Senin, 03 Desember 2012



TABLE OF CONTENT

           TITLE PAGE....................................................................................................................... i
           PREFACE........................................................................................................................... ii
           TABLE OF CONTENT..................................................................................................... iii
            CHAPTER I INTRODUCTION
            1.1       Background......................................................................................1
            1.2       Purpose.............................................................................................2
           CHAPTER II REVIEW
            2.1       Definition of hepatitis disease.........................................................3
            2.2       Symptoms of hepatitis.....................................................................3
            2.3       Complication of hepatitis.................................................................4
            2.4       Preventing of hepatitis disease.........................................................6
2.5        Testing for hepatitis.........................................................................9
2.6       Breastfeeding and Viral Hepatitis..................................................10
2.7       The basics of hepatitis treatment...................................................12
            2.8       Alternative therapies......................................................................14
            2.9       The hepatitis community ..............................................................14
CHAPTER  III CLOSING
                        3.1       Conclusion.....................................................................................16
                        3.2       Suggestion.....................................................................................17
REFERENCE.............................................................................................................. ....18

CHAPTER I
INTRODUCTION

1.1              Background
Hepatitis is a disease that includes any type of inflammation of the liver., the result of complex process that occurs when the liver suffers an injury. Medicine call the inflammation that lasts than six months acute hepatitis and inflammation that lasts longer than six months chronic hepatitis. While there are many causes of liver inflammation, clinicians divide them into two main categories, it is viral hepatitis and non infectious hepatitis.
A variety of symptomps may developed in the setting of acute or chronic liver injury. Because the liver react in different ways depending on the cause and the duration of the inflammation, and some people have symptoms and some do not ( a condition known as asymptomic), only a physician can tell you if you have hepatitis.
Hepatitis can progress to or be complicated by other diseases. Some of these disease, like fibrosis and cirrhosis are very common. Fortunately, other complication like liver failure are usually prevented.
Usually the diagnosis of hepatitis made using a combination of test. More advanced test might include using imaging technology such as ultrasound, computerized axial tomograpy (CT) scans or magnetic resonance imaging (MRI) or a liver biopsy, where a doctor removes a small piece of the liver and sends it to a laboratory for further testing.
The basics of hepatitis treatment is rest, rest and more rest, interferon, other antiviral drugs, liver transplantation and new treatment. However some basics strategis, if followed will lower your risk of developing viral hepatitis vaccination, immune globulin, hand washing, how to properly wash your hands, avoid used needles, safer sex, how to properly put on a condom. Alternative therapies is treating with alternative medicine and four natural remidies that won’t cure hepatitis.
The hepatitis community consist of internet, hospital or medical center, community center, physican practice or doctor’s office, nonprofit organization or foundation and keep your medication on schedule.



1.2              Purpose
1.      To know about definition of hepatitis disease
2.      To know about symptomps of hepatitis
3.      To know about complication of hepatitis
4.      To know about preventing of hepatitis disease
5.      To know about the basics of hepatitis treatment
6.      To know about alternative therapies
7.      To know about the hepatitis community


