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Case study of hepatitis b
Case study of hepatitis b
Case study of hepatitis b
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Hepatitis B is a liver infection that develops after an individual is exposed to the Hepatitis B virus (HBV). Transmission occurs when an individual is exposed, through blood and body fluids, to the HBV allowing the virus entry into the body. This can occur in a variety of ways such as sexual contact, from mother to baby, shared needles and even shared toothbrushes. We will examine the historical surrounding of hepatitis B, the prevalence in today’s world, epidemiological principles, and nursing practice implications for the virus.
The discovery of the hepatitis B virus is a fairly recent finding. This does not indicate that hepatitis was not in existence though. The Hippocrates of the 5th century describe “epidemic jaundice” and jaundice
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The WHO (2017) describe the risk of developing chronic infections depends on the age of the individual at infection. Of those at risk, the most likely to develop chronic infections include 80-90% of infants infected before age one and 30-50% of children infected before age six (World Health Organization, 2017). In healthy adults, the risk greatly decreases. Chronically infected adults equate to only 5% and of that, only 20-30% of infected adults will develop liver cancer or cirrhosis. The morbidity is estimated at two billion people worldwide are infected with hepatitis B virus (WHO, 2017). WHO (2017) tallied mortality from HBV to total 887,000 in 2015 alone from the complications associated with the virus. In the United States alone, morbidity is estimated at 38,000 new individuals are infected each year with a total of infected between 800,000-1.4 million (Maurer & Smith, 2013, p. 97). The incidence rate for acute hepatitis B in 2012 in the United States was 1.1 cases per 100,000 population with a mortality rate of 0.02 per 100,000 (CDC, 2013). The CDC (2013) also found higher mortality rates are among persons over 75 years of age, non-white, and males for hepatitis
There is no definitive history or discovery date, but it is assumed that Yellow Fever originated in Africa and was brought to the Americas by Aedes aegypti mosquitoes “hitchhiking” on trade and slave ships. The first believed outbreak happened in 1648 in the Yucatán. It is “believed” because early documentation of disease and illness was not thoroughly investigated or described, they could have been caused by one thing or another. There is ...
The last time Typhus was recorded was by the British Troops during World War II. They had forty two cases of Typhus in 1942 and that was one year after the allied forces arrived. Then the year after that there was five hundred and eighty two cases of Typhus...
For example, those who travel to or live in countries where Hepatitis A is common, have sexual contact with someone who has Hepatitis A, men who have sexual encounters with other men, those who use recreation drugs, have clotting-factor disorders, or are household members or caregiver of someone who is infected with the virus. Other risk factors include intermediate and high endemicity areas include poor sanitation and regulations and lack of safe water. Also, residents from regions with low endemicity for the Hepatitis A Virus infection often remains susceptible in their adulthood. In areas where the virus is wide spread, most Hepatitis A infections occur during early childhood because children tend to ingest everything. As mentioned earlier, adults have signs and symptoms of illness more often than children. The severity of the disease and its fatal outcomes are higher in older age
Hepatitis B Virus (HBV) is a virus that attacks the liver. The virus is transmitted through blood and bodily fluids. This can occur through direct blood-to-blood contact, unprotected sex, use of contaminated needles, and from an effected mother to her newborn during the delivery process. The majority of people do not have noticeable symptoms when they are first infected with the HBV. People who do not know they are infected with the HBV, their body can respond in different ways. I learned that some of the common symptoms of Hepatitis B infection include fever, fatigue, muscle or joint pain, loss of appetite, mild nausea, vomiting, and dark-colored urine. Some of the serious symptoms that require immediate medical attention and maybe even hospitalization are: severe nausea and vomiting, yellow eyes and skin (jaundice), bloated or swollen stomach.
HAV is known to be an infectious disease that usually occurs in children and young adults .The disease is usually transmitted from person to person through contaminated food, liquids or oral fecal route. An example would be when someone is carrying the virus and doesn’t wash their hands after using the restroom and then puts food in their mouth. HAV is most common in developing countries because of the living conditions and inadequate water, poor sewage facilities and sanitary conditions. The highest HAV levels in the world are from India,” Earlier reports suggest that India is hyperendemic for HAV infection2,4-6 with very high infection rates,” (Sowmyanarayanan). Most HAV are without severe complications, “Virus HAV infection rarely causes fulminant hepatic failure in people…,” (Vento,p.1) . The symptoms for HAV are high fever, nausea, vomiting and jaundice...
