Skip to main content

Hepatitis: Act before it's too late

If Shakespeare was alive today, the theme of one of his modern-day dramas could well be the tragic tale of Hepatitis.
The tragedy however is not that 40 million Indians harbour the virus, and thosands die of it every year, but the fact that very effective prevention and treatment are available for this illness. If, and only if, people knew and acted on time!!
Hepatitis B and Hepatitis C are the names of 2 of the 5 viruses that attack the liver. Why they are usually under the spotlight is because of their propensity to lodge in the liver and nibble away at its cells for years after enetring the body, often finally damaging it completely. This advanced stage is called Liver Cirrhosis. Also both these viruses are notorious in causing Liver Cancer, a deadly disease that usually defies tretament.
In contrast Hepatitis A and E, the viruses that spread through contaminated water or food, often cause a transient illness of “Acute Hepatitis” that abates in 4 to 6 weeks, do not require specific drugs,and never lead on to cirrhosis or cancer.
Ironically, Hepatitis B is a easily preventable disease. The Hepatitis B vaccine, available since 1982, is one of the safest and most effective vaccines ever produced. More than 150 countries have used it in their immunization schedules since the late 80’s and 90’s to protect their children and citizen. The disease has virtually disappeared from America, Europe and Japan where it is diagnosed only in immigrants and travellers. It is being ushered out in more than 100 other countires with the use of mass vaccination. All it requires is 3 injections of the vaccine, the 2nd after one and the third after 5 months,
Why are we lagging behind? To start with, India was one of the late starters to include Hepatitis B vaccination in its immunization programme. The second hurdle seems to be the poor level of awareness among people. Many educated people are still blissfully unaware. Some, ofcourse, knowor have heard, but do not take heed!
World Hepatitis Day will be celebrated on July 28 to create this much needed awareness that could help individuals take small steps to protect themselves and their loved ones. This day coincides with the birthday of Prof Blumberg, who won the Nobel Prize in 1976 for discovering the Hepatitis B virus. Documentary movies in schools, messages aired on radio, rallies by school children, ads in newspapers and health camps in several hospitals in the city, will be some of the ways we hope to reach out to you, and urge you to get protected.
It could be a good day to take the 1st shot of the Hepatitis B vaccine and gift one to each member of your family for a life-time of protection from this disease.
As published in HT City( Hindustan Times) dated 24 July, 2011.

Comments

Popular posts from this blog

Food Fads in Liver Disorders

In an attempt at trying to do well to those they love, spouses and parents often enforce diets on patients of liver diseases that often turn out to be detrimental. The commonest food fad is pale insipid boiled cabbage being doled out to nauseous patients suffering from hepatitis that makes them puke even more.  The liver, in a way, is a buzzing manufacturing unit that requires lots of energy to keep its multiple functions going. And it derives all this from the food we eat. During disease, such as during an attack of jaundice, when many of the liver cells get killed, the liver attemptsdamage control by trying to regenerate quickly. For its cells to multiply however, it requires a generous supply of energy that comes from carbohydrates, and protein, the building block for its cells and tissues. Boiled green vegetables unfortunately have neither of these. Hence the situation often progresses to that of a starved liver unable to recuperate due to cut-off food supply.

Bad Dreams, Disturbed Sleep

  A good night’s sleep, so essential to rest your body and mind, and restore ‘energy” and vitality, is becoming a casualty for many these days. Last week a 58 year old lady complained that she woke up with a startle in the middle of the night dreaming of “drugs”, something she had never been exposed to all her life. Another reported a nightmare in which he felt someone was “strangulating” him by tightening something around his neck, till he woke up feeling choked! Yet another reported dreaming that he was in an ICU of a hospital with PPE draped figures surrounding his bed while he was being prepared to be hooked to a ventilator. Bad dreams can be disturbing to say the least. One wakes up with a startle or in sweat, feeling disturbed and uneasy, and feeling drained. The mood in the morning is usually uneasy and snappy. Creative thinking has usually gone for a toss…postponed to yet another day when one feels more cheerful and positive.   Several factors could be contributing to “

The Doctor’s Dress

The familiar white coat worn by physicians as their distinctive dress for over 100 years, has started generating  murmurs  of controversy. It is not uncommon to find the blood pressure to be higher when measured by a white-coat-wearing-doctor in the hospital or clinic than the readings obtained at home by relatives.  This is due to the anxiety that the white coat and the hospital setting evokes in patients, and has been termed “White Coat Hypertension”. Mature clinicians often routinely subtract a few points from these measurements when entering records in case charts or calculating the dose of anti-hypertensive medications to be prescribed. The white coat scares children too.  Kids often express their dislike for this dress by crying and screaming and by denying access to their bellies or chest for examination by paediatricians in this attire. Many pediatricians across the world have folded up their white coats and taken to informal colourful dressing to get closer to thei