CHAPTER II
REVIEW
2.1       Definition of hepatitis disease
            The simplest explanation of hepatitis is inflammation of the liver, which can be caused by viruses, medications, or toxic agents. The inflammation happens when liver cells die and the body's immune system sends in special cells that actually cause inflammation while trying to help the body repair the liver. Such inflammation may clear up on its own, or continue on as chronic inflammation.While there are many cause of liver inflammation, clinicians divide them into two main categories, it is viral hepatitis and non-infectious hepatitis.
  1. Viral Hepatitis
When most people think of hepatitis, they’re usually thinking about viral hepatitis. There are five viruses that commonly infect the liver. What makes viral hepatitis confusing is that each one of these viruses cause a slightly different type of disease and has a different way of spreading. Some of these viral infections can result in acute, chronic or both forms of hepatitis. Since these viruses spread form person to person.
  1. Non infectious Hepatitis
Not all causes of hepatitis are infectious. Chemical such as alcohol or medications can be harmful to the liver and can cause inflammation. In addition, other health problems like genetic and metabolic disorders, immune-related injury and obesity, can damage the liver and lead to inflammation.
2.2              Symptoms of Hepatitis
A variety of symptomps may developed in the setting of acute or chronic liver injury. Because the liver reacts in different ways depending on the cause and the duration of inflammation, and some people have symptoms and some do not, only a physicians can tell you if you have hepatitis.
While many people associate with jaundice, where the skin and the white of the eyes turn abnormal yellow color, because it cause by the accumulation in the blood of bilirubin a yellowish pigment in bile (which is produced in the liver). But many people will not have jaundice because not enough of yellow chemical has accumulated to a certain level in the body. Jaundice can also be detected in the mucous membranes, such as under the tongue.
Here is a list of symptoms associated with acute viral hepatitis. The big of acute viral hepatitis symptoms, that is
a)      General malaise ( a vague symptoms where feel uncomfortable and a little tired).
b)      Myalgia (muscle pain) and Arthralgia (join pain). It is last from days to weeks and more common in acute hepatitis than in chronic hepatitis.
c)      Fatigue ( extreme tiredness)
It is a common problem for hepatitis. It is debilitating tiredness and a big source of frustration ffor people with liver disease.
d)     Anorexia ( having no appetite)
Decreased appetic, known medically as anorexia ( wich is different from the eating disorder anorexia nervosa), is a common symptoms of acute hepatitis and chronic liver disease.
e)      Changes in your normal sense of smell and taste accompany anorexia ( for example, smokers sometimes develop a temporary distate for smoking)
f)       Unusual sensitivity to bright light (photo phobia)
g)      Nausea and vomiting ( these are very common symptoms)
h)      Diarrhea ( less common)
i)        Constipation (less common)
j)        Fever (usually low-grade and most common in hepatitis A and E)
k)     Upper-right abdominal pain (pain in the upper belly on the right side, usually mild and costant).

2.3              Complication of hepatitis
Hepatitis can progress to or be complicated by other disease. Some of these disease, like fibrosis and cirrhosis are very common. Fortunately, other complications like liver failure are usually prevented. There are teen kinds of possible complications related with hepatitis.
1.      Fibrosis
One of the most common complications of chronic hepatitis is fibrosis, wich  is a type of scarring of the liver. The liver is damaged by constant inflammation and creates the scar tissue to repair it self. The good news  that if fibrosis is controlled in time and limited to small part of the liver, the rest of the organ can wok harder and keep up with the liver’s functios.
2.      Chirrhosis of the Liver
Extensive fibrosis is called cirrhosis. Hepatitis C and alcoholic hepatitis are two very common causes of cirrhosis, though there are many others.
3.      Cancer of the liver
One of the complications of cirrhosis is liver cancer, wich is usually two tyeps. Hepatocellular carcinoma is a type of cancer that affect the liver cells. The other type is cholangiolar carcinoma, wich affect the bill ducts.
4.      Liver failure
It is a serious, but uncommon, complication of hepatitis,. The liver no longer function and this leads to the body shutting down and eventuaally death. There are many specific causes of liver failure, but general failure result when the liver is so damaged that it is unable to keep up with the body’s need.
5.      Glomerulonephritis
It is a complicated disorder of the kidneys caused by inflamation and is seen in chronic hepatitis B and hepatitis C infections.
6.      Cryoglobulinemin
Seen in chronic hepatitis B and hepatitis C infections, cryoglobulinemia is an uncommon disease caused by an abnormal cluster of kind protein that blocks small blood vessels leading to circulation problems.
7.      Hepatic Encephalopathy
Severe loss of liver function such as liver failure can lead to inflammation in the brain called encephalopaty. This causes mental problems, like confusion and can lead to coma. Advanced hepatic encephalopathy is a serious condition and is usually fatal.
8.      Portal Hypertension
One of the liver’s important jobs is to filter blood. However, cirrhosis and other problem can interfere with the liver’s portal circulation system. When this portal system is blocked, blood can’t return to the liver from the digestive system and pressure increases,, called portal hypertension. This is a serious complication and can be fatal.

