The doctor said that I'm pretty healthy now, although I was bedridden for about two weeks during which time I changed my diet substantially to eat more fruits and vegetables and less red meat per the advice of the physician. I have also substantially increased my fluids intake -- I now drink eight glasses of water a day. The physician told me that for someone with my degree of health, the main thing is to attempt to prevent any further inflammations or flare up of this virus. He said that as long as I continue to maintain my health, the only things we have to do is carefully monitor my liver, primarily with blood tests, and to stay cognizant of any other potential hazardous effects to related bodily functions (Dugdale, 2010). That way I can avoid anything drastic, such as the need for a liver transplant.
Although the acute stage…...

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References

Dugdale, D.C. (2010). "Hepatitis B" PubMed Health. Retrieved from  http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001324/ 

World Health Organization. (2012). "Hepatitis B" Global Response Alert. Retrieved from  http://www.who.int/csr/disease/hepatitis/whocdscsrlyo20022/en/index1.html#who

(Kanwal et al.) However, it has been found that in many cases alternative strategies to medication are often more effective. The following are a list of commonly prescribed drugs as approved by the FDA and their wholesale prices as of 2005.
Lamivudine (100 mg) - monthly cost $204- annual cost $2,482

Adefovir (10 mg) - monthly cost $546 - annual cost $6,647

Entecavir (0.5 mg) - monthly cost $715 - annual cost $8,694

Peginterferon alfa-2a (180 mcg) - monthly cost -$1,540 - annual cost $18,480

Emtricitabine (200 mg) - monthly cost $318 - annual cost $3,872

Tenofovir (300 mg) - monthly cost $478 - annual cost $5,811

( Hepatitis B Foundation, B Informed Newsletter, No. 46, Summer 2006)

eferences

Approved Drugs for Adults. July 17, 2009.



Kanwal et al. Treatment Alternatives for Chronic Hepatitis B Virus Infection: A Cost-

Effectiveness Analysis. Annals of Internal Medicine. Vol. 142, 10. July 17, 2009.



Hepatitis. July 17, 2009.



Hepatitis B July 17, 2009.



Hepatitis B: Brown.Edu.…...

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References

Approved Drugs for Adults. July 17, 2009.

Kanwal et al. Treatment Alternatives for Chronic Hepatitis B Virus Infection: A Cost-

Effectiveness Analysis. Annals of Internal Medicine. Vol. 142, 10. July 17, 2009.

Hep B
The Causative Agent

Hepatitis is a viral infection of the liver. The primary microbe responsible for the manifestation of the disease is the Hepatitis B virus (HBV), which is a member of the hepadnavirus family. Other members of the hepadnavirus family affect both birds and small mammals including squirrels and woodchucks, but humans are the only known mammals to be susceptible to Hepatitis B in particular (Hepatitis B; McLachlan, 1991). Hepadnaviruses are double-stranded and double-shelled DNA. The Hepatitis B virus itself is only 42-nm with an electron-dense core of 27 nm (Zuckerman, 1996). It has a small genome but also has many antigenic compounds including HBsAg, HBcAg, and HBeAg. It is therefore highly resilient and can remain without a host for up to one week (Hepatitis B). Moreover, the hepatitis B virus replicates with reverse transcription, which is unusual (Zuckerman 1996).

Demographics, Morbidity and Mortality

About 2 billion people worldwide have been…...

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References

Blumberg, BS. 2002. The hunt for a killer virus. Princeton: Princeton University Press.

Hepatitis B In: Green Book Chapter 18, v. 2. Available online:  https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/263311/Green_Book_Chapter_18_v2_0.pdf 

Hepatitis B In: Pink Book. CDC. Available online:  http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/hepb.pdf 

McLachlan, A. 1991. Molecular biology of the hepatitis virus. CRC Press.

7. The limitations of the study are minimal, including only the fact that the study demonstrates only minimal literature review and would be strengthened by such review, specific to Uganda and not only inclusive of the whole of the region or the whole of Africa. This may be in part due the severely limited set of research information from which to pull from, but if so this is not explained in the work but must then be assumed by the reader.

