treatments - issue 76
FEELING LIVERISH?
positive nation

types of hepatitis and different ways you can be infected.

Hepatitis A
This used to be called 'infectious hepatitis' because you get it from contaminated water or food. The blood, faeces and some body fluids of someone with Hep A are infectious. ("Now Wash Your Hands Please").
Hepatitis A can be caught through social or sexual contact, or by eating or drinking infected material.
There is no treatment for Hepatitis A and patients are highly infectious in the two weeks before symptoms appear.
Typically the disease clears up after a couple of months, but

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relapses can occur and it may take six months before you feel anything like well again. It may occasionally take a more dangerous 'fulminant' course and lead to death.
There is a vaccination against Hepatitis A, but if you've already been infected you shouldn't need it. There is also a combined vaccine against Hepatitis A and B (see below).
Hepatitis B
This used to be called 'serum hepatitis'. Like HIV, hepatitis B is transmitted by blood to blood contact, sharing needles, and from mother to baby. Most adults can fight off HBV infection without treatment (some don't even realise they've been infected).
However, a minority will go on to become 'carriers' with few or no symptoms but able

to infect other people.
People at 'high risk' of exposure to Hep B include gay and bisexual men,

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