9.      Porphyria
It iss a group of disease caused by problems processing important chemical in the body called porphyrins. One type called porphyria cutane tara, leads to bliestering of the hands and face and is a rare complication of chronic hepatitis C infection.
10.  Viral co-Infection
A challenging complication of hepatitis is the possibility of having two viral infections at the same time. Hepatitis doesn’t cause the second infection, but it does make it more difficult for the immune system to successfully attack. A common with co-infection with hepatitis is the human immunodeficiency virus (HIV). Because of this, it is especially important for someone with hepatitis to take precautions against HIV infection.
2.4                    Preventing of Hepatitis Disease
Since hepatitis is caused by many different things. However, some basic strategis if followed will lower your risk of developing viral hepatitis.
a)      Vaccination
Currently, vacination is only available to protect againts hepatitis A and hepatitis B. These forms of hepatitis are caused by viral infections that can be prevented with safe and affordable vaccines. They are available for anyone interested, but are strongly recommended for people at high risk for exposure. At this time there is no vaccine for hepatitis C.
b)      Immune Globulin
Immune globulin also known as IG is a potent collection of purified antibodies that provides immediate protection to people recently exposed to hepatitis A or hepatitis B viruses or to people who may be  exposed (for example travelers to countries where infection rates are high). Because IG is an injection or already formed antibodies, the immune system is immediately able to start protecting the body. This is very different from a vaccine, because they require time to stimulate the body’s immune system to produce the desired antibodies. IG can also be given in combination with vaccine. This is an effective strategy because the IG offers immediate protection until the vaccine is able to provide preotection.

