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Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

nature.com

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Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#61

Post by dingdingdang »

norwish wrote: post #46
peterwwillis wrote: post #37

Weird notes on HBV: - More contagious than HCV or HIV, apparently can even be spread via saliva. Potential infections can happen from uncleaned tattoo guns, razors used for shaves, unchanged soaking water/bowls and cuticle scissors at nail salons, unwashed hotel sheets/towels/robes, etc - 5-10% of immunized people don't develop enough antibodies to protect against infection - Remains contagious from 7 days to a month…

> can even be spread via saliva. While possible, is extremely unlikely. For it to be spread by saliva a) the saliva of the infected person would have to contain blood (e.g. bleeding gums) b) come into contact with an open wound in the other person (also has a cut or cold sore etc)

Not extremely unlikely given that most saliva swapping likely goes on between partners who kiss on a daily basis and hence are extremely likely to have at least one interaction where both parties have a combination of cuts, bleeding gums, cold sores or similar.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#62

Post by toast0 »

Gibbon1 wrote: post #11
ghostbrainalpha wrote: post #3

Earlier quoted context omitted.

Maybe this is too off topic for here but I have always wondered why people are so angry at Anti-Vaxx people? Yes... the compromise our Herd Immunity, but don't they also serve as a "Canary in The Coal Mine", risking their own health so that the human genome can keep battling with and evolving natural defenses against disease?

[flagged]

> Failure to vaccinate should result in intervention by CPS and the parents placed on a watch list.

Failure to vaccinate is a big issue, but I'd rather have anti-vaxxers than government taking kids away from parents because the parents refused a medical intervention.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#63

Post by rfinney »

copperx wrote: post #51
joshuamcginnis wrote: post #33

Earlier quoted context omitted.

FYI, 23andme provides an Late-Onset Alzheimer's Disease report[1] based via the ε4 variant but does not test for a person's full APOE genotype. [1] https://you.23andme.com/reports/ghr.alzheimers/

Now I'm scared; 23andme reported that I'm at risk for Late-Onset Alzheimer's. What lifestyle changes can I make to reduce the risk of liver cancer?

Vigorous exercise may help with Alzheimer's.

https://www.health.harvard.edu/mind-and-mood/vigorous-exerci...

The results indicate that aerobic exercise is more effective than any currently approved medication in fore-stalling Alzheimer's disease.

Also , keep your weight down.

https://www.endocrineweb.com/news/obesity/55627-being-overwe...

A new study found a culprit for the increasing rates of liver cancer: obesity. The study published in the journal, Cancer Research, found that high body mass index (BMI) and a large waist circumference were associated with an increased risk for liver cancer. In addition, having type 2 diabetes, another result of obesity, also increases the risk.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#65

Post by Gibbon1 »

toast0 wrote: post #62
Gibbon1 wrote: post #11

Earlier quoted context omitted.

[flagged]

> Failure to vaccinate should result in intervention by CPS and the parents placed on a watch list. Failure to vaccinate is a big issue, but I'd rather have anti-vaxxers than government taking kids away from parents because the parents refused a medical intervention.

I would rather the government step in than allowing anti-vaxers to keep polio, measles and whooping cough around.

Frankly the government steps in on a lot of things, like when a parent is caught driving drunk with their kids in the back of the car.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#66

Post by danielvf »

epmaybe wrote: post #52
danielvf wrote: post #49

Earlier quoted context omitted.

I agree that pediatric practices refusing service to no-vaxers is the norm in the US. I've have a few friends who range between full on anti-vax vs being skeptical of one or two, and I’ve heard a few stories. It seems that a parent asking for their child to not receive one or two of the 20-50 vaccines the pediatrician gives by default has about a 50% chance of being kicked out of the practice. As you said, asking for…

I can't say I've actually heard this being a thing in my part of the country. However, you mentioned the following: > (unless they moved to the area) Why not just lie and say you just moved to this part of the city/town/state? The only downside is that they'll ask about previous records which could get you caught. And further, what would be a potential reason for refusing to take care of a patient if you didn't follo…

"Why not just lie"

Some people care about being truthful. ;)

"What would be a potential reason for refusing to take care of a patient if you didn't follow them from week 1"

It's something like the Apple/Google/Adobe/Intel agreement to not hire each other's engineers. It gives one group more power by making the other party in the relationship have worse options if they leave.

