of Testing
• Early detection can help:
- Prevent spread of the hepatitis B virus
- Identify appropriate treatment options
- Reduce risk for developing liver cancer
32. Importance of Prevention
• The most effective means of preventing
hepatitis B infection is through vaccination!
• You need all 3 shots to be protected
1st shot –
at any time
2nd shot –
1 month
after the 1st
3rd shot –
6 months
after the 1st
34. –NOT sharing needles or
personal care items that
may come into contact
with blood (toothbrushes,
razors, etc)
–Knowing your status!
Importance of Prevention
35. Living with Chronic Hepatitis B
• Chronic hepatitis B requires management.
• Ask your doctor about your concerns.
36. Living with Chronic Hepatitis B
–Understand your test results
–Avoid drinking alcohol and smoking
–Help prevent transmission
to others
Refer to map as visual. Although the U.S. is green, hepatitis B is important because of the large immigrant and refugee populations in the states
Picture does not appear unless you click with the mouse.
Stress the importance of preventing at an early age!
Stress the importance of preventing at an early age!
Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
Transition into global and local impact to explain why we’re focusing on hepatitis B in this presentation
ALT (Alanine transaminase) to test for liver damage and AFP (alpha-fetoprotein) to screen for liver cancer.
Get help: Not all people chronically infected with hepatitis B need treatment. However, if your blood levels of ALT are elevated ongoing liver damage may be occurring. Appropriate management can reduce the risk of further liver damage and liver cancer.
Get Informed: People chronically infected with hepatitis B can enjoy completely normal lives, but need to take some necessary precautions. To prevent transmission to others, do not share toothbrushes, razors, injection or tattoo needles because they may be tainted with blood. Also, ensure that all members of your household are tested and vaccinated if they are not already immunized. If you are uncertain whether your partner is protected, the proper use of latex condoms is recommended. Pregnant women infected with hepatitis B must make sure the newborn receives hepatitis B immunoglobulin (HBIG) plus the first dose of the hepatitis B vaccine at birth, and then follow-up with the second dose at 1-2 months, and the third dose at 6 months. This will be 97% effective in protecting the newborn from becoming a carrier. Take control of your own health, learn about the management and treatments available for hepatitis B. Don't be fooled by advertisements for unproven methods of prevention and treatment.
ALT (Alanine transaminase) to test for liver damage and AFP (alpha-fetoprotein) to screen for liver cancer.
Get help: Not all people chronically infected with hepatitis B need treatment. However, if your blood levels of ALT are elevated ongoing liver damage may be occurring. Appropriate management can reduce the risk of further liver damage and liver cancer.
Get Informed: People chronically infected with hepatitis B can enjoy completely normal lives, but need to take some necessary precautions. To prevent transmission to others, do not share toothbrushes, razors, injection or tattoo needles because they may be tainted with blood. Also, ensure that all members of your household are tested and vaccinated if they are not already immunized. If you are uncertain whether your partner is protected, the proper use of latex condoms is recommended. Pregnant women infected with hepatitis B must make sure the newborn receives hepatitis B immunoglobulin (HBIG) plus the first dose of the hepatitis B vaccine at birth, and then follow-up with the second dose at 1-2 months, and the third dose at 6 months. This will be 97% effective in protecting the newborn from becoming a carrier. Take control of your own health, learn about the management and treatments available for hepatitis B. Don't be fooled by advertisements for unproven methods of prevention and treatment.
Treatment with either lamivudine, adefovir or entecavir (a pill taken once a day) or a course of interferon shots may be appropriate in this situation. These are the only four FDA-approved pills for chronic hepatitis B.