Viral Hepatitis - Are You At Risk?

ARE YOU AT RISK? Millions of Americans have VIRAL HEPATITIS. Most don't know it. Take this online assessment to see if you're at risk. http://www.cdc.gov/hepatitis/riskassessment/

The word "hepatitis" means inflammation of the liver.  Hepatitis is most often caused by a virus.  In the US, the most common types of viral hepatitis are Hepatitis A, Hepatitis B, and Hepatitis C.

Viral hepatitis is the leading cause of liver cancer and the most common reason for liver transplantation. An estimated 4.4 million Americans are living with chronic (lifelong) hepatitis.  Most do not know they are infected.

For more information about viral hepatitis, visit CDC: Viral Hepatitis or CDC: Know More Hepatitis.


Hepatitis A | Hepatitis B | Hepatitis C | Hepatitis D | Hepatitis ESan Mateo County Viral Hepatitis Program | Perinatal Hepatitis B Prevention Program | For Providers: Viral Hepatitis: Diagnosis, Management, Prevention and Reporting Guidelines |


NOTICE: Hepatitis A linked to frozen berry product

For more information about this outbreak, see:
Hepatitis A outbreak - FAQ for the public
CDC: Multistate outbreak of hepatitis A virus infections linked to pomegranate seeds from Turkey
CDPH: Hepatitis A Outbreak Linked to Frozen Berries and Pomegranate Seeds - 2013

Hepatitis A is a contagious liver disease that results from infection with the Hepatitis A virus. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months. Hepatitis A is usually acquired when a person ingests food or water contaminated by the stool of an infected person.  Hepatitis A infection does not result in chronic infection or chronic liver disease. The best way to prevent Hepatitis A is by getting vaccinated.

For more information about Hepatitis A, visit CDC: Hepatitis A

Local Hepatitis A Vaccination Resources: Travel Vaccine Clinics in/around San Mateo County

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Hepatitis B is a contagious liver disease that results from infection with the Hepatitis B virus. Approximately 1.2 million people in the United States, including 1 in 12 Asian Americans, are living with Hepatitis B. Most are unaware of their infection.

Infection with the Hepatitis B virus can range in severity from a mild illness lasting a few weeks to a serious, lifelong illness.  Hepatitis B is usually spread when blood, semen, or another body fluid from a person infected with the Hepatitis B virus enters the body of someone who is not infected. This can happen, for instance, through sexual contact with an infected person or after sharing needles, syringes, or other drug-injection equipment. An infected mother can also pass the virus to her baby at the time of delivery.

For more information about Hepatitis B, visit CDC: Hepatitis B Information for the Public

For information about Hepatitis B in other languages, see CDC: Hepatitis B – Patient Education Resources or "Know HBV: What Every Asian and Pacific Islander Should Know about Hepatitis B and Liver Cancer”- Available in English, Chinese, Vietnamese, Korean, Lao, Tagalog, Spanish, Hmong, Hmong (English version), and Burmese.

Hepatitis B Testing

Many people with Hepatitis B do not know they are infected since they do not look or feel sick. A simple blood test will tell whether somebody is infected with Hepatitis B. Diagnosing Hepatitis B early is essential to prevent significant liver disease. Testing can also identify at-risk household members and sexual partners who, if uninfected, can then be vaccinated and protected against Hepatitis B.

Local Free/Low-Cost Hepatitis B Testing Resources

For more information about Hepatitis B testing, see CDC: Hepatitis B FAQs – Tests

Living with Chronic Hepatitis B

Chronic Hepatitis B can cause serious liver conditions, such as cirrhosis (scarring of the liver) and liver cancer. People with Hepatitis B often do not feel sick for many years. As a result, people can be living with Hepatitis B and appear healthy while liver damage silently occurs. Whether or not you have symptoms, if you are infected, you can unwillingly spread the virus to others.  People with chronic Hepatitis B should be monitored regularly by a doctor experienced in caring for people with Hepatitis B. This doctor can determine what the most appropriate medical care is. 

Learn More about Chronic Hepatitis B
CDC: Hepatitis B Information for the Public
Hepatitis B Foundation- Available in Chinese, Korean, Spanish, Turkish and Vietnamese
Asian Liver Center at Stanford University

Find a Liver Specialist
American Liver Foundation: Find a Healthcare Provider [NEW!]

Apply for Health Insurance
San Mateo County Health Coverage Unit

Find a Support Group
American Liver Foundation: Support Services

Hepatitis B Vaccination

The best way to prevent Hepatitis B is by getting vaccinated.   Hepatitis B vaccination is recommended for all infants, older children and adolescents who were not vaccinated previously, and for any adult who is at risk for Hepatitis B infection or who wants to be vaccinated.

Local Hepatitis B Vaccination Resources

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Hepatitis C is a contagious liver disease that results from infection with the Hepatitis C virus.  Hepatitis C is usually spread when blood from a person infected with the Hepatitis C virus enters the body of someone who is not infected.  Chronic Hepatitis C is one of the leading causes of liver disease and is the leading cause of liver transplantation in the United States.  It is estimated that 3.2 million people in the United States are living with Hepatitis C. Most do not know they are infected.