8. This work is generalizable but it could be challenging to develop the behavior review aspect of the study among different populations due to compliance and privacy issues. Yet, with the assurance of anonymity the study could be repeated and would be helpful elsewhere, where HBV is endemic. The research study might also be better served if it is conducted among other medical and medical support professionals in the nation…...

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Works Cited

Pido, Bongomin & Kagimu, Magid Prevelence of Hepatitus B virus (HBV) Infection Among Makerere University Medical Students. African Health Sciences, 5(2) June 2005, 93-98.

Hepatitis B
There are a couple of different concerns for public health pertaining to Hepatitis B. Probably the most salient of these relates to the fact that this condition can be transferred amongst people via unprotected sexual activity. In this respect, this condition is just one of the many that people can incur through unsafe sex. Additionally, public health concerns related to Hepatitis B revolve around the fact that contact with an infected person's blood can infect others. Thus, health care practitioners must be extremely careful when treating people with this condition. Finally, sharing items for personal hygiene and needles is a point of concern for patients with Hepatits B, because such sharing is another way in which this disease is transferable.

The chain of this infection can be interrupted in a couple of different ways. Perhaps one of the most important of these is to treat this condition and stop…...

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References

Hepmag. (2010). Hepatitis B: the basics. www.hepmag.com Retrieved from  http://www.hepmag.com/articles/2511_18747.shtml 

Ma, G., Gao, W., Tan, Y., Chae, W., Rhee, J. (2012). A community-based participatory approach to a hepatitis B intervention for Korean-Americans. www.ncbi.nlm.nih.gov / Retrieved from  http://www.ncbi.nlm.nih.gov/pubmed/22643783 

World Health Organization. (2015). WHO issues its first hepatitis B treatment guidelines. www.who.int / Retrieved from  http://www.who.int/mediacentre/news/releases/2015/hepatitis-b-guideline/en/

This implies a crisis for the Asian community in proportion to the AIDS epidemic. The medical community erroneously has been the typical Caucasian model for the diagnosis and treatment which entails that Asians are the same make up as Caucasians. The hepatitis B virus has been rampant in Asia and a large percentage of mothers pass it on to their children during birth. Although the virus infects males and females equally, it usually kills Asian males more often through the inherent cancer or liver disease. Asian children grow up healthy because the dormant virus hides in the liver and unleashes its destructive power during young adulthood. Therefore, Asian men in their 20's or 30's are at a high risk for liver cancer. Unfortunately, being born in the United States as opposed to Asia has not made a difference in the Asian population.
The serological results presented help to provide insights…...

Epidemiological Aspects of Hepatitis B in Community-Based Health
Educating About Hepatitis B

Overview of Hepatitis B Epidemiology

Hepatitis B is caused by infection with the Hepatitis B virus (HBV) ("CDC," 2012). The highest concentrations of HBV are found in blood, while other body fluid, such as semen, vaginal secretions, and wound exudates, show lower concentrations ("CDC," 2012). HBV infection can be either chronic or self-limited ("CDC," 2012). The incubation period can range from 6 weeks to 6 months from the time of initial exposure to the onset of symptoms ("CDC," 2012).

oughly half of newly acquired HBV infections in adults are symptomatic. Acute liver failure and eventual death occurs in 1% of all reported cases ("CDC," 2012). The age of infection shows an inverse relationship to chronic infection. Accordingly, 2 to 6% of adults suffer from chronic infection, while 30% of children five years and under and 90% of infants become chronically infected ("CDC,"…...

