World Hepatitis Day ｜ There are about 90 million hepatitis B patients in China.

　　Cctv newsToday is World Hepatitis Day, and the theme of this year’s World Health Organization is "Detection and Treatment of Hepatitis". It is estimated that there are about 90 million hepatitis B virus carriers in China, of which about 28 million are chronic hepatitis B patients. Among patients with liver cirrhosis and liver cancer, hepatitis B infection is as high as 60% and 80% respectively.

　　National Health Commission released the knowledge points of viral hepatitis prevention and treatment yesterday. Key points: Targeted suggestions and information are put forward for the prevention and treatment of hepatitis A, B, C, D and E, so as to enhance the awareness of prevention and treatment of the public and key groups and enhance their self-protection ability.

　　Eliminate the misunderstanding of hepatitis B and avoid infection in daily life.

　　The main points of knowledge introduce the types of viral hepatitis, the characteristics, transmission routes and preventive measures of each type of hepatitis. The clinical manifestations of various types of viral hepatitis are similar, with fatigue, loss of appetite, hepatomegaly and abnormal liver function in the acute stage, and jaundice in some cases; Chronic infected people may have mild symptoms or even no clinical symptoms.

　　How do different hepatitis spread?

　　Hepatitis A and Hepatitis E are transmitted through digestive tract.Pollution of water source or food can cause outbreaks, and paying attention to diet and drinking water hygiene can effectively prevent hepatitis A and hepatitis E..

　　Hepatitis B and C are transmitted through blood, mother to child and sex.The transmission route of hepatitis D is similar to that of hepatitis B, and it can only be infected at the same time or on the basis of hepatitis B virus infection.Hepatitis B will not be transmitted through food, and daily work or life contact, such as shaking hands, hugging and eating together, will not spread hepatitis B.

　　All patients with viral hepatitis should avoid alcohol abuse, smoking, irrational drug use and other behaviors that aggravate liver damage.People with suspected symptoms of viral hepatitis or susceptible to infection should take the initiative to check in medical institutions. Patients with viral hepatitis should follow the doctor’s advice, carry out standardized treatment, and avoid taking drugs on their own or trusting false advertisements.

　　Can you still work and live normally with hepatitis?

　　The main points of knowledge put forward that efforts should be made to eliminate social discrimination against hepatitis B infected people. China clearly requires that,All kinds of educational institutions and employers at all levels are not required to carry out hepatitis B project testing in the physical examination of citizens’ enrollment and employment., shall not be required to provide hepatitis B project test report, and shall not ask whether it is a carrier of hepatitis B surface antigen.

　　In addition to the special occupations approved and announced by the National Health and Wellness Committee,The health examination shall not detect hepatitis B items unless required by the examinee, and the employing unit shall not refuse to recruit (employ) or dismiss or dismiss workers on the grounds that they carry hepatitis B surface antigen.. Moreover, hepatitis B is not among the diseases that hinder food safety, and hepatitis B carriers can obtain health certificates and work in contact with directly imported food. Persons suffering from hepatitis A and hepatitis E shall not engage in the work of directly serving customers before being cured.

　　The cure rate of hepatitis B is improved, and mother-to-child blocking is basically realized.

　　With the development of medicine, hepatitis B has been a disease that can be treated and controlled. The viral load can be controlled through antiviral treatment, which greatly reduces the occurrence of cirrhosis and liver cancer. The latest research shows that some patients can achieve a clinical cure rate of 30% to 50% by adopting optimized treatment schemes.

　　Mother-to-child transmission is the main mode of transmission of hepatitis B virus in China, and it is also one of the main challenges faced by hepatitis B prevention and control. About 50% of hepatitis B patients in China are caused by mother-to-child transmission, and more than 90% of adult cirrhosis and liver cancer are infected with hepatitis B virus in infancy. At present, the "zero transmission" project of mother-to-child hepatitis B is promoted nationwide, and pregnant women with high hepatitis B virus level are intervened with antiviral drugs in the third trimester. According to the project experience, the expert consensus of "Clinical Management Process of Mother-to-child Blocking of Hepatitis B" will be promoted nationwide.

　　Yang Xizhong, Executive Vice President and Secretary General of China Hepatitis Prevention and Treatment Foundation:At present, more than 15 thousand cases have been done, and the number of doctors (in the field of mother-to-child blocking) has reached 1.5 thousand, and more than 130 hospitals are carrying out it, which has achieved good results. At present, the mother-to-child blocking rate is 99.3%, basically achieving zero transmission.

　　"Invisible Killer" Hepatitis C can be cured early.

　　In addition to the familiar hepatitis B, hepatitis C is also a common and neglected chronic hepatitis in China. The data show that there are about 71 million people infected with hepatitis C virus in the world, about 7.9 million cases infected with hepatitis C virus in China, and about 200,000 cases infected with hepatitis C reported in the national epidemic situation of legal infectious diseases in recent five years. Like hepatitis B, chronic hepatitis C infection is also one of the main causes of liver cirrhosis and liver cancer.

　　The incidence of chronic hepatitis C is very hidden and the symptoms are not obvious, so the diagnosis rate is low. Most patients with chronic hepatitis C have developed into the late stage of chronic hepatitis C at the time of diagnosis, so they are called "invisible killers". Different from hepatitis B, if only hepatitis B surface antigen is positive, transaminase is normal, and liver lesions are mild, it can be temporarily left untreated, but hepatitis C is just the opposite. Once infected, its damage to the liver will continue. Therefore, high-risk groups with a history of unsafe blood contact should be tested for hepatitis C in time.

　　Wang Guiqiang, Chairman of Infectious Diseases Branch of Chinese Medical Association.：Some iatrogenic invasive tests, such as repairing and filling teeth in irregular medical institutions and doing some micro-plastic surgery, may be the transmission route of hepatitis C, so I hope such people can go to the hospital for screening.

　　It is not difficult to detect hepatitis C. We can judge whether we are infected with hepatitis C virus by detecting hepatitis C virus antibody and hepatitis C virus RNA in blood. Hepatitis C is also different from hepatitis B in that it is a treatable viral disease. At present, the cure rate of hepatitis C can reach more than 90%, and the clinical cure can even reach 100% if treated early.