\u2022 Regular Screening among high-risk population is the key factor in identifying hepatitis patients and linking them to care. The UAE government\u2019s health sector is proactive in its effort to build sustainable systems for HCV screening and treatment.
\n\u2022 Focus on primary care physician education. This is an important step, as awareness will support the UAE\u2019s tremendous efforts and commitment to eliminate hepatitis as per WHO guidelines.
\n\u2022 Periodic screening for HCV in persons are in the risk groups. After a person exposed to HCV becomes infected, virus particles can be detected within 1-2 weeks. Liver function tests also tend to rise during this time frame.
\n\u2022 After a positive diagnosis, it is important to speak to a liver specialist and to start medication, finishing the course, with follow up meeting with the specialist and repeating treatment until cleared or negative.<\/div>\n<\/p><\/div>\n
What are the symptoms?<\/h3>\n
Viral hepatitis is asymptomatic; even in the most acute cases it presents flu-like symptoms. Chronic HBV can produce no symptoms in its earlier stages, meaning many individuals are unaware that they have contracted the infection until they have advanced liver disease. Within HBV, some people have acute illness with symptoms that last several weeks, including yellowing of the skin and eyes (jaundice), dark urine, extreme fatigue, nausea, vomiting and abdominal pain. A small subset of persons with acute hepatitis can develop acute liver failure, which can lead to death. Chronic HBV infection can persist for years without causing any noticeable symptoms. Many people are unaware they are infected and do not seek treatment. Potentially fatal liver disease can be caused by HBV, which is more easily transmitted than HIV.<\/p>\n
Which section of the population is most vulnerable to HPV infections?<\/h3>\n
HBV is contagious and can be spread through direct contact with infected blood, blood products or other bodily fluids. Complications commonly associated with chronic HBV include scarring of the liver (cirrhosis), liver failure and liver cancer. HBV can be transmitted by any activity that involves exposure to blood and other body fluids, including sexual contact and use of contaminated needles during injection drug use. It can also be transmitted from mother to child at birth. Occupational exposure to blood and other body fluids is among other modes of transmission.<\/p>\n
What is the prognosis once you contract the infection?<\/h3>\n
While most new cases of HBV infection in previously healthy adults are cleared by the immune system within a few months, many people \u2014 especially those infected as newborns and young children \u2014 will develop chronic, lifelong infections. In these cases, chronic HBV can slowly destroy the liver, causing scarring (cirrhosis), liver disease, or liver cancer over many years or decades. Because it is believed to be the cause of 80 per cent of all liver cancer cases worldwide, HBV is second only to tobacco among known human carcinogens. Although there is no simple cure for chronic hepatitis B, antiviral treatment can slow viral replication and therefore reduce liver inflammation and liver injury.<\/p>\n
HCV remains one of the leading causes of preventable death globally. HCV can be transmitted through perinatal transmission, haemodialysis, blood transfusions, unsafe sterile practices, for example, at dental clinics, tattoo parlours. Public health experts now believe that it is possible to eliminate the disease through targeted treatment, with HCV elimination programmes having a tremendous impact on global health, averting mortality from HCV-related complications each year. Currently, no vaccine exists for HCV and, until recently, treatment could take six to 12 months, often with debilitating side effects and low cure rates.<\/p>\n
How can one avoid HPV?<\/h3>\n
The general population can drastically reduce risk of infection by adhering to safe hygiene and clinical practices, further to avoiding risky behaviours, such as sharing needles, having unprotected sex and drinking large amounts of alcohol. Vaccines are available for HBV.<\/p>\n
Is vaccination the best way to prevent hepatitis?<\/h3>\n
Vaccination is mandatory for HBV in the UAE, especially within certain professions. That had led to significant decrease in incidence and prevalence. However, currently, there are no vaccines available against HCV.<\/p>\n
What else is Gilead offering to combat hepatitis in the UAE?<\/h3>\n
Gilead is actively supporting the World Health Organisation\u2019s (WHO\u2019s) worldwide efforts to eliminate HCV by 2030. Since 2013, more than 1.7 million people living with HCV in low- and middle-income countries have been treated with Gilead HCV regimens. For more than two decades, Gilead has worked to improve care for people living with chronic HBV. While a vaccine exists for HBV, developing a cure is a more complex challenge than it is for HCV. Such a cure will need to combine multiple drugs that inhibit viral replication while simultaneously eliminating HBV DNA from all infected liver cells.<\/p>\n
![](\"https:\/\/imagevars.gulfnews.com\/2021\/07\/25\/NAT-210711-HEPATITIS-1-1627222733694_17ade08737f_original-ratio.jpg\")
Gilead is at the forefront of advancing care for patients with liver disease, with four breakthrough treatments for HCV.
\n Image Credit: Supplied<\/span><\/figcaption>In the UAE, beyond just treatment, Gilead is supporting medical education workshops directed mainly for primary care physicians and nurses. As part of these efforts, Gilead has initiated the \u201cMA\u2019AK\u201d Patient Assistance Programme, which aims to support access to Gilead HCV medicines for patients facing affordability barriers. The MA\u2019AK programme complements efforts by authorities to eliminate HCV, by enabling patients to access and complete their full course of treatment.<\/p>\n
Apart from vaccinations what else can be done in the prevention of hepatitis (educational campaigns, screenings etc)?<\/h3>\n
Gilead is at the forefront of advancing care for patients with liver disease, with four breakthrough treatments for HCV. Similarly, we are developing innovative treatments to manage or potentially cure chronic HBV infection. In addition, we seek to remove barriers to testing and treatment for at-risk individuals and expand access to our therapies. We are working toward this target by actively supporting the efforts of governments, patient organisations, payers and health care providers to increase awareness, drive screening and facilitate linkage to care.<\/p>\n
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Dubai: Periodic screening, due awareness, a systematic treatment regime and vaccinations can help prevent the spread of viral hepatitis, doctors in the UAE have alerted ahead of World Hepatitis Day on July 28. 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