1. References:
1.1. http://www.cdc.gov/hepatitis/hbv/hbvfaq.htm
1.2. http://nvhr.org/sites/default/files/docs/intro-to%20prevention-7-28-09.pdf
1.3. http://www.healthcare-online.org/Hepatitis-B-Symptoms.html
1.4. https://youtu.be/SOgiai1uVuc
2. Outcomes of fetus/newborn
2.1. If baby gets virus and isn't treated, there are likely long-term liver problem
2.2. If mother has virus, all newborns should get hep B immune globulin and vaccine for hep B at birth and during first year of life.
2.3. Chance of virus being passed on to baby after birth
3. Transmission
3.1. Sex with an infected partner
3.2. Injection drug use/sharing needles/syringes/drug-prep equip
3.3. Birth to an infected mother
3.4. Blood contact/open sores
3.5. Needle sticks/sharp equip exposure
3.6. Sharing razors/toothbrush
3.7. Blood transfusions not adequately screened for Hep B
4. Tx Guidlines
4.1. Acute infection: no medication is available
4.2. Possible liver transplant
4.3. Chronic infection: antiviral drugs, regular medical monitoring to determine how the disease is progressing and the extent of liver damage/hepatocellular carcinoma
5. Sx
5.1. Femal and Male
5.1.1. Objective
5.1.1.1. Dark urine
5.1.1.2. Fever
5.1.1.3. Jaundice
5.1.1.4. Clay-colored bowel movements
5.1.2. Subjective
5.1.2.1. Joint pain
5.1.2.2. Loss of appetite
5.1.2.3. Abdominal discomfort
5.1.2.4. Weakness
6. Education
6.1. Make sex safer
6.2. Tell partner to get tested
6.3. Tell your partner if you have Hep B
6.4. Clean up= one part household bleach and 10 parts H2O
6.5. Use latex condoms
6.6. Tell all partners if you become Hep B positive
6.7. Don't share needles/toothbrushes=chance of trace blood on them
7. Prevention
7.1. Primary
7.1.1. Early screening
7.1.2. Early screening
7.1.3. Identify precursor conditions/behaviors
7.1.4. Don't share chewing gum/nail care tools, pierced earrings.=
7.1.5. Use condoms everytime you have sex
7.1.6. Cover all open cuts or wounds
7.1.7. Wear gloves when cleaning up after others (bandages, tampons and linens)
7.1.8. Get vaccinated
7.1.9. Healthy environent, behavior
7.2. Secondary
7.2.1. Detect disease in early stages to prevent progression/development of Sx
7.2.2. Sceening=early detection allows for earlier Tx
7.2.3. Early Tx can limit spread of new infections and protect others
7.3. Tertiary
7.3.1. Focus is on effective Tx of disease Sx and limiting progression, complications and disabilities
7.3.2. Manage lifestyle to prevent worsening of the disease
7.3.3. Counseling
7.3.4. Implementing Primary and Secondary prevention measures to help in the Tertiary prevention