Thursday, June 5, 2014

Hepatitis B screening now recommended for high-risk individuals

We need to stop the spread of infection, says Loyola hepatologist

MAYWOOD, Ill. (June 5, 2014) - A simple blood test can detect if a person is one of the 2 billion people worldwide infected with hepatitis B. And now the U.S. Preventive Services Task Force recommends that all teens and adults who are at high risk for hepatitis B get screened.

“Many people with hepatitis B do not show any symptoms so they are not diagnosed, which means they keep transmitting the disease to others,” said Steve Scaglione, MD, board certified hepatologist at Loyola University Health System. Hepatologists are specialists in treating liver disease. “Increased screening means the disease is diagnosed earlier, treated earlier and better controlled."

Hepatitis B is an infectious disease that is passed from person to person through blood and bodily fluids. There are two varieties of the disease: acute hepatitis B causes illness for a short term before recovery. Chronic hepatitis B is ongoing and can cause life-threatening liver damage.

“Advancements in treatment for hepatitis B are being made, but prevention and early diagnosis are still the best route for public health,” said Scaglione, who regularly treats hepatitis B patients at Loyola.

According to the Hepatitis B Foundation, up to 100,000 people in the United States get the virus each year, and 10 million to 30 million people in the world are infected.

Treatment for hepatitis B ranges from antiviral medication to stop the virus from multiplying to liver transplantation in cases of extreme illness. Hepatitis B can be transmitted if you:

  • Have sex with an infected person without using a condom
  • Share needles (used for injecting drugs) with an infected person
  • Get a tattoo or piercing with tools that weren't sterilized
  • Share personal items like razors or toothbrushes with an infected person

Individuals considered to be at high risk for hepatitis B and who are recommended to be screened include:

  • Adolescents and adults not vaccinated for hepatitis B at birth
  • People born in countries or regions with a high rate of hepatitis B infection, including Africa, Southeast Asia, Pacific Islands, China, the Middle East, Eastern Europe and the northern countries of South America such as Colombia, Venezuela and Ecuador
  • People whose parents were born in countries with a high rate of infection
  • People with HIV
  • People who inject drugs
  • Men who have sex with men
  • People who live with or have sex with someone with hepatitis B
  • Patients with weakened immune systems or who are receiving kidney dialysis

A mother infected with hepatitis B can transmit the disease to her baby. Medication can be given to the child to prevent the infection from spreading.

Symptoms of hepatitis B include:

  • Feeling very tired
  • Mild fever
  • Headache
  • Not wanting to eat
  • Feeling sick to your stomach or vomiting
  • Belly pain
  • Diarrhea or constipation
  • Muscle aches and joint pain
  • Skin rash
  • Yellowish eyes and skin (jaundice), which usually appear only after other symptoms have started to go away

The Loyola hepatology team offers treatment at 11 Loyola locations in Illinois and also conducts research and research trials to improve prevention and treatment.

About Loyola University Health System

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system that includes Loyola University Medical Center (LUMC), located on a 61-acre campus in Maywood, Gottlieb Memorial Hospital (GMH), on a 36-acre campus in Melrose Park, and convenient locations offering primary and specialty care services throughout Cook, Will and DuPage counties. At the heart of LUMC is a 547-licensed-bed hospital that houses the Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, a burn center, a children's hospital, Loyola Outpatient Center, and Loyola Oral Health Center. The campus also is home to Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. The GMH campus includes a 254-licensed-bed community hospital, a Professional Office Building with 150 private practice clinics, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 93 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities — that provide nearly 2.5 million visits annually.