If you leaving your current pediatrician means having no pediatrician at all, then the all of the pediatricians in the town benefit. Each can use it as a threat for compliance, force appointments, or have more room to act in ways that parents/patients don't like.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#67

Post by epmaybe »

danielvf wrote: post #66
epmaybe wrote: post #52

Earlier quoted context omitted.

I can't say I've actually heard this being a thing in my part of the country. However, you mentioned the following: > (unless they moved to the area) Why not just lie and say you just moved to this part of the city/town/state? The only downside is that they'll ask about previous records which could get you caught. And further, what would be a potential reason for refusing to take care of a patient if you didn't follo…

"Why not just lie" Some people care about being truthful. ;) "What would be a potential reason for refusing to take care of a patient if you didn't follow them from week 1" It's something like the Apple/Google/Adobe/Intel agreement to not hire each other's engineers. It gives one group more power by making the other party in the relationship have worse options if they leave. If you leaving your current pediatrician m…

Is the refusal to care in relation to a parent not wanting their child to be vaccinated, or solely due to not having been the primary care provider since birth?

Edit: I guess my reasoning for this question is based on new guidance from the American Academy of Pediatricians regarding refusal of care to those who refuse childhood immunization. I can't say I agree with that sentiment, and I would also argue that the majority of pediatricians in the US do not refuse care to families who refuse immunization. Why? Because it makes far more sense for a physician to continue to follow up with patients to continue recommending they get immunized. I assure you that most doctors, including pediatricians, don't want kids to die, so most don't refuse care just cause of a family not wanting to vaccinate their kid. It's unfair to a kid that likely doesn't have the competence or capacity to make decisions for themselves. I can't speak towards any pediatrician refusing care, or their reasoning, because I literally have not met one that does.

Edit 2: here is some explanation from the AAP as to when they would recommend dismissal of a family. Note that they specifically note that dismissal should be "a very last resort".

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#68

Post by qwerty456127 »

subcosmos wrote: post #24

Viruses that cause hepatitis actually embed themselves WITHIN LDL Particles (the "bad" cholesterol) to transport around the body. In doing so, they hide from the immune system. APOE it turns out, the Alzheimer's gene, ALSO predicts your risk for liver cancer ...... because this is the gene that the virus binds to while assembling into the particle. Hepatitis virus infections are strongly associated with heart disease…

What if you have low LDL? Do good vascular health and healthy diet protect from the virus?

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#69

Post by ekianjo »

rfinney wrote: post #63
copperx wrote: post #51

Earlier quoted context omitted.

Now I'm scared; 23andme reported that I'm at risk for Late-Onset Alzheimer's. What lifestyle changes can I make to reduce the risk of liver cancer?

Vigorous exercise may help with Alzheimer's. https://www.health.harvard.edu/mind-and-mood/vigorous-exerci... The results indicate that aerobic exercise is more effective than any currently approved medication in fore-stalling Alzheimer's disease. Also , keep your weight down. https://www.endocrineweb.com/news/obesity/55627-being-overwe... A new study found a culprit for the increasing rates of liver cancer: obesity.…

Keeping weight down reduces risks across the spectrum, probably linked to the immune system. So nothing specific to Alzheimer.

Re: Viral hepatitis: A silent epidemic killing more people than HIV, malaria or TB

#70

Post by danielvf »

epmaybe wrote: post #67
danielvf wrote: post #66

Earlier quoted context omitted.

"Why not just lie" Some people care about being truthful. ;) "What would be a potential reason for refusing to take care of a patient if you didn't follow them from week 1" It's something like the Apple/Google/Adobe/Intel agreement to not hire each other's engineers. It gives one group more power by making the other party in the relationship have worse options if they leave. If you leaving your current pediatrician m…

Is the refusal to care in relation to a parent not wanting their child to be vaccinated, or solely due to not having been the primary care provider since birth? Edit: I guess my reasoning for this question is based on new guidance from the American Academy of Pediatricians regarding refusal of care to those who refuse childhood immunization. I can't say I agree with that sentiment, and I would also argue that the maj…

In our town at least, all of the pediatrician practices that I know about, will not accept a child either did not start with them as newborn, or who moved to the town. This is handled by the front desk, before any discussion of care or vaccinations.

At least one pediatrician in our area will also dismiss your child as a patient if you do not schedule something approximating their recommended appointments schedule with them.

I agree 100% with you that refusing to care because of vaccination choices should not be done, and that it does harm the cause of vaccinations. (That's the point I was trying to get across in my original post.)

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