Viral hepatitis is the leading cause of liver cancer and the most common reason for liver transplantation. A double stranded deoxyribonucleic acid dna virus in t he family hepadnaviridae and genus orthohepadnavirus. Viral hepatitis surveillance in tennessee nastad viral hepatitis ta meeting november 29, 2017 lindsey sizemore, viral hepatitis program director. Viral hepatitis definition of viral hepatitis by the. Previously, only five states and two cities were funded from 202016. Hepatitis c is the most common type of viral hepatitis infection in the united states. Communicable disease service, new jersey department of health. Viral hepatitis an introduction hepatitis, or inflammation of the liver, can be caused by several very different viruses. Symptoms of hepatitis are universal, regardless if caused by an infectious agent or chronic condition, and can include fatigue, anorexia, abdominal pain, fever, diarrhea, vomiting, jaundice. Dec 27, 2018 home medterms medical dictionary az list digestion center viral hepatitis definition medical definition of viral hepatitis medical author. The table includes total number of cases reported in the united states, by region and by states, in accordance with the current method of displaying mmwr data. Surveillance of viral hepatitis in hong kong 2017 update.
The ghss calls for the elimination of viral hepatitis as a public health threat by 2030 reducing new infections by 90% and mortality by 65%. From 2008 to 2017, the annual number of hepatitis a cases reported ranged from 43 to 8 box 1. Viral hepatitis data summary 4 p a g e the summary table above was created to illustrate the differences in the demographic makeup between the various viral hepatitis classifications. Viral hepatitis is a systemic disease with primary inflammation of the liver by any one of a heterogeneous group of hepatotropic viruses. Hepatitis c is a liver disease caused by the hepatitis c virus hcv.
Viral hepatitis surveillance united states, 2017 this summary replaces the version released on september 10, 2019. It is most commonly transmitted by sexual contact but can also be transmitted by contact with other. Of the viral hepatitides, none has seen as much transformation in available pharmacologic treatment options as for chronic hcv, which has been viewed previously as a chronic infection with only modest cure rates sustained virologic response svr up to 63% with interferon. An extensive list of documents can be found on this site intended for patient and provider alike. Researchers have discovered several different viruses. Who has defined the elimination of viral hepatitis as a public health threat as achieving a 90% reduction in. The word hepatitis means inflammation of the liver and also refers to a group of viral infections that affect the liver. Surveillance for viral hepatitis united states, 2017. A national strategy for the elimination of hepatitis b and. Some types of hepatitis e virus are spread by drinking water contaminated by an infected persons stool.
The most common types of viral hepatitis are a, b, and c. In the majority of cases, no special treatment other than bed rest is required. Other types are spread by eating undercooked pork or wild game. Hepatitis b and c cause acute infection that can lead to chronic longterm infection. Easl 2017 clinical practice guidelines on the management. Hav, hbv, and hcv are the more common types of viral hepatitis found in the us population 26. Numerous viral, genetic, autoimmune, metabolic, and druginduced causes of chronic hepatitis have been identified table 102. Chronic hepatitis refers to a group of disorders characterized by inflammation of the liver persisting for more than 6 months, although some patients have an acute clinical presentation. Hepatitis c 2016 cste definition clinical criteria an illness with discrete onset of any sign or symptom consistent with acute viral hepatitis e. Viral hepatitis definition of viral hepatitis by medical. During 2017, 1,993 cases of hepatitis b were newly reported to the new york state department of health nysdoh, including 37 acute cases and 1,956 chronic cases. In an effort to describe a strategy for eliminating viral hepatitis as a u. Hepatitis b virus hbv infection remains a global public health problem with.
Hepatitis is defined by alt 3 x uln and severe hepatitis by a. Late presentation of chronic viral hepatitis for medical care. Easl 2017 clinical practice guidelines on the management of. Viral hepatitis is primarily diagnosed through blood tests for levels of viral antigens such as the hepatitis b surface or core antigen, anti viral antibodies such as the anti hepatitis b surface antibody or anti hepatitis a antibody, or viral dnarna. Late presentation of chronic viral hepatitis for medical. Pdf the international conference on viral hepatitis 2017 brought. Core concepts hbv epidemiology screening and diagnosis. Each year, hepatitis b virus and hepatitis c virus cause nearly 1. Viral hepatitis definition of viral hepatitis by the free. First update of hepatitis c treatment guidelines with fi rstever preferred.
