Bijan Farah MD

Internal Medicine
Emergency Medicine

Encino Town Medical Group

17130 Ventura Boulevard,
Encino California 91316

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Hepatitis-B Vaccine

Hepatitis-B Vaccine

Hepatitis B

Hepatitis B is a serious infectious disease that affects the liver. It is caused by the hepatitis B virus (HBV). HBV can cause: both acute and chronic infections. Many people have no symptoms during the initial infection. Some develop a rapid onset of sickness with vomiting, yellowish skin, tiredness, dark urine and abdominal pain. Often these symptoms last a few weeks and rarely does the initial infection result in death. It may take 30 to 180 days for symptoms to begin.

  • Acute (short-term) illness.
    • This can lead to: loss of appetite• diarrhea and vomiting • tiredness• jaundice (yellow skin or eyes) • pain in muscles, joints, and stomach
    • Acute illness is more common among adults. Children who become infected usually do not have acute illness.
  • Chronic (long-term) infection.
    • Some people go on to develop chronic HBV infection.
    • This can be very serious, and often leads to liver damage (cirrhosis) &/or liver cancer and death.

Hepatitis B vaccine

  • Can prevent hepatitis B, and the serious consequences of HBV infection, including liver cancer and cirrhosis.
  • Routine hepatitis B vaccination of U.S. children began in 1991. Since then, the reported incidence of acute hepatitis B among children and adolescents has dropped by more than 95% – and by 75% in all age groups.
  • Hepatitis B vaccine is made from a part of the hepatitis B virus. It cannot cause HBV infection. Hepatitis B vaccine is usually given as a series of 3 or 4 shots. This vaccine series gives long-term protection from HBV infection, possibly lifelong.

Who should get hepatitis B vaccine and when?

  • In 2005, about 51,000 people became infected with hepatitis B.
  • About 1.25 million people in the United States have chronic HBV infection.
  • Each year about 3,000 to 5,000 people die from cirrhosis or liver cancer caused by HBV.
  • Hepatitis B virus is spread through contact with the blood or other body fluids of an infected person.
  • A person can become infected by:
  • Contact with a mother’s blood and body fluids at the time of birth;
  • Contact with blood and body fluids through breaks in the skin such as bites, cuts, or sores;
  • Contact with objects that could have blood or body fluids on them such as toothbrushes or razors;
  • Having unprotected sex with an infected person.
  • Sharing needles when injecting drugs; – being stuck with a used needle on the job.

Children and Adolescents

  • All children should get their first dose of hepatitis B vaccine at birth and should have completed the vaccine series by 6-18 months old.
  • Children and adolescents through 18 years of age who did not get the vaccine when they were younger should also be vaccinated.

Adults

  • All unvaccinated adults at risk for HBV infection should be vaccinated.
    • This includes: People who travel to countries where hepatitis B is common.
    • People with HIV infection.
    • Sex partners of people infected with HBV.
    • Men who have sex with men, people who inject street drugs.
    • People with more than one sex partner.
    • People with chronic liver or kidney disease
    • people with jobs that expose them to human blood.
    • Household contacts of people infected with HBV
    • Residents and staff in institutions for the developmentally disabled.
    • Kidney dialysis patients people who travel to countries where hepatitis B is common.
    • Anyone else who wants to be protected from HBV infection may be vaccinated.
  • Reaction to Vaccine:
  • include difficulty breathing, hoarseness or wheezing, hives, paleness, weakness, a fast heartbeat or dizziness.

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