Hepatitis B is a DNA viral infection that causes damage and inflammation to the liver. It was first discovered in 1965 by Dr. Baruch Blumberg. The HBV virus is very contagious and is even thought to be the most serious form of viral hepatitis and the most common viral infection on Earth. “HBV is 100 times more infectious than HIV.” (Green, 2002, pg. 7) The virus can survive for about one week outside the body on a dry surface. According to Green (2002, pg. 7), “One in twenty Americans has been infected with the virus at some point in their lives.” Between the ages of 15-39 is when 75% of new HBV infections occur, according to Green (2002, pg.8).
The signs and symptoms of blood borne pathogens vary based on the type of disease it is and the ability of a person’s immune system to fight it off. In most cases hepatitis B does not need to be treated and the body can fight it off on its own. However a long-term infection can develop in some people that can cause liver damage. There is a vaccination available to prevent acquiring the disease. The signs and symptoms for hepatitis C are usually mild. It can take two weeks to six months after contact before signs begin to show, or there may not be any symptoms at all. Hepatitis C typically becomes is a long-term infection and after many years will cause liver ...
1a - Epidemiology of acute and chronic hepatitis B virus infection in Norway, 1992-2009 - Gražina Rimšelienė1,2*, Øivind Nilsen2, Hilde Kløvstad2, Hans Blystad2 and Preben Aavitsland2
Hepatitis A is a usually short-acting virus that occurs in humans and monkeys. It is caused by the Hepatovirus and the species is Hepatitis A Virus. There are two major ways in which hepatitis A can be transmitted. One way is from person to person. This transmission occurs when the fecal matter of an infected person gets ingested by another person.
There is a disease spreading out in the world called Hepatitis C. It affects the liver and may cause the liver to fail. This disease is caused by a virus called Hepatitis C virus which is also known as HCV. About 32,000 people are affected with this disease per year only in the United States area. Some It’s a disease with many symptoms and many causes. of these symptoms are easy bruising, upset stomach and fever. These are just some of the many symptoms that come from the virus. Hepatitis Cs nature of the causative agent is determined by many things. The biological data of this disease is filled so much information. It is estimated that over 180 million people have gotten Hepatitis C and it is growing.
Hepatitis B, an infectious disease caused by the Hepatitis B virus (HBV, a DNA virus), was formerly called serum hepatitis, inoculation hepatitis and post-transfusion hepatitis. Infection with HBV may result in acute, fulminant or chronic hepatitis, sometimes even resulting in a chronic asymptomatic carrier state, apart from hepatocellular carcinoma and liver cirrhosis (Davis 179). The disease is transmitted when an individual comes in contact with infected blood or objects. It may also be transferred from an infected mother to her infant either during or after birth (Zuckerman et al. 211). Transmission may also occur by accidental inoculation from infected needles and hospital equipment, intravenous drug abuse, body piercing, tattooing, and mouth-mouth kissing (Zuckerman et al. 210). The risk of Hepatitis B is particularly high in individuals with multiple sex partners, and in homosexuals. The HBV virus occurs in morphologically different forms in the serum of infected individuals. HBV infection has an incubation period of about 75 days. Systemic symptoms of the disease include fatigue, fever, dyspepsia, arthralgia, malaise, and rash, while local symptoms include hepatomegaly, jaundice, dark urine, and pale stools (Davis 179; Zuckerman et al. 210).
Global health risks: mortality and burden of disease attributable to selected major risks. (2009) WHO Library Cataloguing-in-Publication Data
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
In the 1960s, doctors in the United States predicted that infectious diseases were in decline. US surgeon Dr. William H. Stewart told the nation that it had already seen most of the frontiers in the field of contagious disease. Epidemiology seemed destined to become a scientific backwater (Karlen 1995, 3). Although people thought that this particular field was gradually dying, it wasn’t. A lot more of it was destined to come. By the late 1980s, it became clear that people’s initial belief of infectious diseases declining needed to be qualified, as a host of new diseases emerged to infect human beings (Smallman & Brown, 2011).With the current trends, the epidemics and pandemics we have faced have created a very chaotic and unreliable future for mankind. As of today, it has really been difficult to prevent global epidemics and pandemics. Although the cases may be different from one state to another, the challenges we all face are all interconnected in this globalized world.
Prevention of this virus would have been simple. There is a vaccine for Hepatitis B,however it wasn't used routinely until the 1980's , so many of these elderly may not have received it. In addition to this, there are ways to avoid transmission of Hepatitis B in this fashion (assisted monitoring of blood glucose). The personnel could have simply followed the rules and regulations set forth by the CDC for preventing transmission of blood-born pathogens. Outbreaks like this are less likely to occur in places like nursing homes because they are subject to federal regulations where these assisted living facilities are not. Federal regulation may help to prevent outbreaks like this also. Proper training of personnel in the area of blood-born pathogen transmission should be a requirement.