Summary hepatitis b virus hbv infection remains a global public health problem with changing epidemiology due to several factors including vaccination policies and migration. In 2017, 30 eueea member states reported 26 907 cases of hepatitis b virus hbv. Viral hepatitis in immunocompromised patients chuv. Viral hepatitis is an infection that causes liver inflammation and damage. Hbvinfizierte werden generell als ansteckend definiert, solange. Viral hepatitis medical definition merriamwebster medical. There were no changes to case definitions for acute or chronic viral hepatitis. The global hepatitis report, 2017 provides a baseline for the drive towards elimination. Pdf report from the international conference on viral hepatitis. Mar 19, 2020 the most common types of viral hepatitis are a, b, and c. National viral hepatitis action plan for 2017 2020 action plan uses this knowledge and these tools to prevent new infections, improve the lives of people living with viral hepatitis, and chart a course toward elimination of these public health threats.
The national viral hepatitis action plan 2017 2020 action plan, is a new phase in the fight against viral hepatitis in the united states. Viral hepatitis types b and c can cause chronic hepatitis. The onset of hepatitis a usually occurs 15 to 45 days after exposure to the virus, and some infected individuals, especially children, exhibit no clinical manifestations. Hepatitis refers to an inflammatory condition of the liver. A biochemical response defined as alt normalisation should be. Hepatitis e is typically an acute infection that gets better without treatment after several weeks. Table 1 consensus definition of late presentation with chronic viral hepatitis for medical care full size table the term late presentation for care should be used to refer to hbv or hcvinfected people who enter care when substantial liver fibrosis is already present i. Researchers have discovered several different viruses that cause hepatitis, including hepatitis a, b, c. A working group including viral hepatitis experts from the european association for the study of the liver, experts from the hiv in europe initiative, and relevant stakeholders including patient advocacy groups, health policymakers, international health organisations and surveillance experts, met in 2014 and 2015 to develop a draft consensus definition of late presentation with viral. In may 2016, the world health assembly endorsed the global health sector strategy ghss on viral hepatitis 20162021. Viral hepatitis national prevention information network. Hepatitis a and hepatitis e typically spread through contact with food or water that has been. These viruses can spread through food, water, infected blood, and bodily fluids. Rarely, acute viral hepatitis causes fulminant hepatic failure.
The department of veterans affairs va leads the country in hepatitis screening, testing, treatment, research and prevention. Viral hepatitis information, communicable disease service. Positive result for any one of the following three laboratory tests. Hepatitis b virus hbvinfected pregnant woman with acute or chronic infection. Hepatitis a or infectious jaundice is caused by hepatitis a virus hav, a picornavirus transmitted by the fecaloral route often associated with ingestion of contaminated food.
In 2014, a group of viral hepatitis experts within the european association for the study of the liver easl and the hiv in europe initiative formed a working group to develop a consensus definition of late presentation with viral hepatitis. It causes an acute form of hepatitis and does not have a chronic stage. A working group including viral hepatitis experts from the european association for the study of the. They all affect the liver and have similar symptoms, but transmission and treatments differ. Hdvhbv coinfection is considered the most severe form of chronic viral hepatitis due to more rapid progression towards liverrelated death and hepatocellular carcinoma. In the united states, the most common causes of viral hepatitis are hepatitis b virus hbv and hepatitis c virus hcv, although it can also be caused by hepatitis a virus hav. Its commonly caused by a viral infection, but there are other possible causes of hepatitis. It sets out global statistics on viral hepatitis b and c, the rate of new infections, the prevalence of chronic infections and mortality caused by these two highburden hepatitis viruses, as well as coverage levels of key interventions, as at the end of 2015. Hepatitis definition of hepatitis by merriamwebster. Each state has its own laws and regulations defining whether viral hepatitis is.
