What is it?

The Hepatitis B virus (HBV) is a viral infection of the liver.  It follows a variable course, which means that different patients have different symptoms and treatment needs. Hepatitis B can cause an acute illness that often resolves itself quickly without causing long-term liver damage. In around one in five cases in Ireland, it can result in a chronic illness that lasts over six months, with symptoms that come and go. In 15-40% of people with chronic infection, they may develop: cirrhosis, liver cancer or liver failure develop.  In these cases, an untreated infection may be fatal.

Did you know…

the Hepatitis B virus is 100 times more infectious that the HIV virus? Click here to see the full article

How can I get it?

Hepatitis B is usually transmitted through contact with infected blood or body fluids.  It can be sexually transmitted by both men and women. Only a tiny amount of blood is needed to transmit the virus because it is so infectious. The virus may also be present in saliva, vaginal secretions, breast milk and other bodily fluids. In Ireland infection most commonly occurs through:

  • unprotected sexual intercourse
  • the sharing of contaminated needles by drugs users
  • accidental injury with a contaminated needle (e.g. if needles used for tattooing, body piercing or acupuncture are contaminated)
  • needle stick injuries to healthcare workers
  • sharing of razors.

How do I know if I have it?

There are often no symptoms with Hepatitis B which is why it is important to get checked regularly.  Symptoms, if they occur, can include:

  • feeling tired
  • aches, nausea
  • vomiting
  • passing darker urine than usual
  • jaundice

Hepatitis B testing

You can have a test either on its own or as part of a Better2Know Full STI Screen. A small blood sample is needed.  The same blood sample can also be used for other STI tests you may want to order. Results are normally available the same day that the sample is received in the testing laboratory. Some Better2Know clinics in Ireland have Instant Hepatitis B testing available which gives you a result in around 20 minutes.

How is it treated?

The majority of people with Hepatitis B do not need specific treatment.  They need rest and relaxation, and they will eventually make a full recovery. It is important that the infection is monitored by a specialist to check whether chronic disease develops.  It is important that the person is given advice about the risk of passing the infection on.  

If the infection lasts more than six months, then it becomes a chronic infection.  The virus is continuing to actively reproduce in the body.  You may need specific drug treatment to reduce the risk of permanent liver damage (cirrhosis), and liver cancer.

Your doctor should refer you to a specialist in liver disease (a Hepatologist) and/or general digestive diseases (a Gastroenterologist).  Treatment may be recommended either with antiviral drugs and/or other medications. Regular injections may be given which help to boost the immune system to fight the infection. The response to treatment is variable; some people who initially get better get worse again when the treatment is stopped, and others find that the side effects mean that they cannot continue with treatment. There are several different antiviral drugs available, which are also used to treat chronic cases. They are not a cure, but they do suppress the virus. These drugs may also have side effects, and the virus may become resistant to them.  Better2Know can ensure you receive the advice that you need.

Vaccine

An effective vaccination is available from Better2Know to protect from the infection.  Family and other household members of an infected person should be vaccinated.  Healthcare workers and volunteers, medical employees, police and emergency services personnel, and anyone who is likely to come in contact with infected blood through their job should also be vaccinated.

You can choose to be vaccinated with Better2Know for excellent protection against the virus.  For more information see our vaccines page.

Adverse consequences

If left undetected and untreated, the HBV virus can weaken your immune system and mean that you are more at risk of contracting HIV and other STIs through unprotected sexual intercourse.  It can also cause chronic inflammation of the liver and may lead to liver cancer.  If you are a pregnant woman, then there is a risk of transmission of the virus to your baby.  This can be minimised, and your midwife will be able to help you.

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