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References

Centers for Disease Control and Prevention (CDC) Hepatitis B Information for Health Professionals. [Web] Retrieved  

epidemiology nursing research a communicable disease. Communicable isease Selection Choose communicable disease list: 1. Chickenpox 2. Tuberculosis 3. Influenza 4.
Communicable diseases according to (Copstead & Banasik, 2010) is a condition or infection that is transmissible through coming into contact with an infected person. Contact with the infected person comprises of contact with an infected person bodily fluids (blood, saliva, or mucus), droplets, and/or air or food (Copstead & Banasik, 2010). Coming into contact in any of the above ways contributes to individual's illness. The pathogens transmitted through the body fluids and air encroaches upon the body compromising the normal functioning of body cells. This compromise may have differing impacts upon an individual's health ranging from a terminal illness to death.

Hepatitis BCommunicable isease: Hepatitis B

Communicable diseases are diseases that can be transmitted via contact, droplet, air/food borne, blood, bodily fluids or congenital infection and cause individuals to become ill. The…...

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Demographics

Approximately 60,000 people die every year from HBV (WHO, 2013). There are about 200 billion people living around the world with HBV with an estimated 1.2 million living in the United States (CDC, 2013). In 2011, the United States was estimated to have 18,800 actual new cases of the HBV (CDC, 2013). Those who are at greatest risk for developing HBV are Asian and Pacific Islanders, African-Americans, gay and bisexual individuals, those who have multiple sex partners and do not practice safe sex or are intravenous drug users. Gay and bisexual men make up 20% of new HBV cases and 50% Asian and Pacific Islanders are living with HBV (CDC, 2013). Most Asian and Pacific Islanders were infected with HBV as infants or children and 1 in 12 are living with it and are not even aware.

According to 2013 World Health Organization's publication, approximately sixty thousand people die every year due to HBV infections. In the globe, an estimate of about two billion persons are infected with 1.2 million of this [persons living in the United States (World Health Organization, 2013). Individual at the greatest risk of acquiring HBV infections include; African-Americans, Asian, Pacific Islanders, bisexual and gay individuals. Additional to the persons

The surgeon had admitted to applying hemostatic material to sternal incisions without the use of sponges, which is not recommended due to the possibility of glove tears and percutaneous contact. Therefore, there is atleast some evidence for 'inadequate infection control'. However, it must be added that the rare percutaneous exposure does not account for the high rate of infection as identified in this study.
Since it is well-known that H infections tend to be asymptomatic in almost 70% of the cases, it increases the risk factor of the physician transmitting the virus unknowingly. [3] Health care workers (HCW) who perform invasive procedures are obligated to know their serological status for HIV, H and other chronic infectious conditions. Medical practice of HeAg-positive health care worker should be carefully monitored and restricted as the health Canada panel recommended recently. [4] latant or negligent violations in this respect, on the part of the…...

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Bibliography

1) Gerlich WH, 'Hepatitis B and C. Risk of transmission from infected health care workers to patients' Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz., 2004 Apr;47(4):369-78

2) Rafael Harpaz MD & Lorenz Von Seidlein et.al, 'TRANSMISSION OF

HEPATITIS B VIRUS TO MULTIPLE PATIENTS FROM A SURGEON

WITHOUT EVIDENCE OF INADEQUATE INFECTION CONTROL',

Hepatitis B screening for health care workers in primary health care
The cause for Hepatitis B is a DNA virus and the complete virus has the name 'Dane particle'. The virus contains three major antigens in structure: The surface antigen, the core antigen and e antigen. Hepatitis B is more prevalent among certain population groups and this group contains the health care workers also. (Hepatitis B Seronegative Commonalties in Health Care Workers. Seronegative Commonalties). The susceptibility for health care workers exists for a variety of infections due to the nature of their work. All workers for health care like physicians, nurses, emergency medical personnel, dental professionals and students, medical and nursing students, laboratory technicians, hospital volunteers and even administrative staff are at risk due to their regular contact with patients and their infected material. These diseases are preventable with suitable vaccines. It is thus very important to maintain immunity for…...

