Blessed day all.

 28th of July this year is a date set aside as *The World Hepatitis Day* to create more awareness and help fight the incident rate of this "can be killer condition".

It's is therefore necessary to understand this condition.
*Knowledge is said to give a lead to prevention and we all agree that prevention is greater than cure*

We shall be receiving a lecture on HEPATITIS

I'm Adepoju Mofehintola Goodness
*MBBS
* Registered Nurse
* Member- Affections intl

I will be lecturing on the *prevention of Hepatitis* and a little on its treatment (first aids).

*HEPATITIS:*

*=> DEFINITION:*
        Hepatitis is an inflammation (enlargement,swelling) of the liver(a part of the human body located on the top right of the abdominal region).

*=> CAUSES:*
    ¶ Basically hepatitis is caused by a viral infection (hepatitis virus); this is the common cause of hepatitis in the world.
  Yet the cause isn't limited to just the virus; hepatitis can result from other sources-
¶ Infections (invasion of microorganisms or foreign bodies on the liver)
¶ Toxic substances (alcohol,some drugs and medications)
¶ Autoimmune (where the body makes antibodies against ones liver).

These are the major causes of Hepatitis in the world!

 Since the common and major cause of hepatitis is the Hepatitis virus ..We will look into the

*=> TYPES OF HEPATITIS VIRUS:*

¶ Hepatitis A (HAV) present in faeces of an infected person and is most often transmitted through consumption of contaminated water or food, certain sex practice. Vaccines are available to prevent HAV.

¶Hepatitis B (HBV) transmitted through exposure to infective blood,semen and other body fluids, from mothers to infant in early childhood. Vaccines are available to prevent HBV.

¶ Hepatitis C (HCV) mostly transmitted through exposure to infective blood, and blood carrying substances  sexual transmission is possible (less common). No vaccine for HCV.

¶Hepatitis D virus (HDV) occurs only in those who are infected with HBV. The dual infection HBV+HDV can result in a more serious disease and worse outcome. HBV vaccines provides protection for HDV.

¶ Hepatitis E virus (HEV) mostly transmitted through consumption of contaminated water or food. Vaccines are available but not widely available.

 *=> COMMON SIGNS AND SYMPTOMS OF HEPATITIS*
¶ Fatigue
¶ Flu-like symptoms
¶ Dark urine
¶ Pale stool
¶ Abdominal pain
¶ Loss of appetite
¶ Unexplained weight loss
¶ Jaundice (characterised with yellow skin and eyes)

*Chronic hepatitis develops slowly, so these signs and symptoms may be too subtleto notice*

 *=>COMPLICATIONS OF HEPATITIS*
¶ chronic liver disease
¶ cirrhosis (scarring of the liver)
¶ liver cancer
¶ liver failure

*=> PREVENTION OF HEPATITIS*
¶ Practicing good hygiene
 (key to avoid contracting hepatitis A and E- In developing countries, be careful of:
 local water, raw or undercooked shellfish and oysters, raw fruits and vegetables)

¶ Avoid direct contact with blood and body fluid, and used blood carrying material like needles, razors, toothbrushes (hepatitis B,  C and D). Hepatitis B and C can be contracted through sexual intercourse/ intimate sexual contacts)
¶ Vaccinations (hepatitis A,B,and E have vaccines and experts are currently developing vaccines against hepatitis C)
¶ Avoid/ reduce intake of alcohol
   *Reduce is often not used because people claim certain amount as reduced, reduce can really mean stay away from alcohol
¶ Use drugs only on doctors prescription
¶ Routine blood and liver tests can be encouraged.

 *=> DIAGNOSING (TESTING FOR) HEPATITIS*
¶ History and physical examination
¶ Liver function test
¶ Other blood test
¶ Ultrasound
¶ Liver biopsy

*=>FIRST AIDS TREATMENT OF HEPATITIS*
¶ Hepatitis A: bed rest, hydration (drink more clean water) and adequate nutrition.. *see your doctor*

¶ Hepatitis B: adequate rest, antiviral medications (which are costly as they are long term drugs 6months to years).. *see your doctor*

¶ Hepatitis C: antiviral medications, can be difficult to treat in complicated state, may require liver transplant. No vaccines available. *See your doctor*

¶ Hepatitis D: No antiviral for hepatitis D yet but since it only sets in in the presence of hepatitis B, early treatment is encouraged. *See your doctor*

¶ Hepatitis E: adequate rest, drink plenty if fluids, get enough nutrients, avoid alcohol. *See your doctor*

*QUICK NOTE*
* Vaccines for hepatitis A and B are readily and widely available for all (children and adults inclusive)
*Get vaccinated today!
*Prevention is better/greater/more ideal/cheaper than cure

* Hepatitis testing at least twice a year or when symptoms arises is advisable.

 *World Hepatitis Day is one of the eight official global public health campaigns marked by the World Health Organization (WHO), along with World Health Day, World Blood Donor Day, World Immunization Week, World Tuberculosis Day, World No Tobacco Day, World Malaria Day and World AIDS Day.*

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