c)      Hand Wasing
In the modern age of advanced technology, we often forget that our single best protection againts many illnesses is regular and proper hand washing. The risk of hepatitis A infection is especially lowered by washing your hands because the hepatitis A virus spreads through the fecal-oral route. This means that the virus enterns the body through a person’s moouth with something that came into contact with the feces of an infected person. Because this is usually a person’s hands, regular hand washing interupts this infection cycle.
Sometimes hepatitis A can be spread by infected food handlers who don’t wash their hands well after using the toilet. These latter outbreaks quickly gain media atteneion because of the number of people exposed and the necessary public health intervention which usually consist of health education and maybe even IG clinics. Of course, the best prevention for these outbreaks is consistent hand washing for all food handlers.
d)     How to Properly Wash Your Hands
Handwashing is the single most important procedure for preventing the spread of biological contamination. Despitebthis fact many laboratory personnel don’t wash their hands properly. Here are some handwashing tips and procedures for your use.
1.      Consider the sink, including the faucet controls, contamined.
2.      Avoid touching the sink.
3.      Turn water on using a paper towel and then wet your hands and wrists.
4.      Work soap into a lather.
5.      Vigorously rub together all surfaces of the lathered hands for 15 seconds. Friction helps remove dirt and microorganisms. Wash around and under rings, around cuticles and under fingernails.
6.      Rinse hands thoroughly under a stream of water. Running water carries away dirt and debris. Point fingers down so water and contamination wont’t drip toward elbows.
7.      Dry hands compeletely with a clean dry paper towel.
8.      Use a dry paper towel to turn faucet off.
9.      To keep soap from becoming a breeding place for microorganisms, thoroughly clean soap dispensers before refilling with fresh soap.
10.  When handwashing facilities are not available at a remote work site, use an appropriate antiseptic hand cleaner or antiseptic towelettes. As soon as possible, rewash hands with soap and running water.
e)      Avoid Used Needles
Reusing needles is dangerous practise that tremendously increases the risks of developing other disease, you should not use other items like “ snorting straws” that can be contaminated with blood. Hepatitis B and hepatitis C are both caused by viruses that are spread by direct contact with infected blood or body fluids in such a way that the virusus can get inside your body. This can happen through a cut in your skin or a puncture with a needle. Because of this, people who use dirty needles are at a very high risk of infecting themselves with the viruses that cause hepatitis B and hepatitis C.
Anny needle-stick injury sould be promptly washed with soap and followed by professional medical attention.
f)       Safex Sex
It is possible for hepatitis B and hepatitis C to be spread by sexual contact with a person infected by those viruses. Using condoms properly and consistenly is one effective way to reduce your risk of infection. Maintaining a monogamous relationship (with a noninfected partner) is another effective way to avoid infection with these disease through sexual contact.
g)      How to Properly Put on a Condom
1.      Avoid sahring certain personal items
Anything potentially contaminated with blood can increase the risk of infection of hepatitis B and hepatitis C. However, it should be pointed out that casual contact does not spread hepatitis B or hepatitis C. For example, holding hands or hugging an infected person will not spread these viruses.
2.      Wear gloves when handling body fluids
Wearing gloves when handling body fluids like blood can reduce your risk of exposure to hepatitis B and hepatitis B and hepatitis C. If you work in an enviroment where you could even imagine the possibility of contacting blood (for example, a school), it’s a good idea to keep a pair of disposable, latex-free gloves nearby.
3.      Avoid contaminated water and food
Since the hepatitis A virus is spread through the fecal-oral route, infection can happen by eating foods and drinking water contaminated with infected feces. Unware travelers are infected in this way because this rarely happens in the US. This is most common in underdeveloped countries where public sanitation needs improvement and public water supplies are unprocted.
2.5                    Testing for Hepatitis
The many cause of hepatitis create many ways to test for the disease. Some blood test look for levels of enzymes and other proteins that may be disturbed when there is liver damage. Other blood test will look for evidence of specific viruses, levels of toxins such as alcohol or tylenol or evev makers of genetic diseases such as iron or alpha-1 anti trypsin.
Usually, the diagnosis of hepatitis is made using a combination of test. More advanced test might include using imaging technology such as ultrasound, computerized axial tomograpy (CT) scans or magnetic resonance imaging (MRI).
a)      Sign and symptomps
In general, the doctor will ask questions about your symptomps such as what has bothered you, when you noticed it and how severe they have been. If they suspect hepatitis, he or she will ask specifically about flu-like or gastrointestinal symptoms. The doctor will then perform such as an enlarged liver or yellowing of your eyes or skin. After meeting with you, your doctor will probably test some of your blood  for any markers of liver dysfunction or inflammaatiion such as the liver enzymes.
b)      Liver enzymes
An enzymes is aprotein that assists in chemical reactions and there are lots of these proteins in the body that do different jobs. The liver uses some of these to help with is essential functions, such as building things up, breaking thing down and disposing of various waste products.
Normally the liver keeps  tight control of its enzymes, but when the liver is damaged, these enzymes can escape into the blood. The three most common enzymes doctors use to test for liver damage are alanine aminotransaminase (ALT), asparate aminotransferase (AST) and gamma glutamyl transaminase (GGT). While liver enzymes can tell if there is liver danmage, they can’t tell the cause of damage.
c)      Antibody test
The body’s immune system makes antibodies and they are specific to a particular virus. As soon as the body dtermines a viral infection, it starts producing IgM antibodies wich target that specific virus. Later at the end of infection the body produce another type of antibody calleg IgG. This too, is specific to the virus but it provides future immunity. Doctors can test the blood for IgM ang IgG antibodies specific to hepatitis A or hepatitis B. For hepatitis C, the principle is the same but physicians test for different antibodies.
d)     Direct viral meassures
Once antibodies point to evidence of viral hepatitis, useful PCR tests for HBV and HCV can be sent which are direct measures of the amount of virus in the blood.
e)      Advanced tests
Usually, the diagnosis of hepatitis is made using a combination of test. More advanced test might include using imaging technology such as ultrasound, computerized axial tomograpy (CT) scans or magnetic resonance imaging (MRI) or a liver biopsy, where a doctor removes a small piece of the liver and sends it to a laboratory for further testing.
2.6              Breastfeeding and Viral Hepatitis
A common concern among mothers with viral hepatitis is if they should breastfeed their babies. Physicians and scientists agree that it’s safe for a mother infected with viral hepatitis to breastfeed her baby. There are some specific viruses that cause hepatitis.
1.      Hepatitis A and Hepatitis E
Hepatitis A (HAV) is spread mainly through the fecal-oral route, wich means that in practice, it’s spread through person to person contact and ingesting contaminated food or water. Because active virus is in the stool of someone infected, good hygiene such as proper handwashing is essential to prevent its spread. Contact with other body fluids are not high risk ways to be exposed to hepatitis A. In fact, HAV hasn’t been found in human breast milk.
If the mother has been exposed to HAV, she could safely take immune globulin (IG), wich is purified antibodies that can protect her from developing the disease. For mothers already infected with HAV, some physicians recommend giving IG to the newborn if the mother’s symptomps began between two weeks before delivery and one week after delivery. This is usually unnecessary because HAV perinatal transmission and severe disease in most infants is rare.
Hepatitis E is similar to hepatitis A in how it is spread. For pregnant women, hepatitis E can be challenging because 20 % of them will developed fulminant hepatitis. However, it’s still considered safe for mothers with hepatitis E to breastfeed their infants.
2.      Hepatitis B and Hepaititis D
Hepatitis B virus (HBV) is spread by contact with infected blood, usually by sharing contamined needles or having sex with an infected person. The virus can be found in many body fluids, but is only at infectious levels in blood, semen and saliva. Another way HBV spreads is from the mother to the infant during birth. However, studies show that infants aren’t infected through breast milk and mothers infected with hepatitis B virus are still able to breastfeed. Since HBV is spread by contact with infected blood, mothers who have hepatitis B should avoid letting their baby nurse from cracked and bleeding nipples.
Mothers infected with hepatitis B should vaccinate their infants with the hepatitis B vaccine along with hepatitis B IG within 12 hours of the baby’s birth. Hepatitis B vaccine requires three doses, one at birth, the second in two months, and the third in six months.
Hepatitis D requires current infection with hepatitis B and spreads through contact with infected blood in similar ways to HBV. Transmission from the mother to the infant is uncommon. As with HBV infection, mothers with HDV can still breastfeed their newborns. Routine immunizazion of all babies at birth for HBV prevents infection from HDV.