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References

Duties of Care" (1998) Retrieved at   (Accessed: 2004, 16 August)http://www.safetyline.wa.gov.au/institute/level2/course20/lecture81/l81_07.asp 

General Health Encyclopedia: Hepatitis B" Retrieved at   (Accessed: 2004, 16 August)http://www.healthcentral.com/mhc/top/000279.cfm 

Hepatitis B" Retrieved at (Accessed: 2004, 16 August)http://cancer-symptoms.org/hepatitis-b.htm

Hepatitis B" Retrieved at   (Accessed: 2004, 16 August)http://www.cpmc.org/advanced/liver/patients/topics/hepb.html 

Bastani, R., Glenn, B. A. et al. (2014, May 1). Developing theoretically based and culturally appropriate interventions to promote hepatitis B testing in 4 Asian-American populations, 2006-2011, Preventing Chronic Disease, 11. DOI: http://dx.doi.org/10.5888 / pcd11.130245.
Identify the health behavior theory used in this article

According to Maxwell et al. (2014), this study used a health behavior framework that was a synthesis of several major theories concerning health behavior.

Identify the level of intervention targeted by the intervention (individual, interpersonal, community)

he intervention of this study was at the community level for selected Vietnamese, Cambodian and Hmong populations.

Identify the intervention strategy used in this article and provide your assessment of its appropriateness

o their credit, Maxwell and her associates (2014) used intervention strategies that were specifically designed to ensure maximum coverage of the targeted populations in an effort to promote hepatitis B testing in community settings rather than clinical settings due to their paucity of regular…...

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The novel health behavior framework developed by Maxwell et al. (2014) was comprised of the constructs that were most relevant for hepatitis B testing that were identified through a systematic review of the literature. In this regard, Maxwell et al. (2014) report that, "We reviewed intervention programs that had been implemented successfully in the population in the past. These factors guided the overall intervention approach in each group (e.g., mass media, home visits by lay health workers)" (p. 2). Based on these findings, Maxwell and her associates (2014) incorporated feedback from community advisory boards to promote cultural appropriateness for their intervention.

5. Provide your assessment of why this theory would or would not be a good fit for the program you are proposing for your Health Promotion Program Proposal

The overarching factor that emerged from the Maxwell et al. (2014) study was that there is rarely a one-size-fits-all approach to developing the most efficacious interventions for different populations and a good fit for a specific program must be carefully created. The fact that these researchers invested significant amounts of time and effort in crafting the custom health behavior framework, including soliciting feedback from community advisory groups concerning the cultural appropriateness of their model indicates that this same approach would be useful for the envisioned health promotion program.

infection prevention and control theory, critically discuss the challenges of managing Hepatitis in the community
One of the key public health issues that impacts innumerable individuals worldwide is viral hepatitis. This virus leads to substantial human mortality and morbidity from severe infection as well as chronic sequelae (including cirrhosis and chronic active hepatitis (with regard to hepatitis , C & D). One among the ten commonest cancers that emerges across the globe -- hepatocellular carcinoma -- has been found to be linked closely to hepatitis as well as, in some areas across the globe, to hepatitis C (Zuckerman., 2003).

HV or Hepatitis virus which belongs to the hepadna virus cluster is a double-stranded DNA virus that, atypically, gets reproduced via reverse transcription. HV is endemic among humans and even hyper-endemic in several areas across the globe. Researchers have delineated various variants of the HV virus. Natural infections by…...

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Bibliography

Beltrami, E., Williams, I., Shapiro, C., & Chamberland, M. (2000). Risk and Management of Blood-Borne Infections in Health Care Workers. Clin Microbiol Rev., 385 -- 407.

Baumert TF, Blum HE. (2000). Hepatitis B virus mutations: molecular biology and clinical relevance. Vir Hep Rev.6:177 -- 192

Baumert TF, Barth H, Blum HE. (2005) Genetic variants of hepatitis B virus and their clinical relevance. Minerva Gastroenteroldietol. 51:95 -- 108.

Baumert TF, Rogers SA, Hasegawa K, Liang TJ. (1996). Two core promotor mutations identified in a hepatitis B virus strain associated with fulminant hepatitis result in enhanced viral replication. J Clin Invest. 98:2268 -- 2276.

