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TRAVEL HEALTH
HEPATITIS

Red Line

Hepatitis is inflammation of the liver. When travelling abroad, there may be increased risk of exposure to the more common causes of the illness so prevention and self-care are important.

Causes and risk factors:

Hepatitis can be caused by bacterial or viral infections, infestation with parasites, chemicals (alcohol or drugs), toxins, or immune diseases. It can be short-term (acute), long-term (chronic), or life-threatening (fulminant). Hepatitis can cause permanent liver damage.

Some forms of infectious hepatitis are transmitted through blood products, some through eating contaminated food, some through sexual contact and some through unknown means.

Specific types of hepatitis include:

Bullet Hepatitis A

Bullet Hepatitis B

Bullet Hepatitis C

Symptoms:

Bullet Jaundice (Yellow skin and eye whites) Bullet Loss of appetite
Bullet Dark urine ('cola' coloured) Bullet Nausea and vomiting
Bullet Loss of appetite Bullet Low grade fever
Bullet Fatigue/tiredness Bullet Pale or clay coloured stools
Bullet General discomfort or feeling ill Bullet Abnormal taste
Bullet Abdominal distention Bullet Abdominal pain
Bullet Generalised itching Bullet Indigestion
Bullet Nosebleeds Bullet Depression
SELF-CARE

What you can do yourself

PREVENTION

Prevention of hepatitis varies with each type of infection. Some general precautions to reduce the chance of contracting hepatitis or other infections include:

1 Avoid contact with blood or blood products whenever possible.

2 Avoid sexual contact with a person infected with hepatitis, someone you suspect uses drugs, or a person with unknown health history. Practice safe sex.

3 Wash hands thoroughly after using toilet facilities or if there is contact with anyone's blood, faeces, or body fluids.

4 Hepatitis A and B vaccine is available if you are travelling to high risk areas (check with your local Travel Clinic).

Hepatitis A

In this case, there is an inflammation of the liver caused by the Hepatitis A virus.

The Hepatitis A virus is shed in the stools (faeces) of an infected person two to three weeks before symptoms occur and during the first week of the illness. Blood and secretions may also be infectious. This form of hepatitis is transmitted by eating or drinking contaminated food or water. The virus does not remain in the body after the infection has resolved, and there is no carrier state (a person who spreads the disease to others but does not become ill). The symptoms of Hepatitis A are similar to the flu, but the skin and the eyes may become yellow (jaundiced) because the liver is not able to filter bilirubin from the blood. Approximately 1 in 10,000 people suffer from Hepatitis A.

What you can do yourself

Prevention by following guidelines on water care is essential at all times. Transmission of the virus can be reduced by thorough hand washing after going to the toilet. This also applies if there is any contact with an affected person's blood, faeces, or any body fluids.

Rest is recommended during the first stages of the disease when the symptoms are most severe.

People with acute hepatitis should avoid alcohol and any substances that are toxic to the liver.

Contact a doctor

Bullet If you have some or most of the symptoms listed above or are getting more unwell.

Bullet If you think you may have been at risk.

Bullet If you may be at increased risk of becoming more unwell through already suffering from another major illness.

To order your copy of a What should I do? booklet
use one of the following methods:

On-line Shop

Phone: +44 (0) 23 8022 9041

Fax: +44 (0) 23 8022 7274

Email: info@whatshouldido.com

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