Hepatitis B is a liver infection caused by the hepatitis B virus (HBV). Hepatitis B is transmitted when blood, semen or other bodily fluids from an infected person enters the body of someone who is not infected. This can happen through sexual contact, sharing needles, syringes, or other drug-injection equipment; or from mother to baby at birth.
About 1 in 2 people with hepatitis B do not know they are infected. For some people, hepatitis B is an acute, or short-term, illness, but for others, it can become a long-term chronic infection.
Disease Reporting Requirement
All practitioners, health care facilities, and laboratories in Florida are required to notify the Florida Department of Health of diseases or conditions of public health significance under section 381.0031, Florida Statutes, and Chapter 64D-3, Florida Administrative Code.
Risk for chronic infection is related to age at infection: approximately 90% of infected infants become chronically infected, compared with 2-6% of adults. Chronic hepatitis B can lead to serious health issues, including cirrhosis or liver cancer.
Transmission
Hepatitis B is primarily spread when blood, semen, or certain other body fluids โ even in microscopic amounts โ from a person infected with HBV enter the body of someone who is not infected.
Although anyone can get hepatitis B, certain life circumstances, jobs, and behaviors can increase your risk.
Symptoms
Many people infected with hepatitis B virus wonโt experience symptoms. If symptoms occur during acute infection, they often begin 90 days after exposure. Although the symptoms of acute HBV infection and chronic HBV infection may be similar, most people with chronic infection do not have symptoms until much later in life, often decades after exposure. Symptoms of hepatitis B include:
- Dark urine or clay-colored stools
- Feeling tired
- Fever
- Joint pain
- Loss of appetite
- Nausea, stomach pain, throwing up
- Yellow skin or eyes (jaundice)
Perinatal Hepatitis B
Approximately 90-95% of potential infections may be avoided through appropriate maternal screening and infant post-exposure prophylaxis.
Hepatitis B virus (HBV) infection is a serious health problem in the U.S. Transmission of HBV from mother to infant during the perinatal period confers the greatest risk of chronic infection or death from HBV-related chronic liver disease.
For information about the Florida Department of Healthโs Perinatal Hepatitis B Prevention Program, contactย Florida_PHBPP@FLHealth.gov.
Screening
All adults get screened for hepatitis B at least once in their lifetime through a blood test. There are also some people who should be tested more often, including:
- All pregnant women during each pregnancy.
- Infants born to pregnant women with HBV infection.
- People with ongoing risk for exposures.
Learn more about screening and testing testing services available at a local county health department.
Prevention
A vaccination for hepatitis B is available.
Resources
Hepatitis Resource Guide, by county
Viral Hepatitis Planning Group
The Florida Viral Hepatitis Planning Group was established in 2004 to encourage and promote the combined efforts of dedicated, skilled individuals and organizations to reduce the growing burden of viral hepatitis on Floridians, their families, and communities. The group includes representation from the community, private health care, public health, corrections, academic institutions, drug treatment, and other areas.
Currently, theย Hepatitis Prevention Programย is working to establish a statewide Viral Hepatitis Elimination Plan under a new advisory group.
Information for Health Care Providers
Hepatitis 101 Training: Introduction to Hepatitis A, B, and C
This webinar is a one-hour, basic training and can be accessed throughย TRAIN Florida.
- Any health care worker can participate in the training
- Course number 1055759
- Viewย how to setup a Florida TRAIN account
Continuing education credit of one hour is available for all licensed nurses in the state of Florida.ย Upon completion, you will have the option to print out a certificate. We also create a weekly report of nurses who take the class and send the information to the Office of Performance Improvement for CEUs.
Learning Objectives
- Describe symptoms, risk factors, and modes of transmission for hepatitis A (HAV), hepatitis B (HBV), and hepatitis C (HCV)
- Identify individuals who should be referred for hepatitis vaccination and/or testing
- Facilitate a provider-client conversation on viral hepatitis risk factors and test results
- Recognize laboratory test results
- Describe risk factors for HIV and hepatitis co-infection
Viral Serology Training
This is a one-hour overview of laboratory testing, results, and interpretations, and can be accessed throughย TRAIN Florida.
- Any health care worker can participate in the training
- Course number 1059496
- Viewย how to setup a Florida TRAIN account
Continuing education credit of one hour is available for all licensed nurses in the state of Florida.ย Upon completion, you will have the option to print out a certificate. We also create a weekly report of nurses who take the class and send the information to the Office of Performance Improvement for CEUs.
Learning Objectives
- Describe the available serological tests for hepatitis A, B, and C
- Provide an overview of interpretations for hepatitis A, B, and C test results
- Distinguish between acute and chronic viral hepatitis infections, and the serological makers associated with each
- Understand the efficacy of the viral hepatitis vaccine and make recommendations to clients