For more information about Hepatitis C, visit CDC: Hepatitis C Information for the Public

Hepatitis C Prevention

Currently, there is no vaccine to prevent hepatitis C infection; however, you can take steps to protect yourself from becoming infected with Hepatitis C.  To reduce the risk of becoming infected with the Hepatitis C virus:

  • Do not share needles or other equipment to inject cosmetic substances, drugs, or steroids. For needle exchange services in San Mateo County, see Testing on Demand-Needle Exchange
  • Do not use personal items that may have come into contact with an infected person’s blood, such as razors, nail clippers, toothbrushes, or glucose monitors
  • Do not get tattoos or body piercings from an unlicensed facility or in an informal setting

Hepatitis C Testing

Born from 1945 - 1965? CDC recommends you get tested for Hepatitis C.  Click here to learn more: http://www.cdc.gov/KnowMoreHepatitis/

Most people with Hepatitis C do not have any symptoms and do not know they are infected. If you think you might have been exposed to Hepatitis C, or were born between 1945 and 1965, talk to your doctor about getting tested. By knowing your Hepatitis C testing results, you can get medical care early, take care of your liver, and take action to avoid spreading the virus to others.

Local Hepatitis C Testing Resources
San Mateo County STD Clinic
San Mateo County Testing-On-Demand

For more information about why baby boomers should get tested for Hepatitis C, see CDC Know More Hepatitis: Why Baby Boomers Should Get Tested
For more information about Hepatitis C testing, see CDC: Hepatitis C - Information about Testing

Living with Chronic Hepatitis C

Chronic Hepatitis C can lead to serious health problems including liver damage, liver failure, and liver cancer. People with Hepatitis C often do not feel sick for many years. As a result, people can be living with Hepatitis C and appear healthy while liver damage silently occurs. Whether or not you have symptoms, if you are infected, you can unwillingly spread the virus to others. People with chronic Hepatitis C should be monitored regularly by a doctor experienced in caring for people with Hepatitis C. This doctor can determine what the most appropriate medical care is.

Learn More about Chronic Hepatitis C
CDC: Living with Chronic Hepatitis C
CDC: Know More Hepatitis – Living with Chronic Hep C
CDPH: Hepatitis C

Find a Liver Specialist
American Liver Foundation: Find a Healthcare Provider [NEW!]

Apply for Health Insurance
San Mateo County Health Coverage Unit

Find a Support Group
American Liver Foundation: Support Services
HCV Advocate: Support Groups
 

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Hepatitis D is a serious liver disease caused by the Hepatitis D virus (HDV). It is uncommon in the United States, and only occurs among people who are infected with the Hepatitis B virus. The transmission of HDV is similar to that of the Hepatitis B virus and requires contact with infectious blood. There is no vaccine for Hepatitis D.

For more information about Hepatitis D, visit CDC: Hepatitis D

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Hepatitis E is a serious liver disease caused by the Hepatitis E virus (HEV). While rare in the United States, Hepatitis E is common in many parts of the world. HEV is similar to Hepatitis A, in that it is spread in similar ways and usually results in an acute infection. It is transmitted from ingestion of fecal matter and is usually associated with contaminated water supply in countries with poor sanitation.  There is currently no FDA-approved vaccine for Hepatitis E

For more information about Hepatitis E, visit CDC: Hepatitis E

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The San Mateo County Viral Hepatitis Program identifies cases of viral hepatitis, both acute and chronic, investigates acute cases, and makes referrals for testing, follow-up and treatment, if indicated, as well as referrals for vaccination.  We also manage San Mateo County’s Perinatal Hepatitis B Prevention Program which helps prevent the spread of the Hepatitis B virus from pregnant women infected with Hepatitis B to their newborn children.

Contact Us:
San Mateo County Viral Hepatitis Program
Public Health Programs
San Mateo County Health System
225 West 37th Avenue
San Mateo, CA 94403
Telephone: (650) 573-2346
Fax: (650) 573-2919
Hours: Mon - Fri, 8 AM to 5 PM

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The San Mateo County Perinatal Hepatitis B Prevention Program was created in the fall of 2007 to help prevent the spread of the Hepatitis B virus from pregnant women infected with Hepatitis B to their newborn children.

We work closely with obstetric, pediatric and hospital providers in order to meet the following goals:

  • Identification and education of pregnant women infected with Hepatitis B residing in San Mateo County
  • Institution of appropriate and timely immunoprophylaxis for infants born to women infected with Hepatitis B
  • Postvaccination serologic testing of exposed infants
  • Screening and vaccination of susceptible household, sexual and needle-sharing contacts

For Moms/Parents: Protecting your baby from Hepatitis B infection

 For Providers: Prophylaxis and Immunization Schedules, Guidance Documents, Memos

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New Guidelines and Resources

Hepatitis A Guidelines
Hepatitis B: General Information, Immunization Guidelines, Testing and Clinical Management Guidelines
Perinatal Hepatitis B Prevention Guidelines
Hepatitis C: Testing and Reporting Guidelines, Prevention and Management Guidelines
 
Viral Hepatitis Prevention and Control Guidelines

Reporting a Case of Viral Hepatitis
Per CA Code of Regulations, Title 17 Section 2500, providers are required to report cases of viral hepatitis, including chronic Hepatitis B and Hepatitis C, to their local health department.  See Communicable Disease Reporting Guidelines for reporting instructions.

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