Hepatitis Awareness
Day
Doctors Urge
Vaccination Against Hepatitis B
Hepatitis B and
C are global health problems. Worldwide 350 million people are carriers
of Hepatitis B. At a reported rate of 5%, the number of Hepatitis
B carriers in Pakistan is estimated at around seven million. This
places a great burden on the government and the patients.
With this situation
in view, the Gastroenterology Section of AKUH marked Hepatitis Awareness
Day in January 2002, with a symposium focussing on the different
aspects of these dreaded diseases and their prevention.
Prof. Wasim Jafri, Head of the Gastroenterology Section and Chair
of the Department of Medicine, stressed in his lecture the importance
of vaccination against Hepatitis B which is a global health issue
today. "In Pakistan, out of a population of 140 million, there
are at least seven million carriers. This places an enormous burden
not only on the government but also on the patients. Millions of
rupees are spent on its treatment, which remains unsatisfactory
in the face of limited treatment options available. It is actually
far better to prevent Hepatitis B through timely vaccination. Hepatitis
B can almost completely be prevented by providing vaccination against
the infection very early in life, preferably in the first week after
birth. There is also mother-to-infant transmission of Hepatitis
B which occurs at the time of birth or just after," Dr. Jafri
explained. It was further stressed that the greatest problem with
Hepatitis B is that 95% of infants who acquire this infection very
early in life become chronic carriers of Hepatitis B. If this infection
is acquired in the first year of life, it results in chronic liver
disease and hepatocellular cancer in adolescents. However, if the
infection is acquired in adult life, less than 10% of patients become
carriers. "Hence, it is recommended that all newborns are vaccinated
against Hepatitis B. In adults, the vaccine should be offered to
people at high risk, such as health care workers, phlebotomists,
dentists, paramedics and nurses," suggested Dr. Jafri. He added
that the treatment of Hepatitis B available in Pakistan is at par
with the rest of the world.
The Chief Guest, Dr. Mohammad Khurshid, Medical Director of AKUH
and Associate Dean Clinical Affairs, spoke on the importance of
Hepatitis B vaccination and urged awareness of Hepatitis B at all
levels, especially among the general public so that the current
carrier rate of Hepatitis B in Pakistan is reduced.
Dr. Saeed Hamid,
Associate Professor at the Gastro-enterology Section, spoke on the
risk of Hepatitis C to health care professionals. He said that its
prevention is possible with safe blood transfusion, use of disposable
needles and syringes, safe disposal of hospital waste, as well as
using sterilised surgical and dental equipment. This requires public
awareness at all levels. Dr. Riaz Qureshi, Head of Family Medicine,
stressed timely vaccination in families. Prof. Gaffar Billoo, Chair
of the Department of Paediatrics, spoke on Hepatitis B vaccination
in children, while Dr. Hasnain Shah, Associate Professor at the
Gastroenterology Section, gave a lecture on the general aspects
of Hepatitis C prevention.
