Hepatitis B: Disease develops in ES and concerns about mother-to-child transmission

Following historic developments, hepatitis B (HBV) continues to be prevalent in Espírito Santo. Of the 185 circumstances of viral hepatitis confirmed in the primary half of 2022, 127 (68%) are kind B, based on information from the State Department of Health (Sesa). At the identical time final yr, solely 57 circumstances of this distinction have been recorded. Without remedy, the illness is silent and could be deadly.

One of the reasons for this clear quantity is for pregnant ladies. In a latest examine, researchers from the Federal University of Espírito Santo (Ufes) mentioned that the transmission of HIV from mom to little one is the reason for HBV an infection in the state.

Pregnant ladies ought to have excellent care to keep away from the hazard of this illness. credit score: shutterstock

For this examine, 587 sufferers with hepatitis B who acquired remedy at Cassiano Antonio Moraes University Hospital (Hucam) have been noticed. Of these, 215 sufferers had a vertical virus as the principle mode of transmission, similar to 36.6%. By intercourse, there have been 41 contaminated; by way of blood, 21; intrafamily (between members of the identical household, not essentially the mom), 115; and, for unknown causes, 195.

A professor on the Department of Internal Medicine in Ufes and a kind of in cost of the analysis, Tânia Queiroz Reuter explains that these main occasions could be defined by the dearth of entry to medical care – particularly throughout being pregnant – and even by a lack of expertise.

There are ladies, for instance, who solely discover out that they’ve the illness after the kid is born, because the instructor says. Direct transmission can happen throughout being pregnant, childbirth or breastfeeding.

“The state has a better fee than the nationwide fee, and in the areas of Paraná, Santa Catarina and the Amazon area. The unfold in Brazil is 0.5% and Espírito Santo appears to be 1.8% to 2%”, he emphasizes. . The examine examined the prevalence of the illness over a interval of greater than 10 years, between 2005 and 2017.

According to Sesa, between 1999 and 2021, 16,333 circumstances of viral hepatitis have been confirmed in Espírito Santo. Of these, 2,653 circumstances (16%) have been brought on by hepatitis A virus, 8,852 circumstances (54%) by hepatitis B virus and 4,828 circumstances (30%) by kind C virus.

Regarding HBV infections in pregnant ladies, a complete of 475 have been confirmed in the state from 2007 to 2021. The municipalities most affected by the virus final yr have been Jaguaré, Linhares, Aracruz, Guarapari and Serra.

“Hepatitis A can’t be transmitted to a child. Hepatitis C can infect the child instantly, however that is uncommon. Hepatitis B can be extra contagious than A and C. Because it’s extremely contagious, it represents a severe public well being downside,” says Tânia. .


According to the definition of the World Health Organization (WHO), hepatitis is an irritation that impacts the liver. When an organ is severely affected, different important physique features are disrupted, resembling metabolism and detoxing.

Many signs seem solely in the superior levels of the illness. Some of the principle signs are fatigue, dizziness, nausea and/or vomiting, fever and stomach ache. In the case of hepatitis B, jaundice can be current, however to a lesser extent in comparison with different varieties.

8,852 circumstances

of hepatitis B (54%) have been recognized in the state between 1999 and 2021

“In phrases of severity, each B and C viruses result in cirrhosis.” The most troublesome factor about HBV is that it may possibly trigger liver most cancers at any stage of the illness, not like kind C. It can be extremely contagious. we’ve 270 million folks with hepatitis B worldwide”, estimates the professor.

Other necessary methods of transmitting HBV, in addition to standing, are: by way of blood transfusions, sexual activity with out utilizing condoms or not directly (when contaminated blood contaminates a wholesome particular person).


Although there isn’t any treatment, any such hepatitis could be prevented. Vaccination, as Reuter explains, is the principle method to management the unfold of the illness. The vaccine is supplied by the Unified Health System (SUS), and breastfeeding could be prevented if the mom receives the vaccine earlier than conception or from the final trimester of being pregnant.

“Espirito Santo began the hepatitis B vaccine about a yr and a half earlier than the nation, realizing that we’ve a better quantity than anticipated. The vaccine has been given to all kids born since 1993 in the state and since 1995 in Brazil. When Espírito Santo accomplished 20 years of vaccination , a examine was carried out that confirmed that the virus was much less frequent in folks underneath 20 years outdated”, he emphasizes.

Good prenatal care and prenatal blood testing are additionally necessary to stop mother-to-child transmission of HIV. “It can be necessary to advertise the testing of each particular person over the age of 35, after we began to have a excessive seropositivity for hepatitis B and C”, he directs.

When it involves remedy, the physician explains that they’re often performed by particular antiviruses. But, typically, the affected person simply must relaxation, keep hydrated and observe a sure weight loss plan to assist the liver heal.

“The remedy of pregnant ladies is similar as for ladies who will not be pregnant. The federal authorities has supplied anti-viral medicine since 2002, when the primary viral hepatitis program was established. Since then, Brazil has supplied free anti-viral medicine to ladies who’re pregnant or not. . It’s in the administration of this pregnant girl. It’s totally different measures, not totally different medicine”, he says.

See the main types of hepatitis B and C and how they affect the body
Hepatitis B and C: modes of transmission and scientific implications. Words: Felipe Damasceno


The commonest hepatitis, in addition to B, are A and C. According to infectious illness skilled Lauro Pinto, kind A impacts most individuals in unsanitary areas and is unfold by way of the feces and mouth. Type B, too, could be transmitted from mom to little one, however it’s repeated if it comes into contact with contaminated blood.

Types C and D are mostly transmitted after sharing injections. Hepatitis D, nonetheless, has the excellence of being discovered solely in the Amazon area of the nation and being a “supportive” kind of B – that’s, it solely exists if the affected person can be contaminated with one other virus.

On the opposite hand, hepatitis E, isn’t discovered in Brazil and is said to the poor preparation of pigs, based on the skilled.

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