The New About Viral Hepatitis Epidemic [Archives:1999/30/Health]

July 26 1999

Dr. Mohammed Hammed Alhadad 
The ultimate goal of any process of health development is to enable people to reach a specific level where they will be able to participate actively in the construction of the social and economic life of their societies. We can only achieve this through ethical application of the primary meaningful health care in a way that is available to all and, especially to those more liable to danger. So every one should take an active role in the effort to promote health and take care of it in a very organized and constructive way. Therefore we have always, on all occasions, emphasized the need to maintain such guidelines. The aim of this article is to stress the importance of improving and enhancing health care principles, so as to raise the people’s awareness of the immunization process of the viral hepatitis. 
What is this disease? How does it spread? What are its symptoms and dangerous complications? Are there any precautions that can be used to stop this disease? 
Hepatitis is caused by a virus which one may contract through the blood or through the other liquids in the body. This disease is very dangerous. It haunts the minds of people since there is no cure for it until now. 
It is the period between contracting the disease until the appearing of the symptoms. It is estimated to occur from 45-160 days but in most cases it is from 60-90 days. 
The specialists in this field divide the world to three epidemic sections: high, average and low regarding the spread of this virus. There is a strong concern about environment and vaccination for protection from the disease. In fact, according to the number of people affected and the magnitude of the spread of the disease strategies are devised for protection. 
It happens in the following ways: in the transfusion of the blood which already contains the virus, when giving injections, using sharp tools that are used before, cupping, tattooing and by unclean wounds. It also happens when there are unsecured births and when having illegal sexual intercourse. The horrible end of all this, is a dangerous disease that leads at the end to certain death. 
The symptoms of this disease are fever, colic accompanied by throwing up, loss of appetite, and sometimes pains in the joints. This scarcely develops into the appearance of jaundice. 
When some one contracts this virus he may get a terrible hepatitis that will result in his death within few days or weeks. He may also recover soon and get immunity. In extreme or chronic cases, the liver may become cirrhotic or lead to cases. 
For protection we can follow these procedures: taking care of our environment and keep it always clean, taking vaccinations, making sure that blood does not carry this virus, not using injections more than once, getting rid of sharp tools, antisepticize medical tools, not using others’ tools and obtaining from illegal sexual intercourse and use of condoms should be used. 
This depends upon health organizations that are specialized in this field. It also differs from one place to another according to the size of the problem, the number of the people affected, the spread of the disease and the main districts it is spread in. 
It is worth mentioning that the International health organization aims at including this disease among the six children’s diseases that should be vaccinated. This is why we see it supporting programs that carry out this mission with a humanitarian aim to protect children of the world and take care of their health. The target groups are the medical group, health group, technical group, working group, all those carry the virus, emergency team, police, fire brigade, workers of the municipality, patients whom have nephritic washing, those who have sex in an illegal way, those addicted to narcotics and those interested in traveling around the world. 
1- Specify those who are more liable to get this disease. 
2- Launch informative campaign aimed at making people aware of this disease and provide vaccinations for the the affected people. 
3- Organizing the vaccination process by making colored cards for each age group and making files for the vaccination process. 
4- The vaccination should be either in the thigh or in the hand’s upper muscle. The infant whose mother is affected should be vaccinated after 12 hours of their birth while those whose mothers are not affected should have the first dose after a month of his birth, the second after a month of the first dose and the third after six months of the first dose. 
5- The vaccinations should be kept and carried by vaccination-keepers with bars of ice within 4-8 c¡. They should also be kept in special fridges. 
1- Vaccination gives immunity for about seven weeks or more. 
2- Vaccination gets 90% positive results of the overall number of vaccinated cases. 
3- The complications resulted from vaccination are simple and soon disappears. 
4- Regarding the number of doses there two opinions: the first says that all doses should be taken all. The second opinion indicates that only one dose is to be taken. Statistics shows that 23% of pregnant women and 14% of children of in different ages are affected by this virus. 
1- “YES” for vaccination when the results of the check-ups are negative regarding Anti-HBc, HBsAg and Anti-HBs, HBsAg. 
2- There is no need for the vaccination when the result of the check-ups is different form the above. 
3- Health organizations emphasize that vaccination is safe and has not any dangerous complications. The focus is on the children, pregnant mothers. The vaccination is available in all hospitals in Aden and there are also well qualified doctors who are taking care of this