Published on 12:00 AM, June 28, 2015

World Hepatitis Day

Prevent hepatitis: Act now

Hepatitis A and E are typically caused by ingestion of contaminated food or water. PHOTO: WORLD HEALTH ORGANISATION

Viral hepatitis – a group of infectious diseases known as hepatitis A, B, C, D, and E – affects hundreds of millions of people worldwide, causing acute and chronic liver disease and killing close to 1.5 million people every year, mostly from hepatitis B and C. These infections can be prevented, but most people don't know how.

On World Hepatitis Day, 28 July 2015, the World Health Organisation (WHO) and partners urge policy-makers, health workers and the public to act now to prevent infection and death from hepatitis.

The date of 28 July was chosen for World Hepatitis Day in honour of the birthday of Nobel Laureate Professor Baruch Samuel Blumberg, discoverer of the hepatitis B virus and developer of the first hepatitis B vaccine.

Hepatitis is an inflammation of the liver, most commonly caused by a viral infection. There are five main hepatitis viruses, referred to as types A, B, C, D and E. These five types are of greatest concern because of the burden of illness and death they cause and the potential for outbreaks and epidemic spread.

In particular, types B and C lead to chronic disease in hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer.

Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids. Common modes of transmission for these viruses include receipt of contaminated blood or blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth, from family member to child, and also by sexual contact.

Acute infection may occur with limited or no symptoms, or may include symptoms such as jaundice (yellowing of the skin and eyes), dark urine, extreme fatigue, nausea, vomiting and abdominal pain.

Hepatitis infection can be prevented by providing safe food and water (hepatitis A and E), vaccines (hepatitis A, B, and E), screening of blood donations and provision of sterile injecting equipment and assuring infection control (hepatitis B and C). However, prevention and awareness efforts are largely insufficient. Chronic hepatitis B and C infections can be treated, but most people, especially those living in low- and middle-income countries do not have access to treatment because of lack of screening and clinical services and high prices of some of the hepatitis medicines.

In May 2014, World Health Assembly delegates from 194 governments adopted a resolution to promote global action to prevent, diagnose, and treat viral hepatitis.

Key messages of the World Hepatitis Day 2015

Prevent hepatitis – know the risks: Unsafe blood, unsafe injections, and sharing drug-injection equipment can all result in hepatitis infection.

Prevent hepatitis – demand safe injections: 2 million people a year contract hepatitis from unsafe injections. Using sterile, single-use syringes can prevent these infections

Prevent hepatitis – vaccinate children: Approximately 780,000 persons die each year from hepatitis B infection. A safe and effective vaccine can protect from hepatitis B infection for life.

Prevent hepatitis – get tested, seek treatment: Effective medicines exist to treat hepatitis B and cure hepatitis C.