Hepatitis B

[pilyo168]

sexercise lang pang counter dito.

[dwarfspider]

Easy to prevent but no Cure

[montanero]

can you still work abroad if you have this?

[angel_by_day]

can you still work abroad if you have this?

 

it depends. we can still clear patients for employment purposes if the virus is proven to be inactive. We have tests for that.

[arnoldtan]

it depends. we can still clear patients for employment purposes if the virus is proven to be inactive. We have tests for that.

 

so puede palang mag work ang tao na may hepa a or b as long na inactive siya..

[geneticfreak]

this might be a lil OT but i just got my HBsAg test back yesterday. And luckily im still non-reactive. yoohoo.

[angel_by_day]

so puede palang mag work ang tao na may hepa a or b as long na inactive siya..

 

yes.

but we have to classify the the type of work ha - whether it is high or low risk....

Edited July 4, 2008 by angel_by_day

[johardue]

Hi Angel.

 

Musta?

 

To add to your previous post...

 

High risk jobs are those with direct patient contact or those in health care - nurses, med techs, etc. Usually people positive for hep B are labeled "unfit" for the risk of transmitting the infection specially kung active yung infection based on laboratory tests.

 

Low risk jobs are those not really involved with health care - clerical or desk jobs for example.

 

Unfortunately and style ng ibang mga companies is that if your (+) for HBsAg dehado ka na, which is really unfair specially if low risk namn yung trabaho.

 

Hep A on the other hand is another story. Usually, pahinga lang yan. parang natrankaso. It's contagious pero hindi naman sya nag-la last ng matagal

[arnoldtan]

yes.

but we have to classify the the type of work ha - whether it is high or low risk....

 

how about in abroad, kasi yung kapatid ko dati noong bata pa siya meron hepa a, so noong last month nagpatingin siya nasa dugo pa rin niya yung hepa a.....hindi naba naalis yun..kahit magaling na siya

[johardue]

how about in abroad, kasi yung kapatid ko dati noong bata pa siya meron hepa a, so noong last month nagpatingin siya nasa dugo pa rin niya yung hepa a.....hindi naba naalis yun..kahit magaling na siya

 

You are probably referring to the antibody to Hepa A - anti Hepa A virus IgG / anti-HAV IgG which is a marker of past infection. Ibig sabihin nyan exactly is that nagkaron sya ng past hepa A infection. That antibody should stay for life which is actualy protective for reinfection with hepa A (or at least partly)

[arnoldtan]

HI jahrdue, can you please interpret this...and your suggestion....thanks

 

HBsAg w/Titer (ECLIA) H 3570.000 C.O.V. 1.000 REACTIVE

[johardue]

@ Arnoldtan

 

Basically this means that you have the virus in your system. What I usually do is request for the rest of the hepa B profile - HBeAg, Anti-Hbe, Anti Hbc igM/IgG, SGOT, SGPT. This would give us an idea kng active and transmissible yung infection and kung nag inflame yng liver mo. kung "positive" yng results mo, we could request for the HBV DNA to get the viral load. If it's significant, only then can you undergo treatment which is anywhere from 1 year to several years.

[johardue]

@ Arnoldtan&lt

If di naman conclusive yung tests mo, we can just opt for observation. No need to treat for the meantime.

 

If your HBsAg was done as part of a pre-employment screening, it may present as a problem. Usually, if your work is non-medical or without any patient contact we would usually issue clearance. However, depende din yan sa company na ina-applyan mo if they would honor that clearance.<BR><BR>Another thing is that, there is no treatment kng HBsAg positive lang. Actually, even if you turn out to be really qualified for treatment, only a percentage of those who undrwent treatment can eventually develop a negative HBsAg test even after years of medications.

 

You may try to backread on my previous posts bka meron pa additional info ka makuha dun

 

I suggest you see a gastroenterologist personally para may makapag-assess sa yo ng husto and advise you accordingly

Edited October 1, 2008 by johardue

[angel_by_day]

puntahan mo si johardue.

magaling yan :thumbsupsmiley:

[arnoldtan]

@ Arnoldtan&lt

If di naman conclusive yung tests mo, we can just opt for observation. No need to treat for the meantime.

 

If your HBsAg was done as part of a pre-employment screening, it may present as a problem. Usually, if your work is non-medical or without any patient contact we would usually issue clearance. However, depende din yan sa company na ina-applyan mo if they would honor that clearance.<BR><BR>Another thing is that, there is no treatment kng HBsAg positive lang. Actually, even if you turn out to be really qualified for treatment, only a percentage of those who undrwent treatment can eventually develop a negative HBsAg test even after years of medications.

 

You may try to backread on my previous posts bka meron pa additional info ka makuha dun

 

I suggest you see a gastroenterologist personally para may makapag-assess sa yo ng husto and advise you accordingly

 

thanks johardue sa response.......

 

actually yang test na yan last august 2006 pa, medyo hindi ko lang naasikaso kasi nagkaroon na agad ako nang work.....noong bata ako nagkaroon ako nang hepa A(way back 1980's)........meron akong kapatid na meron hepa B(way back 1980's din).............balak ko kasi mag work sa abroad o sa singapore as an IT, kaya ngayon na medyo inaasikaso.....pude ko ba malaman, sir, kung magkano ang magagastos ko doon sa mga natitira pang dapat kong pa test........ at doon naman sa treatment, magkano or estimated lang, para at least mapaghandaan ko na rin..........at saka mas maganda sana kung sa iyo na rin ako didiretso kung ok lang sa iyo, saan po ba ang clinic nila.....thanks ulit.....

[johardue]

@angel

 

Sus! may libre plugging pa ko sa yo...

