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HepB HELP

-will a no symptoms acute hepa b will developed to chronic hepa b?
-what are the chances of getting hep b in a barber shop?like for example the blade they've used or the scissor.
-what are the chances of getting hep b in facial centers?like for example pricking pimples(acne)

Thank you and have a great day!
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Avatar universal
hbv is a very weak virus vs the potency of our immune system, the only way it can exist is by infecting at birth when there is no immune system and even in this case most carriers immune system will keep it harmless, it is only a minority to have active infection and liver damage and very samll minority
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1 Comments
hi stef,is it normal to have a high level of hbv dna during acute stage?
Avatar universal
I guess you're wrong steff. Got my latest screening and still Im HBSAg + . It's been 12 months already .
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Avatar universal
Canadian Liver Foundation:
http://www.liver.ca/liver-disease/types/viral_hepatitis/Hepatitis_B.aspx:
"Less than 5% of adults who get acute hepatitis B develop chronic hepatitis"

Australian STI Management Guidelines
http://www.sti.guidelines.org.au/sexually-transmissible-infections/hepatitis-b
"Infection as an adult has a <5% risk of progression to chronic hepatitis B."

Two governmental websites (government sources are always very conservative) tell you that LESS THAN 5% of infected become chronic.
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1 Comments
Thanks for this Aduiski
Avatar universal
How did you get infected if I may ask?
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Avatar universal
Thanks Stef for ur clarification. I was corealating my case here as I became active as an adult. Jatashankar in this forum also got HBV as an adult. Other person I know has become chronic when he was in 35. So, I guessed.
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Avatar universal
almost all will get into chronic.

by the way this is even wrong for any human and age, even babies without immune system at birth have a clearance rate of about 10%
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Avatar universal
As per the info I have whoever gets HBV as adult, almost all will get into chronic.

where did you dream that?there is one study only and still small because there are no adults who get chronic to study

the study was posted by me here on medhelp and found 2.8% such a small number goes into statistical error so it tends to 0-1% in real world.try medhelp search to find the study
Helpful - 0
Avatar universal
Hi Aduski,
Can u plz share me study Where it says that upto 5% of the adults will be going to chronic HepB from Acute.

As per the info I have whoever gets HBV as adult, almost all will get into chronic. I know three cases who got HBV as adult got into chronic IC stave.

Please if anyone has the study, share it so that it helps to the people in this forum.

I am sure that HBV doesn't spread from Inactive carriers.
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Avatar universal
...this estimate off course relates to adults only...not children
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Avatar universal
i will want correct my last sentence from the initial post in this tread to this:

Unless one has impaired immune system or is sick at the moment of infection or in few months after the infection to Hep B - IMO he/she has between 0% and 1% chance of developing chronic hep B after being infected.
Helpful - 0
Avatar universal
I talked to one of the world leading experts in infectious diseases in Australia - the guy who leads writing guidelines for HIV PEP for Australia.
In the personal conversation he told me that in the guidelines and other public materials, they purposefully overestimate the risks of infectious diseases, putting them higher then the risk are in reality, so as to have emergency medical professionals initiate PEP medicines in doubtful cases, rather the not initiate them.
The second reason, I guess, is to "scare" public of the risky behaviours, and have them attend emergency units in cases of possible exposures.

Saying that, much of literature says that either 5% or "up to" 5% of adults will get chronic if infected by Hep B.

In my own estimate based from the advice from this world leading infectious disease medical professional, the guy who writes the Australian guidelines for PEP which also contain the risk estimates for HIV exposures, I can only conclude that no more than 2-3% of adults get chronic hep B after being infected. So lets say this number is 3% (certainly it is not higher than that, most likely closer to 2% or 2.5%). Literature tells us also that people who have impaired immune system are those at greatest risk from becoming chronic carriers once infected. One can easily figure out that indeed most of those who belong to these 2-3% are people who have impaired immune system...some kind of immunity-related disease...or are sick at the moment battling some other disease. The exception to this might be people who are injected the high amounts of infected blood - receiving blood infusion...but this is no longer a concern in most countries.

Unless one has impaired immune system or is considerably sick at the moment of infection with Hep B - IMO he/she has less than 1% chance of developing chronic hep B after being infected.
Helpful - 0
Avatar universal
Thank you for the info Stef, My Mom and brother got tested last month.And thank God they dont have HBV.
I'm The only one in the family that have this.Hope this will not lead to Chronic Hbv.For now I'm Taking Legalon 140, AND Im taking Malungay Tea and Raw garlic.Hope this will be a good combo.Legalon 140 was prescribed by my doctor.
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Avatar universal
Thanks for that info, hmm how can you say that one has a weak immune system?
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Avatar universal
also be careful on antivirals prescrbed in the philippines, some drugs are banned worldwide due to sides effects and no effect during trials but got approved in your country, only entecavir or tenofovir are firstline hbv treatments and they are needed only if fibroscan is over 7kpa
Helpful - 0
Avatar universal
liver p comment is wrong, there were no studies on adult acute hbv in the past because there were no patients to follow up since all cleared and there was a supposed 4% of chronicity on people with depressed immune system

there is only one study made few years ago on enough patients that we posted that found 2.3% of chronicity on adults, with statistical error the percentage is towards 0-1%

all carriers are infected by mother at birth when there is no immune system to protect the baby, in the few third world countries without vaccines, most population in advanced countries is covered by vaccine, so hbv is a dead disease today in all countries using vaccines

babies born with hbv have stronger immune systems than other babies, hbv train immune system to be stronger.the disease makes damage only in older ages and most carriers get no damage from the virus

in the philippines you get hbv from your mother, acute is rare and cleared by 6-12 months, you just make the test to know if you are chronic from young age which is hbcab igm, if negative you have it since young age, at 22yo it makes no damage, just check fibroscan to know how your liver is
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1 Comments
Hello Mr. Stef2011,
Everything I write here is based on information available on the internet. I'm not a hbv specialist or a serearcher, I guess also you are not. Having said that , the percentage of chronicity I cited above is available everywhere you search the web. I have not made it up. So stop being an all knowing; you cannot argue against something that is available there openly for everyone to read. I guess sometimes, you just write for the sake of arguing.
You can look at this web site, for example, if you are interested, where among other things, it is written: "5 - 10% of healthy adults who are infected will develop chronic infection".
http://www.hepb.org/patients/chronic_infections.htm.

Avatar universal
Hi,
5-10% of adults who get infected with hbv develop chronic hbv; those with weakened immune system are at greater risk of progressing to chronic hbv. Having symptomic acute hep b or not is not a decissive factor in leading to chronicity.
There is a risk of getting hbv from a barber shop. If the barber uses the same blade that he accidentally cuts an infected person on another healthy person; then there is a potential of infection.
Pricking pimples: let's say the person is persforming this doens't use gloves between his customers; then, yes, there is a potential of infection.
Stay safe, and remember to take hep b vaccination if you have not done already.
Helpful - 0
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