A forum for Nigeria Hepatitis B support Group

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This topic contains 4 replies, has 1 voice, and was last updated by  Udomoh Eshemokha 1 month, 1 week ago.

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    Udomoh Eshemokha

    It is no longer news that more than 20million Nigerians are Hepatitis B positive (Living with hepatitis B infection).

    Many are also not aware they are infected.

    People living with hepatitis B are not well informed about the causes, symptoms, tests, diagnosis, treatments and complications, prognosis, lifestyle modifications and follow-up of hepatitis B.

    So I decided to create this forum for people living with this infection to interact and share ideas with the bigger
    picture of supporting one another.

    Aims and objectives of Nigeria Hepatitis B Support Group.

    1. Share vital information on the causes of hepatitis B.

    2. Share vital information on the hepatitis B virus.

    3. Educate one another on the symptoms of hepatitis B infection.

    4. Discuss the diagnosis and tests for hepatitis B.

    5. Share ideas on the treatment of hepatitis B infection.

    6. Laboratory tests for hepatitis B.

    7. Discuss interpretation of the lab results for hepatitis B.

    8. Discuss the where, how, why, when, side effects, and cost of hepatitis B medications.

    9. Discuss the prognosis of hepatitis B infection

    10. Link you up to a qualified and specialist medical doctor for care.

    11. Discuss other sources and forms of Viral hepatitis e.g.hepatitis A, C, D, E, F to G.

    12. Discuss the lifestyle changes of people living with hepatitis B infection.

    13. Link you up to specialist hospitals or labs for management.

    14. Link you up with other persons living with the infection if you wish.

    15. Link you up to reputable pharmacies you can get hepatitis B drugs across Nigeria and beyond.

    16. Help you lead a normal life.

    17. Fight stigmatization of people living with hepatitis B in their places of work, homes, religious houses, hospitals, and the society in general.

    18. Start an Advocacy Group for the subsidisation of hepatitis B drugs to make it affordable.

    19. Share information on latest medical advancement in hepatitis B management from reputatable newspapers, and authority health sites like medscape, healthline, Wikipedia, Medical News Today, Mayoclinic, Contagion, and so on.


    You will find help here.


    Udomoh Eshemokha


    FACT 1:hepatitis B virus is far deadlier than HIV.

    FACT 2: it is the commonest cause of viral hepatitis.

    FACT 3: it is present in all body fluids like blood, urine, semen, vaginal and cervical secretions, breast milk, tears, and saliva of infected persons.

    FACT 4: hepatitis B virus is 100 times more infectious than HIV.

    FACT 5: it can be transmitted through sexual contact.

    FACT 6: this virus can be transmitted via body contact with infected persons.

    FACT 7: the virus causes liver cancer.

    FACT 8: hepatitis B virus can survive on a non-living surface for up to 3 months (HIV survives just 3-5 minutes in a non-living surface).

    FACT 9: it is transmitted from mother-to-child during pregnancy.

    FACT 10: The rate of transmission of hepatitis B virus from mother-to-child is 90%! Now that is huge.

    FACT 11: every pregnant woman is screened for the virus and vaccinated during antenatal visits.

    FACT 12: it damages the liver by causing inflammation and scarring.

    FACT 13: a cause liver failure.

    FACT 15: it can cause both acute and chronic hepatitis.

    FACT 16: persons infected with the virus may not have any symptoms but can infect others. They are called carriers.

    FACT 17: about 300 million persons are carriers of the virus in the world.

    FACT 18: it can be transmitted via needle stick prick, blood spray, and touching blood with unprotected hands.

    FACT 19: recipients of the unscreened blood and blood products are at risk of contracting the virus.

    FACT 20: Everybody is at risk of being infected but health workers, intravenous drug abusers, commercial sex workers are at greater risk.

    FACT 21: the infection is treatable but the drugs are very expensive and relapses are high.

    FACT 22: hepatitis B virus infection is best prevented by immunization.

    Culled from Nimedhealth


    Udomoh Eshemokha

    Mode of Transmission of Hepatitis B- How can you hepatitis B?

    The hepatitis B virus can survive outside the body for at least 7 days. During this time, the virus can still cause infection if it enters the body of a person who is not protected by the vaccine.

    The incubation period of the hepatitis B virus is 75 days on average, but can vary from 30 to 180 days. The virus may be detected within 30 to 60 days after infection and can persist and develop into chronic hepatitis B.

    In highly endemic areas, hepatitis B is most commonly spread from mother to child at birth (perinatal transmission), or through horizontal transmission (exposure to infected blood), especially from an infected child to an uninfected child during the first 5 years of life. The development of chronic infection is very common in infants infected from their mothers or before the age of 5 years.

    Hepatitis B is also spread by percutaneous or mucosal exposure to infected blood and various body fluids, as well as through saliva, menstrual, vaginal, and seminal fluids.