Immunization Vaccine # 1
Name of Vaccine
Rotavirus vaccine
Trade Name
RotaTeq®
Type of vaccination
Attenuated
Contraindications
· The previous dose of the Rotavirus vaccine was suspected of having a life-threatening allergic reaction.
· Any component of the rotavirus vaccine was suspected of having a severe allergic effect.
· Rotavirus vaccine was suspected of having Severe immunodeficiency (SCID).
Precautions
Anyone taking the Rotavirus vaccine should take several precautions, which include: pre-existing acute gastrointestinal conditions such as short gut syndrome or Hirschsprung’s disease and congenital malabsorption syndrome. Another precaution to take is
chronic gastroenteritis. (Salvadori & Saux, 2010).
Adverse Drug Reactions
Some of the reactions that might be triggered by the vaccine include swelling on both throat and face, increased heartbeat, drowsiness, and breathing complications (CDC, 2019).
Minimum Age to Receive Vaccine
All Rotavirus vaccine doses should be given to children between 15 weeks and 8 months. (CDC, 2019).
Routine Recommended Vaccine Schedule
The dose should be initiated to children at 2nd ,4th, and 6th months.
Minimum Interval Between Doses
The recommended spacing…...

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References

Centers for Disease Control and Prevention. Routine vaccine recommendations. Retrieved from  

Centers for Disease Control and Prevention. Special situations. Retrieved from https://www.cdc.gov/vaccines/

Mayo Clinic. (2020). Hepatitis B vaccine (Intramuscular route). Retrieved from  https://www.mayoclinic.org/ 

Otsuka-Ono, H., Hori, N., Ohta, H., Uemura, Y., & Kamibeppu, K. (2019). A childhood immunization education program for parents delivered during late pregnancy and one-month postpartum: a randomized controlled trial. BMC Health Services Research, 19. Retrieved from  https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4622-z 

Rogers, K. (2019). Immunization noncompliance: Gauging the cause, effect, and management in the school setting. NASN School Nurse, 34(3).  https://doi.org/10.1177/1942602X18799868 

Salvadori, M., & Saux, N. (2010). Recommendations for the use of rotavirus vaccines in infants. Paediatr Child Health, 15(8), 519-523. DOI: 10.1093/pch/15.8.519.

Sjogren, E., Ask, L., Ortqvist, A., & Asp, M. (2017). Parental conceptions of the rotavirus vaccine during implementation in Stockholm: A phenomenographic study. Journal of Child Health Care, 21(4).  https://doi.org/10.1177/1367493517734390 

VAERS. (2020). Report an adverse event to VAERS. Retrieved from  https://vaers.hhs.gov/https://www.cdc.gov/vaccines/vpd/rotavirus/hcp/recommendations.html 

hepatitis of the liver and how they are transmitted to how we can find a remedy to slow down the deterioration process if not cure it completely.
Hepatitis

Hepatitis A

Hepatitis B

Causes of hepatitis B

Transmission of hepatitis B

Symptoms

Tests for hepatitis B

Self-protection

Hepatitis C

isk Factors for HCV Infection

Consequences of HCV Infection

Diagnosis

Hepatitis is the disease connected with the inflammation of the liver. This disease was not discovered too long ago, however doctors and researchers have been able to find out the causes of hepatitis. There are several causes such as, viral, parasitic, infiltrative, drug or alcohol induced, or non-specific. Before a person is even diagnosed with this disease some of the prominent indications of the acute phase can be ranging from a symptomatic, where we may not even be able to notice we have hepatitis to feeling extremely tired, jaundice- where our skin or our eyes become yellow, nausea, vomiting, or even diarrhea.

When the concerned…...

