LuckCong's Health Blog

The latest, "general civil service recruitment examination standards (for trial implementation)": ① the resumption of acute hepatitis, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) continued to normal six months or more; after the resumption of chronic hepatitis, ALT and AST continued to normal more than two years, qualified for. ② HBV surface antigen (HBsAg), hepatitis B virus e antigen (HBeAg) or hepatitis C virus antibody (anti-HCV), hepatitis C virus RNA (HCVRNA) as a positive, but ALT, AST normal for Qualified. State Ministry of Personnel, Ministry of Health in August this year prior to solicit opinions from all sides, the relevant organizations and experts in 1994 to develop the "central executive recruiting civil servants and medical standards" was revised, viral hepatitis is a major part of the changes from the The spread of hepatitis B virus, the current prevention strategies as well as the natural history of infection to be considered. The route of transmission of hepatitis B ◆ mother to child transmission. It is China's hepatitis B virus infection is the main cause. Suffering from acute hepatitis B and HBsAg carrying mothers may be of Hepatitis B transmission to the newborn. This is the essence of blood-borne transmission. ◆ way to spread menstrual blood. Including the hepatitis B virus with the importation of blood and blood products, unclean injection, surgery, tooth extraction, tattoos, acupuncture, pierced ears, endoscopy and medical personnel, such as stab wounds to the accident. Now as a result of increased screening of blood donors, blood transfusion caused by the spread of hepatitis B have been few. However, a small number of HBVDNA positive, and hepatitis B virus surface antigen (HBsAg)-negative blood may still undetected. So, by way of blood spread of hepatitis B has not totally eradicated. ◆ iatrogenic spread. Mainly due to strict disinfection without the use of non-disposable syringes, caused by endoscopy. Therefore, efforts should be made to implement a one-time medical equipment. Now the country is on the endoscope disinfection more stringent disinfection norms, which can greatly reduce the spread of iatrogenic. ◆ sexually transmitted. The spread of HBsAg-positive rate of 5.44 percent, and social life in general contact the HBsAg positive rate of only 0.68 percent. Therefore, in the family, HBsAg-positive spouse than the other family members more vulnerable to hepatitis B infection. Hepatitis B is caused by sexual transmission of important reasons. ◆ daily lives of ordinary contact. This mainly refers to the exchange of body fluids have access to life, such as sharing razors, toothbrushes, and other health supplies. Therefore, the spread among family members see more. In addition, approximately 40% of those chronically infected with the virus in saliva, so saliva can also cause the spread. However, the sharing of office supplies, money exchange, the dining public, and so on, generally will not cause the spread. Can be seen from the above-mentioned route of transmission in the general work of the contact, the probability of occurrence of hepatitis B transmission is very low. ALT, AST and normal HBsAg-positive patients with hepatitis B, the basic good hygiene practices will not pose a threat to the population, but also effective prevention. This is also the development of the two standards. Hepatitis B vaccination can block the spread of hepatitis B Since China successfully developed the first hepatitis B vaccine, hepatitis B vaccination and continuously improve the quality has greatly reduced the incidence of hepatitis B vaccination rate in the region. For example, from 1986 to 2000, researchers in Shanghai, Hebei, Hunan and Guangxi Zhuang Autonomous Region, about 200 million people in the area for 14 years in a row for the hepatitis B vaccine to observe the newborn was found, all have hepatitis B vaccine inoculation The newborn, in the observation period, there have been no reports of hepatitis B patients. Shanghai was the most effective immune Nanshi Qu, the subjects of children has infection rate dropped to less than 1%. This has fully demonstrated that hepatitis B vaccination can effectively block the spread of hepatitis. In 2001, the State Ministry of Health and the Ministry of Finance jointly issued a document will be included in the hepatitis B vaccine immunization program to further improve China's hepatitis B vaccination rate. Recently, the Ministry of Health held in Beijing viral expert advisory group meeting for further standardize the hepatitis B vaccination to ensure that newborns within 24 hours of hepatitis B vaccination and immunization rates throughout the three-pin. At the same time, experts recommended the expansion of hepatitis B vaccine in the crowd, in institutions of higher medical students, medical workers, the families of the victims of hepatitis B infection, homosexuality and promiscuity, blood dialysis, organ transplant recipients, as well as Immunocompromised persons, such as high-risk groups against hepatitis B vaccine, hepatitis B on the crowd to raise the overall level of immunity. In the area of social work, hepatitis B is no longer terrible, because it can be effectively prevented. HBsAg-positive does not mean that the liver is sick Hepatitis B infection is concerned about the outcome of the other important issues. According to epidemiological survey found that, HBsAg positive in HBeAg positive for 31.94%. Is the virus propagation HBeAg positive sign, HBsAg-positive does not necessarily infectious. At the same time, even if there is virus reproduction, it may not necessarily have liver damage. Thus, HBsAg-positive liver illness and different. The current study also found that the development of cirrhosis of the liver for years, the conversion rate of 2.8% to 3.5%, chronic hepatitis B for the development of liver cirrhosis in the conversion rate of only 0.83 percent, and carrying HBsAg in the development of liver cirrhosis into Lower rate, about 0.27 percent to 0.47 percent. Hepatitis B is not necessarily so for the development of cirrhosis, liver cancer. Patients with hepatitis B can be the same as normal, but do not forget that regular inspections. Once a problem, it is necessary to timely treatment.