Symptoms of all types of viral hepatitis are similar and can include one or more of the. The most common causes of viral hepatitis are the five unrelated hepatotropic viruses hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e. Acute hepatitis c 0 20 40 60 80 100 120 140 160 2012 20 2014 2015 2016 2017 es incidence of acute hepatitis c by gender male cases female cases 0. Viral hepatitis is an inflammatory diseased state of the liver caused by various viruses, namely hepatitis a hav, hbv, hcv, hepatitis d, and hepatitis e. Std control branch viral hepatitis clinical guidelines.
Symptoms of acute viral hepatitis include fatigue, flulike symptoms, dark urine, lightcolored stools, fever, and jaundice. More recent data from the institute for health metrics and evaluation estimated that in 2017, deaths due to viral hepatitis outnumbered those of tuberculosis, hiv, and malaria, with deaths from viral hepatitis projected to exceed. Easl 2017 clinical practice guidelines on the management of hepatitis b virus infectionq european association for the study of the liver. For instance, males were more likely to have had a diagnosis of all viral hepatitis classifications in 2017. The patients immune system makes antibodies against hav that confer immunity against future.
This strategy covers three biennia 20162017, 20182019 and 2020. In 2017, the cdc provided funding to 14 states to perform enhanced surveillance of hepatitis b and hepatitis c through a cooperative agreement. The most common types are hepatitis a, hepatitis b, and hepatitis c. Funding states for enhanced surveillance improves detection of cases and completeness of reports. Such loss of life comes at a cost to society through the direct expense of treatment as well as through the loss of adults in their prime. Viral hepatitis refers to hepatitis caused by a few specific viruses that primarily attack the liver. The most common clinical examination reveals either no abnormal findings or mild hepatomegaly. Jun 12, 2017 hepatitis, a general term referring to inflammation of the liver, may result from various causes, both infectious ie, viral, bacterial, fungal, and parasitic organisms and noninfectious eg, alcohol, drugs, autoimmune diseases, and metabolic diseases. Viral hepatitis b infected pregnant female case definition. Hepatitis a, caused by the hepatitis a virus hav, is the most common worldwide. National viral hepatitis action plan for 20172020 action plan uses this knowledge and these tools to prevent new infections, improve the lives of people living with viral hepatitis, and chart a course toward elimination of these public health threats. The most common clinical examination reveals either no abnormal findings. The updated plan outlines four major goals, strategies to achieve those goals, and indicators to help track progress between now and 2020.
Chronic hepatitis an overview sciencedirect topics. May 09, 2017 hepatitis refers to an inflammatory condition of the liver. In the united states, viral hepatitis is usually caused by the hepatitis a, b, or c virus. Please refer to appendix b for a summary of changes. Hepatitis symptoms include loss of appetite, nausea, vomiting, fever, weakness, tiredness, and abdominal pain.
Data sources in order for a health department to report diagnosed cases of viral hepatitis to the cdc, they must have systems in place that ensure each diagnosed case is detected. In 2017 the nigerian ministry of health notified the world health organization who of an outbreak of hepatitis e located in the northeast region of the country. Inflammation is swelling that occurs when tissues of the body become injured or infected. Key stakeholders were invited to participate, including patient advocacy groups, health policymakers, international health organisations, surveillance. Each week, health departments report cases of hepatitis a, hepatitis b, and hepatitis c to the centers for disease. In this table, provisional cases of selected notifiable diseases. The npin community offers a variety of tools and resources to support your viral hepatitis prevention efforts as well as provide a forum for you to. Case rates cases per 100,000 persons were highest in males and in persons 3039 years of age. Hepatitis d is a liver disease in both acute and chronic forms caused by the hepatitis d virus hdv that requires hbv for its replication. Progress toward viral hepatitis elimination in the united states, 2017. This content is provided as a service of the national institute of diabetes. Viral hepatitis hepatitis is inflammation of the liver.