Hepatitis B: guidance, data and analysis
The characteristics, diagnosis, management and epidemiology of hepatitis B.
Hepatitis B virus (HBV) is a viral infection carried in the blood causing inflammation of the liver and potentially long term damage. The virus is transmitted by contact with an infected person바카라 사이트™s blood or body fluids. Hepatitis B is vaccine preventable.
The average incubation period for hepatitis B is 40 to 160 days. Some people experience flu-like symptoms including sore throat, tiredness, joint pains and nausea. Acute infection can be severe and cause abdominal discomfort and jaundice. There is also a liver-damaging chronic state of hepatitis B that is infectious and may be asymptomatic (without symptoms). Some people with hepatitis B go on to develop cirrhosis or liver cancer.
Acute infectious hepatitis is a notifiable disease in England and Wales.
See NHS.UK for .
Diagnosis and management
Vaccination
Pre and post exposure vaccination recommendations and details of UK routine and selective immunisation programmes are in the Immunisation against infectious disease 바카라 사이트˜The Green Book바카라 사이트™. Post exposure prophylaxis guidance for hepatitis B are adapted from the .
Infants born to hepatitis B infected mothers
All pregnant women should be offered and recommended screening for hepatitis B in every pregnancy as part of the NHS Infectious Diseases in Pregnancy Screening (IDPS) programme.
The are located on the NHS website.
The hepatitis B infant universal and selective immunisation programme is set out in the Green Book chapter 18 on hepatitis B and summarised in the routine childhood immunisation schedule.
Resources including guidance, leaflets and educational materials are available to support professionals in the delivery of the hepatitis B screening and immunisation pathways. A containing links to all the resources is available free to order or download.
Data collection
Epidemiology
For most recent published data on hepatitis B in England, see 바카라 사이트˜Acute Hepatitis B (England): annual reports바카라 사이트™ below.
Data from the (including hepatitis B) are available.
(and other blood-borne virus testing) are available.
Updates to this page
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Added 'Hepatitis B in England' under Epidemiology.
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Added order link for the hepatitis B screening and immunisation pathways resources leaflet.
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Added Enhanced surveillance of childhood cases of hepatitis B and C in England.
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Added 'Sentinel surveillance of blood borne virus testing in England 2019'
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Added links to new antenatal screening guide and routine childhood immunisation schedule.
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Added 'Acute hepatitis B (England) enhanced surveillance reports' under Epidemiology.
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Added: Hepatitis B virus (HBV) regional reports.
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Added hexavalent combination vaccine programme guidance.
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Added new hepatitis B pathway resource leaflet.
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Added the hepatitis B leaflet and aide memoire.
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Added Hepatitis B vaccine advice for dental professionals.
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Added 'Hepatitis B vaccine recommendations during supply constraints'.
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Added a guide to the national enhanced surveillance of acute hepatitis B, and an additional enhanced surveillance questionnaire for newly diagnosed cases.
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First published.