Sorting out the myth and madness from the genuine and accurate.

   Due to the number of inquires on Hepatitis and the confusion behind it, I have complied this newsletter to help make sense of and clarify the aspects of Hepatitis, the types and how to handle the problem if you yourself find you test positive. The information was compiled from a variety of sources, including the Centers for Disease Control and Prevention (CDC), Physician’s Desk Reference and the National Center for Infectious Diseases.
This article will be divided into three basic sections. The first describing the types of Hepatitis and how it is transmitted. The next sections will discuss the options for treatment and protocols.

Hepatitis Types

There are several forms of Hepatitis such as A, B, C, D, E, G and subtypes. This article will discuss the first five which are the most common.

Hepatitis A

    A liver disease caused by the hepatitis A virus (HAV). Hepatitis A can affect anyone. In the United States, hepatitis A can occur in situations ranging from isolated cases of disease to widespread epidemics. HAV is typically transmitted in the feces via the fecal-oral route. In the United States, HAV constitutes about 47% of all acute hepatitis, constituting about 125 – 200,000 infections annually. Looking at the 50 year trend, this disease is currently on a decline.
HAV has an average incubation period of 30 days. The most prevalent symptoms include fatigue, jaundice, fever, nausea, loss of appetite, diarrhea and abdominal pains.
Those that are most at risk would be persons who handle infected persons, intravenous drug use, homosexual activities, and poor sanitation in areas of high infection. Food handling by an infected person can also transmit the disease.
Good hygiene and health habits are your best protection. Vaccines are commonly used, however, you should be fully informed prior to use. These are not recommended for children under 2 or persons who have a lowered immune system. Reactions to the vaccine commonly include fever, nausea, redness and swelling at injection site, and fatigue. Less common reactions include rash, upper respiratory infections, abdominal pain, enlarged lymph nodes, insomnia, vertigo and anaphylactic shock.
HAV infection appears to induce lifelong protection against subsequent infection. There is NO long term infection for HAV, once you have had it, you will not get it again.

Hepatitis B

    Liver disease caused by the Hepatitis B virus (HBV). The incubation period for hepatitis B ranges from 45-180 days, and the onset of acute disease is generally insidious. The acute disease usually runs its course in 30-60 days. It is most commonly found in young adults ranging in age from 20-39 years. The most common mode of transmission is through sexual activities and piercing the skin common in; using needles, piercing ears and other body parts, tattooing, as well as acupuncture. Promiscuous sexual activity constitutes about 41% of the acute infections with injection drug use accounting for 15%. Currently 31% of the infections could not be categorized into a known risk factor.
Common signs and symptoms include fatigue, jaundice, fever, nausea, loss of appetite, vomiting, abdominal pains, and joint pains. However, about 30% infected do not have symptoms.
Prevention includes the use of a condom if you have multiple partners, do not shoot drugs, and if you are unable to stop do not share needles. Do not share personal hygiene items that could have blood such as toothbrush, razor, etc.
The vaccine commonly used for Hepatitis B should not be given to those with yeast sensitivities, pregnancy, nursing mothers, and immune compromise. Common adverse reactions include localized swelling, fever, chills, weakness, low blood pressure, flu-like symptoms, nausea, anorexia, abdominal pain, vomiting, constipation, diarrhea, enlarged lymph nodes, muscle pains, joint stiffness, back ache, rash, sleep disturbance and restlessness. Some less common reactions include liver damage, migraine headaches, Bell’s Palsy, multiple sclerosis, seizures, earaches and anaphylactic shock.
Other forms of treatment used are Adefovir dipivoxil, alpha interferon, and lamivudine which are three drugs licensed for the treatment of persons with chronic hepatitis B. These drugs also have a variety of side effects which should NOT be overlooked when considering treatment. These range from fever, flu-like symptoms, headaches and chills to white blood cell suppression, lethal liver toxicity, and depression just to name a few.
Most acute HBV infections in adults result in complete recovery with clearance of HAB from the blood and the production of antibodies designating immunity from future infection. However, approximately 30%-90% of young children and 2%-10% of adults who are infected with HBV develop chronic infection, and most of the serious sequelae associated with HBV occur in these persons. Persons with chronic HBV infection are often asymptomatic, but these persons are at high risk for developing chronic hepatitis, and approximately 15%-25% may die prematurely from either cirrhosis or liver cancer.