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References

A Commitment to Global Health - Text version, available at:

  accessed on:http://www.niaid.nih.gov/director/usmed/1999/usmed99text.htm ,

February 9, 2004

BioE: News and Press Releases, available at: accessed on: February 9, 2004http://www.bioe.com/news.html,

Hepatitis C: New CDC Screening Recommendations
The objective of this study is to review the article written by Doug Campos-Outcalt entitled "Hepatitis C: New CDC Screening Recommendations" published in the Journal of Family Practice, Volume 61, Number 12 in December 2012.

Campos-Outcalt (2012) writes that the Centers for Disease Control and Prevention (CDC) released new recommendations for Hepatitis C virus (HCV) infection screening including a one-time screening for all individuals in the United States that were born between the year of 1945 and 1965 "regardless of risk." The new recommendations are reported to be rather than a replacement to be instead an enhancement of "the recommendations for HCV screening" stated in 1998 calling for those who were considered high-risk to be screened.

HCV results in a high level of morbidity and mortality in the United States. There are reported to be 17,000 new infections to have occurred in 2010 with approximately 2.7 to…...

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It is reported that the two groups at the highest risk for HCV are those who are users of illegal drugs, which they injected, and those who received blood transfusions prior to 1992 when HCV blood screening began. There are other risk factors, which include having been incarcerated, having sex with someone infected with HCV, and the acquisition of a tattoo at an establishment that was unregulated, among others risk factors for contracting HCV. According to Campos-Outcalt, sustained virological response following treatment was demonstrated in individuals exhibiting a "reduction in all-cause mortality >50% compared with nonresponders." (Campos-Outcalt, 2012) Individuals born between 1988 and 1994 are much more likely to have contracted HCV than those born between 1999 and 2002.

Observational Studies and Reported Outcomes

Twelve observational studies are reported that examined treatment effects on the incidence of HCC and are reported to have shown a "75% reduction in HCC rates in those who achieved viral clearance compared with those who did not." (Campos-Outcalt, 2012) Physicians are advised that if there is a positive on a confirmatory test that the patient should be assumed to have HCV infection. The patient must decide if treatment is to be initiated and must undergo additional assessment to check for chronic liver disease. Measures should be taken to protect their liver from receiving additional damage including alcohol consumption reduction, medication avoidance and use of herbal products that result in liver damage. Patients infected with HCV should focus on the maintenance of an optimal weight and should receive vaccines against hepatitis A and B. AS well, patients should be instructed on how to avoid spreading the HCV infection to other people. There is noted by Campos-Outcalt (2012) to be controversies on HCV screening in regards to improvements in outcomes. For this reason the U.S. Preventive Services Task Force is presently conducting a revisement of the HCV recommendations for screening.

1. The Impact of Immunizations on Public Health
2. Debunking Myths About Immunizations
3. The History and Development of Vaccines
4. The Importance of Childhood Immunizations
5. Immunizations: Protecting Against Preventable Diseases
6. The Controversy Surrounding Immunizations
7. Immunizations: A Global Perspective
8. The Economics of Immunizations
9. Immunizations for Adults: Why They Are Important
10. The Future of Immunizations: Advances and Challenges
11. Common childhood vaccines include the measles, mumps, and rubella (MMR) vaccine, polio vaccine, hepatitis B vaccine, diphtheria, tetanus, and pertussis (DTaP) vaccine, varicella (chickenpox) vaccine, Haemophilus influenzae type b (Hib) vaccine, and the pneumococcal conjugate vaccine. These....

Essential Immunizations for Infants and Children
Immunization plays a crucial role in protecting infants and children from a wide range of potentially life-threatening diseases. The recommended immunization schedule is based on the best available scientific evidence and is designed to provide optimal protection at different stages of development.
Immunization Schedule
The following is the recommended immunization schedule for infants and children in the United States, as outlined by the Centers for Disease Control and Prevention (CDC):
0-6 months:
Hepatitis B (HepB)
Rotavirus (RV)
Diphtheria, Tetanus, and Pertussis (DTaP)
Haemophilus influenzae type b (Hib)
Pneumococcal conjugate (PCV13)
6-18 months:
DTaP (2nd and 3rd doses)
Hib (2nd....