    Sexual transmission of hepatitis B may occur, particularly in unvaccinated men who have sex with men and heterosexual persons with multiple sex partners or contact with sex workers. Infection in adulthood leads to chronic hepatitis in less than 5% of cases.

    Transmission of the virus may also occur through the reuse of needles and syringes either in health-care settings or among persons who inject drugs.

    In addition, infection can occur during medical, surgical and dental procedures, through tattooing, or through the use of razors and similar objects that are contaminated with infected blood.

    Culled from WHO factsheets


    Udomoh Eshemokha

    Lab Tests for Hepatitis B and the interpretation of results.

    If you have chronic hepatitis B, your health care provider will usually order additional tests to determine whether the infection is active, such as:

    HBeAg and anti-HBe: HBeAg is the hepatitis B envelope antigen, and anti-HBe are the antibodies produced against this antigen. If HBeAg is detectable in a blood sample, this means that the virus is still active in the liver (and can be transmitted to others). If HBeAg is negative and anti-HBe is positive, this generally means that the virus is inactive. However, this is not always the case. Some people with chronic hepatitis—especially those who have been infected with HBV for many years—may have what is known as a precore or core variant mutated form of HBV. This can cause HBeAg to be negative and anti-HBe to be positive, even though the virus is still active in the liver.

    HBV viral load: This test measures the actual amount of hepatitis B in a blood sample, which helps determine whether HBV is reproducing in the liver. In a person with detectable HBeAg, an HBV viral load greater than 20,000 international units per milliliter (IU/mL) of blood indicates that the virus is active and has the greatest potential to cause damage to the liver. Similarly, in a person with an HBeAg-negative chronic hepatitis B, an HBV viral load of greater than 2,000 IU/mL indicates that the virus is active and has the potential to cause damage to the liver. Generally speaking, if the HBV viral load is above these numbers, treatment is considered necessary. However, HBV treatment decisions are based on multiple factors, and your medical provider may make recommendations based on other input.

    Liver function tests: One of the most important liver enzymes to look for is alanine aminotransferase (ALT), sometimes called SGPT on lab reports. An elevated ALT level indicates that the liver is not functioning properly and that there is a risk of permanent liver damage. During acute hepatitis B infection, ALT levels can be temporarily elevated, but this rarely leads to long-term liver problems. In chronic hepatitis B, ALT levels can be either periodically or consistently increased, indicating a higher risk of long-term liver damage.

    HBV genotype: There are 10 different types, or genotypes, of HBV in the world (labeled A through J). The differences among genotypes are based on differences in HBV’s genetic structure. Certain HBV genotypes tend to be more common in various regions of the world. Genotype C is common in Asia, whereas genotype A occurs frequently in sub-Saharan Africa. All the genotypes have been found in the in the United States, but A, D and G are the most prevalent. There is still some debate regarding whether it is important to know a patient’s HBV genotype, but finding out the genotype may have some value when choosing treatments for hepatitis B
    Tips for Understanding Lab Tests

    Because hepatitis B is a liver disease, your medical provider will likely order regular blood tests to monitor your liver’s health. Looking at lab tests may be overwhelming at first, but eventually they will be easier to understand.

    Before discussing specific lab tests, here are some important tips:

    Keep copies of your lab results. Ask your provider for copies of your labs and keep them in one place. You may download a tracking tool to help you record your labs all in one place.

    1.Lab results should be read by your medical provider. Do not attempt to interpret results on your own.

    2.If you have questions about a test result, ask your provider about it.

    3.If you have an abnormal result, ask whether there are factors that might affect the test, such as medications, supplements or food.

    4.Do not lose sleep over test results. An abnormal lab result does not necessarily indicate a problem.

    5.Look for trends. Often a single abnormal lab result is insignificant.
    Never let a lab test tell you how you feel. Plenty of people have abnormal labs but still feel good or normal labs and feel lousy. Stay tuned to your body, not to your lab results.

    6. Sometimes the worst part about getting lab tests is waiting for results. Try not to put your life on hold while waiting for results. The results will be what they will be.

    Source: hepmag.com


    Udomoh Eshemokha

    Between Hepatitis B surface antigen (Hbsag) and Hepatitis B antibody (Hbsab)

    Hepatitis B surface antigen (hbsag) tests for the presence of the hepatitis B virus. A “positive” or “reactive” HBsAg test result means that the person is infected with the hepatitis B virus, which can be an “acute” or a “chronic” infection. Infected people can pass the virus on to others through their blood and infected bodily fluids.


    A “positive” or “reactive” HBsAb (or anti-HBs) test result indicates that a person has successfully responded to the hepatitis B vaccine or has recovered from an acute hepatitis B infection. This result means that you are immune (or protected) against a future hepatitis B infection and you are not contagious. This test is not routinely included in blood bank screenings.

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