 

@arnold

 

Kung 2006 pa yung test, i would advise you to have the hepa B profile (HbsAg, Anti-HBs, HbeAg, Anti-Hbe, Anti-HBc IgG) and SGPT done. It's the fist step. This would cost about 2-3k depende kung saan mo papagawa

 

 

Depende sa resullts we would have to preoceed as I said with the HBV DNA. This costs about 3-4K sa NKI more sa ibang hospital.

 

Treatment on the other hand is not always indicated. But just in case, you have 2 options. The injectable, w/c costs around 14k per shot, one shot per week for 1 year. The other option is the oral w/c is a daily dose costing 200 up depending on what medication we would use. But treatment with the oral meds would last at least one or two years (open ended yan) And even with treatment complete response is often not achieved. Kadalasan you would still have a (+) HBsAG suppressed nga lang ang activity.

 

I would gladly see you however I practice in the province. La ako clinic in Metro Manila. PM mo na lang location mo

[internist]

@angel

 

Sus! may libre plugging pa ko sa yo...

 

@arnold

 

Kung 2006 pa yung test, i would advise you to have the hepa B profile (HbsAg, Anti-HBs, HbeAg, Anti-Hbe, Anti-HBc IgG) and SGPT done. It's the fist step. This would cost about 2-3k depende kung saan mo papagawa

 

 

Depende sa resullts we would have to preoceed as I said with the HBV DNA. This costs about 3-4K sa NKI more sa ibang hospital.

 

Treatment on the other hand is not always indicated. But just in case, you have 2 options. The injectable, w/c costs around 14k per shot, one shot per week for 1 year. The other option is the oral w/c is a daily dose costing 200 up depending on what medication we would use. But treatment with the oral meds would last at least one or two years (open ended yan) And even with treatment complete response is often not achieved. Kadalasan you would still have a (+) HBsAG suppressed nga lang ang activity.

 

I would gladly see you however I practice in the province. La ako clinic in Metro Manila. PM mo na lang location mo

 

 

I agree with johardue. Repeat the hepa profile and ALT (kung wala kang masyado pera, just do HBsAG and ALT) and your doctor will advise you based on the results. Either interferon or oral anti-virals like entecavir or lamivudine. Good luck!

[vek_slayer]

ano ung ibig sabihin ng healthy carrier ka ng hepa b?

[johardue]

@vek

 

According to the latest guidelines or consensus statements, there is really no such thing as a "healthy carrier".

 

But in the interest of the "general population" this term has been used to describe someone who has the virus in his body (HBsAg reactive) but does not have symptoms and is not infectious meaning can not transmit it to another person.

 

Being a so called "healthy carrier" as determined by a single set of examination does not guarantee that you would not develop problems later on. Hepatitis B infection may be "dynamic" meaning it may be "dormant" at one time only to reactivate at another.

 

And so if a person is initially diagnosed to be a "healthy carrier", he is not out of the woods yet and has to undergo monitoring of at least the liver enzymes (SGOT/SGPT) periodicaly. This is to be able to catch it early if your infection is getting active.

[vek_slayer]

thank for the info..sir johardue..

[Johncartman]

Hi, im a chronic hepa b carrier diagnosed 3 yrs ago. My case is non infectious and non replicative. Tried applying abroad thru an agency 2 years ago and was disqualified. It was horrible! Nxt year im planning to push my luck again to malaysia or singapore. The question is, have you guys know someone w/

Hbv successfully made it there? My line of work is structural steel detailing ie not in any medical field. Tnx in advace

[mr.bukol]

bawal din mag work sa food related work , baker , cook ?

yung alalay ko may hepa b? hindi kaya ako mahawa ?

how about cook namin sa house ? mahawa kaya kami?

[johardue]

@Mr. Bukol,

 

Actually, the main concern for hepatitis B transmission in the workplace is among people in the medical field - nurses, med techs, even doctors. Those who have direct patient contact and those who handle body fluids and similar materials.

 

Those in the food handling jobs actually do not pose any significant danger of transmitting the infection to others. (Unless may freak accident)

 

Hepatitis B transmissions like HIV is through exchange of body fluids - sex, blood transfusion, needle-stick, childbirth, etc.

 

Unfortunately, not everyone understand this. A lot of companies are using HBsAg positivity as a screen out applicants. The local gastro group (Philippine Society of Gastroenterology) has actually issued a position paper regarding the issue and is trying to disseminate the information that people get educated and enlightened about Hepatitis B.

[arnoldtan]

Hi, im a chronic hepa b carrier diagnosed 3 yrs ago. My case is non infectious and non replicative. Tried applying abroad thru an agency 2 years ago and was disqualified. It was horrible! Nxt year im planning to push my luck again to malaysia or singapore. The question is, have you guys know someone w/

Hbv successfully made it there? My line of work is structural steel detailing ie not in any medical field. Tnx in advace

 

 

yup gusto ko rin masagot itong tanong na ito........kasi parang unfair sa mga katulad namin na merong hepa b tapos hindi puedeng mag work sa abroad....meron ba kayo nabalitaan na nakaalis kahit meron ganito...

[peterparker]

yup gusto ko rin masagot itong tanong na ito........kasi parang unfair sa mga katulad namin na merong hepa b tapos hindi puedeng mag work sa abroad....meron ba kayo nabalitaan na nakaalis kahit meron ganito...

 

 

actually, i know a few persons who got to work abroad despite them being Hep. B positive... one of them is an aircraft mechanic who had worked in the middle east, guam, saipan and singapore...

 

i think it depends on the health policies of the company looking for employees, and more importantly the health policies of the country where you want to find employment...

 

unfortunately i was not able to get the whole story from the people i mentioned... maybe our resident GI specialist can shed some light on this subject...

 

or you can inquire with the DOLE and/or DOH regarding the policies and procedures on this matter...

 

 

 

:mtc: