Hepatitis A, B, C Direct Inoculation Kristen Anderson, Natalie Beal, Lisa Cabrera Azusa Pacific...
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Transcript of Hepatitis A, B, C Direct Inoculation Kristen Anderson, Natalie Beal, Lisa Cabrera Azusa Pacific...
![Page 1: Hepatitis A, B, C Direct Inoculation Kristen Anderson, Natalie Beal, Lisa Cabrera Azusa Pacific University GNRS 587.](https://reader036.fdocuments.us/reader036/viewer/2022062716/56649dd25503460f94ac8488/html5/thumbnails/1.jpg)
Hepatitis A, B, CDirect Inoculation
Kristen Anderson, Natalie Beal, Lisa CabreraAzusa Pacific UniversityGNRS 587
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● Inflammation of the liver
● Refers to viral infections of the liver
● Most common types:o Hepatitis A, Hepatitis B & Hepatitis C
● Viral Hepatitis is the leading cause of liver cancer and liver transplant
● Symptoms: loss of appetite, N/V, dark urine, fatigue, fever, grey-colored stool, abdominal pain, joint pain, & jaundice
What is Hepatitis?
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Similarities and DifferencesViral Infection Acute vs. Chronic Transmission Vaccination
Hepatitis A (HAV)
Acute condition—usually last weeks to several months and resolves itself
Oral-Fecal Vaccination available:Series began in early childhood & rec. before travel to specific countries
Hepatitis B (HBV)
Can be both Acute (lasting a few weeks) or Chronic (leading to cirrhosis or liver cancer)
Bodily Fluids—sharing of needles and sexual intercourse
Vaccination available: recommended to begin vaccination series in early infancy
Hepatitis C (HCV)
Chronic condition—can lead to cirrhosis and liver cancer
Bodily Fluids—sharing of needles and sexual intercourse
No Vaccination
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● Hepatitis Ao 15 to 50 days (average is 28 days)
● Hepatitis Bo 45 to 160 days (average is 120 days)
Virus can survive outside of body for 7 days
● Hepatitis Co 14 to 180 days (average is 45 days)
Incubation Period
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● Continued presence of the Hepatitis virus without symptoms, but with the ability to transmit
● Asymptomatic carriers unaware they can pass on viruso Often do not seek treatment → continued spread of virus
● Hepatitis virus carriers are source of new infection● May be more chronic carriers of Hep. C due to lack of
vaccination● Increased incidence rate in developing countries● Lack of access to vaccinations and treatment
Issues with Carrier State?
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● Reportable diseases & Confidential Morbidity Report (CMR) formo Hep A (Acute) within 1 working dayo Hep B & C (Specify Acute/Chronic) within 7 days
● Population-based surveillance ● Assessment● Client education on prevention● Assurance● Policy Development● Health Promotion & preservation
Public Health Nursing Roles (PHN)
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1. Conduct notifiable disease surveillance and investigations, including implementation of disease control measures.● Monitor cases of hepatitis A.● Perform case investigations for chronic hepatitis B and C using
assigned protocols. ● Perform thorough, accurate and organized documentation of
outbreaks. ● Prepare written recommendations describing disease prevention and
control measures for the public in collaboration Medical Epidemiologist.
PHN Roles
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2. Assist in developing disease investigation protocols and in assuring that questionnaires and educational material are current, complete, accurate, and reflect best practices.● Assist in monitoring the quality of processes involved in notifiable
disease reporting protocols and procedures.● Assist in creating and updating educational materials. ● Prepare written recommendations for prevention and control measures
PHN Roles
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3. Participate in standardized evaluations of outbreak and disease response measures to identify areas for improvement and collaborate with other departmental partners. ( DOH)
PHN Roles
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Hepatitis A:Educate about strict hand- washing and improve all over personal hygieneHepatitis A vaccine
Client Education and Prevention
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Hepatitis B:Vaccinations important for:BabiesPeople with multiple partnersIV drug usersHIV diagnosed peopleTravelers to 3rd world countries
Client Education and Prevention
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Hepatitis B Prevention
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Hepatitis C● Do not share personal items that may have come into contact with
another person’s blood of body fluids- toothbrush, razor, nail clippers, and needles.
● Do not get tattoos or body piercing.● Cover open sores or other skin breaks.● Practice safe sex.● Routine screening.
•*** No vaccination currently available ***
Client Education and Prevention
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● Principal means of assessing population’s health status ● Ongoing assessment, collection, analysis &
interpretation of data● Collaborative effort ● Monitor disease ● Estimate the magnitude and detect epidemics● Protocols or programs effective?● Main goal: reduce mortality & morbidity, improve health
Population-based Surveillance
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1. Primary → Vaccination, education on hygiene, safe sex, sanitary conditions, safe food-handling, avoid IV drug use
2. Secondary → post-exposure immunoglobulins, partner notification, screenings for high-risk individuals
3. Tertiary → chronic liver disease and cancer
GOAL: reduce prevalence, eventually eliminate & eradicate communicable disease
Prevention & Control
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● Center for Disease Control & Prevention. Retrieved February 27, 2015. http://www.cdc.gov
● Stanhope, M. & Lancaster, J. (2014). Foundations of nursing in the community: Community-oriented practice (4th ed.). St. Louis, MO: Elsevier.
● World Health Organization. Retrieved Februrar 28, 2015 http://www.who.int/en/
● Pasadena Public Health Department. Retrieved February 28, 2015. http://cityofpasadena.net/publichealth/
References
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Questions?