World Hepatitis Day 2016
In 2010 the World Health Organization made World Hepatitis Day one of only four official disease-specific world health days, to be celebrated each year on the 28th July. Millions of people across the world now take part in World Hepatitis Day, to raise awareness about viral hepatitis, and to call for access to treatment, better prevention programs and government action.
The theme for this year’s global campaign is ELIMINATION.
2016 is a pivotal year for viral hepatitis. At the World Health Assembly in May, WHO Member States are set to adopt the first ever ‘Elimination Strategy for Viral Hepatitis’, with ambitious targets and a goal to eliminate hepatitis as a public health threat by 2030. This will be the first time national governments sign up and commit to the goal of eliminating viral hepatitis.
- Viral hepatitis affects 400 million people globally and, given the size of the epidemic, anyone and everyone can be at risk.
- An estimated 95% of people with hepatitis are unaware of their infection. Hepatitis tests are complex and can be costly, with poor laboratory capacity in many countries.
- Globally, lack of awareness, and poor access to hepatitis treatment services mean that most people who need treatment do not receive it.
- Over 90% of people with hepatitis C can be completely cured of the virus within 3–6 months.
- Appropriate treatment of hepatitis B and C can prevent the development of the major life-threatening complications of chronic liver disease: cirrhosis and liver cancer.
- WHO advises that by scaling up treatment, 7 million lives can be saved between 2015 and 2030, with communities benefiting from economic gains.
Viral hepatitis affects hundreds of millions of people worldwide, causing acute and chronic liver disease and killing close to 1.4 million people every year, mostly from hepatitis B and C. It is estimated that only 5% of people with chronic hepatitis know of their infection, and less that 1% have access to treatment.
Viral hepatitis is inflammation of the liver caused by a virus. There are five different hepatitis viruses, hepatitis A, B, C, D and E:
Transmission: Hepatitis A is spread mainly through eating food or drinking water that has been contaminated by the faeces of an infected person. It can also be spread by eating raw shellfish that have come from water contaminated by sewage.
Prevention: There is a vaccination for hepatitis A. Treatment within a few weeks of exposure to the virus can also bring short term immunity. People can reduce the risk of exposure by practicing good hygiene and sanitation, and avoiding drinking water that has come from a potentially unsafe source.
Treatment: As hepatitis A only causes acute hepatitis, the body is often able to clear the infection itself within a few weeks. However, hepatitis A infections can sometimes cause further complications.
Transmission: Hepatitis B is transmitted through contact with the blood or other body fluids (i.e. saliva, semen and vaginal fluid) of an infected person. It can be passed on from mother to child during childbirth.
Prevention: There is a vaccination that can prevent infection. People, who have not been vaccinated, to reduce chances of exposure it is best to use condoms, and to avoid sharing needles or items such as toothbrushes, razors or nail scissors with an infected person. It is also wise to avoid getting tattoos or body piercings from unlicensed facilities.
Treatment: Drugs such as alpha interferon and peginterferon and a variety of antiviral drugs are available which slow the replication of the virus and occasionally result in its clearance. Children born to mothers infected with hepatitis B should also be vaccinated within 12 hours of birth, as this can prevent an infection that will most likely progress to chronic hepatitis B.
Transmission: Hepatitis C is mainly spread through blood-to-blood contact. In rare cases it can be transmitted through certain sexual practices and during childbirth.
Prevention: There is no vaccination for hepatitis C. It is therefore necessary to reduce risk of exposure, by avoiding sharing needles and other items such as toothbrushes, razors or nail scissors with an infected person. It is also wise to avoid getting tattoos or body piercings from unlicensed facilities.
Treatment: Treatment for chronic hepatitis C aims to eradicate the virus. It often involves a combination of pegylated interferon and ribavirin, and there is increasing use of potent direct acting antiviral drugs, with and without interferon. People with different genotypes respond differently to treatment, some more successfully than others.
Transmission: Hepatitis D is spread through contact with infected blood.
Prevention: Hepatitis D is only found in people who are already infected with the hepatitis B virus. People not already infected with hepatitis B, should get the hepatitis B vaccination. To reduce exposure, avoid sharing needles and other items such as toothbrushes, razors or nail scissors with an infected person. It is also wise to avoid getting tattoos or body piercings from unlicensed facilities.
Treatment: Conditions may improve with administration of a-interferon, however no effective antiviral therapy is currently available for hepatitis D.
Transmission: Hepatitis E is mainly transmitted through eating food or drinking water that has been contaminated by the faeces of an infected person. It can also be spread by eating raw shellfish that have come from water contaminated by sewage.
Prevention: Currently there is a vaccine to prevent hepatitis E, but it is not widely available. People can reduce the risk of exposure by practicing good hygiene and sanitation, and avoiding drinking water that has come from a potentially unsafe source.
Treatment: There is no treatment for hepatitis E. However it is usually self-limiting.