Hepatitis C

    Liver Disease caused by Hepatitis C virus (HCV). The average incubation period is 6 weeks however; this can vary from 2-26 weeks. Eighty percent of those infected are non-symptomatic. Those with symptoms commonly complain of jaundice, fatigue, dark urine, abdominal pain, loss of appetite and nausea. The most common mode of transmission is from injection drug use, transfusion, occupational, home dialysis use, re-using needles, and birth transmitted from mother. These same people are also at risk for Hepatitis B and HIV. Infections are presently on a decline although it outnumbers HIV four to one. Injection drug use accounts for 60% of the total infections, 15% due to sexual transmission, 10% transfusion, 4% occupational and 10% unknown.
These and others testing positive for Hepatitis should NOT donate blood. HCV is not spread by kissing, hugging, sneezing, coughing, food or water, sharing eating utensils or drinking glasses, or casual contact it will not affect you by casual contact.
Long term affects include chronic infection and liver disease. There are NO vaccines for this and common drugs used are Interferon and ribavirin which are many times used together. These are currently the only two drugs licensed for the treatment of persons with chronic hepatitis C. Drug therapy is 50% affective. These drug reactions include fever, flu-like symptoms, headaches and chills to white blood cell suppression, lethal liver toxicity, carcinogenesis, and depression just to name a few. In fact according to WebMD The majority of hepatitis C patients developed at least some depressive symptoms and 33% met the criteria for major depression during interferon treatment.

Hepatitis D

    Liver infection caused by the Hepatitis D Virus (HDV). HDV infection can be acquired either as a co-infection with HBV or as a superinfection of persons with chronic HBV infection. Typically this presents as more severe acute symptoms.
The mode of transmission is very similar to HBV. Most commonly seen with intravenous drug use and promiscuous sexual activity.
This virus is dependant on the Hepatitis B virus for replication. Prevention would be the same as that for HBV.

Hepatitis E

    Hepatitis E Virus is the main cause of intestinally transmitted anti-A and Anti-B hepatitis. The incubation period following exposure to HEV ranges from 15 to 60 days. Typical clinical signs and symptoms of acute hepatitis E are similar to those of other types of viral hepatitis and include abdominal pain anorexia, dark urine, fever, hepatomegaly (enlarged liver), jaundice, malaise, nausea, and vomiting. Other less common symptoms include joint pain, diarrhea, and rash. The period of infectivity following acute infection has not been determined but virus excretion in stools has been demonstrated up to 14 days after illness onset. In most hepatitis E outbreaks, the highest rates of clinically evident disease have been in young to middle-age adults. No evidence of chronic infection has been detected in long-term follow-up of patients with hepatitis E.
HEV is transmitted primarily by the fecal-oral route and fecally contaminated drinking water is the most commonly documented vehicle of transmission. Although hepatitis E is most commonly recognized to occur in large outbreaks, HEV infection accounts for >50% of acute sporadic hepatitis in both children and adults. Unlike hepatitis A virus, which is also transmitted by the fecal-oral route, person-to-person transmission of HEV appears to be uncommon. However, hospital based transmission, presumably by person-to-person contact, has been reported to occur. Virtually all cases of acute hepatitis E in the United States have been reported among travelers returning from high HEV-endemic areas.
Prevention of hepatitis E relies primarily on the provision of clean water supplies. Prudent hygienic practices that may prevent hepatitis E and other intestinally transmitted diseases among travelers to developing countries include avoiding drinking water (and beverages with ice) of unknown purity, uncooked shellfish, and uncooked fruits or vegetables that are not peeled or prepared by the traveler. No vaccines or drugs are available to prevent hepatitis E.

Additional Comments on Hepatitis:

Prevention and Treatment

In addition,

you should know that some patients with typical signs and symptoms of acute viral hepatitis do not have blood tests positive for any of these types of viral hepatitis and can be classified as having non-ABCDE hepatitis. Recently, new viruses have been discovered in patients with non-ABCDE hepatitis.
     This is not surprising in that research shows that microorganisms very commonly mutate to successfully survive in their surrounding environment. In other words a microorganism such as a bacteria or virus will change or mutate based on the living conditions of its environment. The environment of your body is based on your health habits such as nutrition and eating habits, function of your nerve system, exercise, and mental attitude.
Prevention includes good hygiene and good health habits.

Do NOT think that vaccine or drug therapy is your only solution. There are other non-toxic viable solutions to this problem. If you have chosen drug therapy the following can be used in conjunction as well.
To state the obvious these conditions have to do with two systems in the body. The immune system and the Liver system. Both of these systems can be supported greatly with conservative care which has shown to be highly effective and has no known side-effects.
     To begin with here are some of the critical dietary recommendations. Eliminate all hydrogenated and partially hydrogenated fats and oils, refined carbohydrates, fast-acting sugars (fruit juice), alcohol, caffeine (chocolate, cola, coffee, black tea), fried foods and limit gluten containing grains and dairy products. Increase raw foods, quality proteins and raw/ unrefined oils (live flax seed oil) or better yet EPA-DHA. Increase pure water intake to a minimum of half your body weight in ounces per day.
     We then utilize a unique program of liver detoxification and immune system enhancement which has helped dozens over the years with these types of conditions. This comprehensive program is highly effective. For more information on this or other health concerns please contact our office.

To Your Health,
Dr. Brad
ley C. Shapero

Dr.Bradley Shapero
Premier Health Care - A rapi
dly expanding state of the art health care facility helping
to create a drug free saner world through the delivery of the most advanced health care system on the planet - CHIROPRACTIC
Located: 105 Ave. De La Estrella,
Ste. 1A
San Clemente, California

[ Back ]