3.      Hepatitis C
Hepatitis C virus (HCV) is spreading through contact with infected blood, as hepatitis B.about 1 % to 2% of pregnant women are estimated to have hepatitis C and the risk of spreading hepatitis C to the baby averages about 5%. It’s interesting that about the same number of bottlefed babies get hepatitis C as breastfeed babies. For this reason and the fact that there is no evidence that breastfeeding spreads HCV, women with hepatitis C can breastfeed their babies.
It’s important to know that if a pregnant woman is co-infected with HIV and HCV, there is an increased risk of spreading HCV to the newborn and that she should not breastfeed her baby.

2.7       The Basics Of Hepatitis Treatment
With hepatitis, there is no single medicine. Treatment is specific to its cause, which means that your physician will choose the best therapy for you based on your diagnosis. In the case of viral hepatitis, some viruses do respond to antiviral treatment. In certain acute cases, no drug is needed. Getting the proper treatment is important because yiur faster your hepatitis is under control, the better your liver will be.
A.        Rest, Rest And More Rest
Some types of hepatitis, such as acute viral forms like hepatitis A and sometimes hepatitis B are self-limited diseases which means that your body’s immune system will eventually be able to destroy the viruses that causes in disease. Medicine is rarely necessary to treat self-limited types of hepatitis, except for supportive therapies like controlling nausea or aches and pains. However, many people rest and give their progress to chronic problems, so after a few weeks, you will feel better and be able to go back to normal activities.

B.        Interferon
Interferon is a protein made by the body’s immune system that combats viruses. Its anti-viral properties make it  a powerful weapon against viral hepatitis B and C. drug scientistshave studied this protein and developed a synthetic form that is also called interferon, but is sold under different names like Intron, Roferonand Infergen. Synthetic interferon works similar to the natural proteins and doctors us ethis powerful therapy to help control the levels of hepatitis virus in the body. Unfortunately, this treatment is expensive and has significant side effects.
C.        Other Antiviral Drugs
Doctors often combine different antiviral drugs to better combat the virus. For example, interferon treatment may often be combined with other antiviral drugs like Lamivudine in the case of hepatitis B infection or Ribavirin for people with hepatitis C infection. The drug combinations have a stronger therapeutic effect than a singular drug on its own. Similar to interferon, the side effects can be severe. However, the costs of combination therapy are relatively reasonable.
D.        Liver Transplantation
Sometimes hepatitis has developd into such a serious disease that a liver transplant is the only treatment left. This is a complex surgical procedure that involvesreplacing a failing liver with a donor liver. Thousands of these operations are done every year but because there are many risk involved, it is a treatment of last resort.
E.        New Treatment
The future is bright for some types of hepatitis because scientist are working to improve existing treatments and develop new ones like antiviral drugs that more efficiently prevent viral replication in liver cells. In addition, new therapies are taking advantage of the explosion of knowledge in genetic engineering. Treatments using this technology could revolutionize hepatitis therapy.



2.8       Alternative Therapies
a. Information About Milk Thistle
What is mik thistle:
Milk thistle is a plant that grows in many parts of the united states, south america and Europe (where it’s from originally). In some places, it’s considered a weed, and in other places it’s eaten; however, milk thistle is most well known as a medicinal remedy.
What does milk thistle look like ?
The plant has a stout stem with many spines, and wide leaves with white blotches and white veins. It grows up 10 feet high (about two meters) and blooms.
2.9       The Hepatitis Community
Finding a support group
Support groups can be excellent sources of information and encouragement, which are two crucial things you need to live well with chronic hepatitis. Whether you are newly diagnosed or are newly relapsed, finding and participating in a support group should be one of your first priorities. Here are five places you should check out if you’re looking for a group to join.
1.      Internet
The internet is a rich source of support groups. These virtual communities, called forums, are filled with people who live with alltypes of hepatitis and are at various stages of infection. Joining an internet forum is an easy way to get advice from real people living with the same disease as you.
2.      Hospital Or Medical Center
Medical centers are valuable resources for hepatitis patients. The collaborations from many health care professionals usually brings tremendous opportunities such as variety of patient education programs and support groups. Most medical centers have websites that list their available support groups and patient events, along with a contact name and the meeting time and date. Two good examples are duke university health system, located throughout north Carolina and the southeast, and the darthmouth-hitchcock medical center, serving new Hampshire, Vermont and other nearby areas.
3.      Community Center
Community centers are public places that provide various services (usually recreational and educational) to members of a city or town. Usually these are stand-alone buildings, but sometimes threy are part of other public places like local libraries. Many of them will offer meeting space for support groups, such as the bayland community center in Houston, texas. To find out if your town has a community center, check with your library or city office.
4.      Physician Practice Or Doctor’s Office
Gastroenterologist, infectious disease physicians and certainly, hepatologist, are excellent sources of information about support groups. These are physician specialist who daily work with hepatitis patients and often have information about the closest support meetings.
5.      Nonprofit Organization Or Foundation
One of the best places to get information about support groups is from liver or hepatitis organizations, such as the American liver foundation. The websites of these organizations usually have a comprehensive listing of support groups and are organized by state or by region.
6.      Keep Your Medications On Schedule
Medications are a fact of life for many people with chronic hepatitis or other liver disease. Just because the holiday season is here doesn’t mean you can take a break. Treatments work by providing a specific amount of drug to your body over a period of time. When you change this, it can interfere with how the body responds to it. Make sure you keep taking your medications at the appropriate times unless you change this with your physician. Even though you may have no trouble remembering to take your medications correctly normally, the holidys can be a huge distraction for many. Make sure you’re not one of them.

CHAPTER III
CLOSING
3.1                             Conclusion
Hepatitis A disease
            People are usually exposed to hepatitis A by eating or drinking something contaminated with the virus. The infection is usually self-limited and may have a different effect on different people. Children may have no symptoms where as adults may have severe symptoms and be sick for up to two months. After the infection, people are immune from getting the disease again. When someone is sick with hepatitis A, the person will pass the virus along in his or her stools. In developing countries with poor sanitation systems, infected stools can contaminate an entire water supply. Hepatitis A is most often spread by people who are infected with the virus, but don’t wash their hands well after going to the toilet.
            God hygiene  and avoiding contaminated food and water is great defense, but the best protection is to get hepatitis A vaccine, wich is especially recommended prior to traveling to places without a secure water supply.

Hepatitis B Disease
            Hepatitis B disease is blood borne disease that usually spread several ways, through sexual contact, from a mother to her baby during childbirth or through any direct contact with infected blood. As an acute disease, hepatitis B will go away in several months, but many people will become chronically infected, which increases the risk of developing other diseases. Two of the more serious disease are chirrhosis and liver cancer. Chronic hepatitis B is treated with a combination of antiviral mediacation. The best strategy is to avoid infection in the first place by getting the hepatitis B vaccine.

Hepatitis C Disease
            Hepatitis C is a blood borne disease that is spread through direct blood to blood contact. At least half of all new cases of hepatitis C are spread through sharing illicit drug needles or works. Hepatitis C can be spread by sexual contact but this is very rare. There is no vaccine for hepatitis C yet, so it is important to reduce the risk of infection by not coming into contact with infected blood and following simple rules of prevention. Through hepatitis C starts as an acute infection and may only last for a couple of months, most people will go on to have a chronic infection. This requires treatment with a combination of antiviral medications.

Hepatitis D Disease
            Hepatitis D is a unique virus that can only infect someone already infected with hepatitis B. For this reason, being vaccinated with hepatitis B vaccine will also protect against hepatitis D infection. It is a blood borne virus and will develop either as a co-anfection with hepatitis B, or a super infection of hepatitis B. Either way, it will be treated along with the hepatitis B infection.

Hepatitis E Disease
            Essentially, hepatitis E is very similar to hepatitis A in the way it’s spread and the type of disease it causes. However it is often more severe and can have more serious out comes in pregnant women and their babies. Hepatitis E is very common in many developing countries, and can spread to developed countries through normal travel and immigration. There is no vaccine available yet, but avoiding contaminated food and water and practicing frequent handwashing are excellent ways to prevent infection. It is not spread from person to person.

3.2 Suggestion
            Since hepatitis is caused by many different things, it’s challenging to write about preventing all types of hepatitis in one article. However some basic strategis, if followed will lower your risk of developing viral hepatitis. Vaccination, immune globulin, handwashing, how to properly wash your hands, avoid used needles, safer sex, how to properly put on a condom.


REFERENCE

htttp://hepatitis.about.com/od/symptoms/a/jaundice.htm
htttp://hepatitis.about.com/od/prevention/a/prevent_viral.htm
htttp://hepatitis.about.com/od/community/tp/findingsupport.htm


                                






























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