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What is hepatitis? Hepatitis is known as inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer. Hepatitis viruses are the most common cause of hepatitis in the world but other infections, toxic substances (e.g. alcohol, certain drugs), and autoimmune condition can also tend hepatitis. There are 5 main hepatitis viruses, referred to as types A, B, C, D and E. These 5 types are of greatest concern because of the burden of illness and causes death and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease in hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer. Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids and blood contamination. Common modes of transmission for these viruses include receipt of contaminated blood or blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth, from family member to child, and also by sexual contact. Acute infection may occur with limited or no symptoms, or may include symptoms such as jaundice (yellowing of the skin and eyes), dark urine, extreme fatigue, nausea, vomiting and abdominal pain. What are the different hepatitis viruses? Scientists have identified 5 unique hepatitis viruses, identified by the letters A, B, C, D, and E. While all cause liver disease, they vary in important ways. Hepatitis A virus (HAV) is present in the faces of infected persons and is most often transmitted through consumption of contaminated water or food. Certain sex practices can also spread HAV. Infections are in many cases mild, with most people making a full recovery and remaining immune from further HAV infections. However, HAV infections can also be severe and life threatening. Most people in areas of the world with poor sanitation have been infected with this virus. Safe and effective vaccines are available to prevent HAV. Hepatitis B virus (HBV) is transmitted through exposure to infective blood, semen, and other body fluids. HBV can be transmitted from infected mothers to infants at the time of birth or from family member to infant in early childhood. Transmission may also occur through transfusions of HBV-contaminated blood and blood products, contaminated injections during medical procedures, and through injection drug use. HBV also poses a risk to healthcare workers who sustain accidental needle stick injuries while caring for infected-HBV patients. Safe and effective vaccines are available to prevent HBV. Hepatitis C virus (HCV) is mostly transmitted through exposure to infective blood. This may happen through transfusions of HCV-contaminated blood and blood products, contaminated injections during medical procedures, and through injection drug use. Sexual transmission is also possible, but is much less common. There is no vaccine for HCV. Hepatitis D virus (HDV) infections occur only in those who are infected with HBV. The dual infection of HDV and HDV can result in a more serious disease and worse outcome. Hepatitis B vaccines provide protection from HDV infection. Hepatitis E virus (HEV) is mostly transmitted through consumption of contaminated water or food. HEV is a common cause of hepatitis outbreaks in developing parts of the world and is increasingly recognized as an important cause of disease in developed countries. Safe and effective vaccines to prevent HEV infection have been developed but are not widely available. Hepatitis virus types A, B, C, D and E cause infection and inflammation of the liver that can lead to severe disease and death. More than 1 MILLION PEOPLE die each year from disease caused by hepatitis B & C. Most of those infected don’t know they have it, INCREASING THE RISK of developing severe liver disease and transmitting the virus to others. If you have any symptoms of hepatitis, get tested. Don’t be late. The tests we are offering for hepatitis are: HE30 HEPATITIS A IGG ANTIBODY HE31 HEPATITIS A VIRUS IgM ANTIBODIES HE32 HEPATITIS B SURFACE ANTIGEN NEUTRALIZATION (WITH CONFIRMATION ) HE33 HEPATITIS B SURFACE ANTIGEN[PHOTO] HE34 HEPATITIS B VIRUS GENOTYPING HE35 HEPATITIS B VIRUS BASAL CORE PROMOTER MUTATION HE36 HEPATITIS B VIRUS CORE IgM ANTIBODIES HE37 HEPATITIS B VIRUS DNA ,QUANTITATIVE HE38 HEPATITIS B VIRUS DNA DETECTOR, QUALITATIVE HE39 HEPATITIS B VIRUS DRUG RESISTANCE (Lamivudine, Telbivudine, Adefovir, Tenofovir and Entecavir) HE40 HEPATITIS B VIRUS PRECORE MUTATION HE41 HEPATITIS Be VIRUS ANTIGEN HE42 HEPATITIS Be VIRUS ANTIGEN / ANTIBODY EVALUATION HE43 HEPATITIS Be VIRUS TOTAL ANTIBODIES HE44 HEPATITIS C ANTIBODIES HE45 HEPATITIS C VIRUS GENOTYPING HE46 HEPATITIS C VIRUS RNA PCR, QUALITATIVE HE47 HEPATITIS C VIRUS RNA, QUANTITATIVE HE48 HEPATITIS DELTA VIRUS IgG ANTIBODIES HE49 HEPATITIS E VIRUS IgG ANTIBODIES HE50 HEPATITIS E VIRUS IgM ANTIBODIES HE51 HEPATITIS G VIRUS RNA PAN1 ACUTE HEPATITIS VIRUS EVALUATION I HCV ABS, HEV IgM, HBsAg, HAV IgM, HBcoreIgM ACUTE HEPATITIS VIRUS EVALUATION II HCV ABS, HEV IgM / IgG, HBsAg, HAV IgM, HBeAG, HBeAb ACUTE HEPATITIS VIRUS EVALUATION III HSV IgM, CMV IgM, EBV (EA IgG, VZV IgM ACUTE HEPATITIS VIRUS EVALUATION- 1 HCV ABS, HEV IgM, HBsAg, HAV IgM, HBcoreIgM ACUTE HEPATITIS VIRUS EVALUATION- 2 HCV ABS, HEV IgM / IgG, HBsAg, HAV IgM, HBeAG, HBeAb ACUTE HEPATITIS VIRUS EVALUATION- 3 HSV IgM, CMV IgM, EBV (EA IgG, VZV IgM) PAN2 PAN3 PAN4 PAN5 PAN6 PAN112 HEPATITIS A VIRUS PANEL PAN113 HEPATITIS B CORE TOTAL ANTIBODIES HEPATITIS B SURFACE ANTIBODIES PANEL HBsAb, TOTAL WITH TITRE HEPATITIS B VIRUS EVALUATION PANEL HBCORE TOTAL &IgM, HBsAb, HBsAg HEPATITIS A,B,C SCREEN Hepatitis A IgM, HbsAg, HCV ,LFT HEPATITIS SCREENING PANEL CBC,SGPT, SGOT, TOTAL BILIRUBIN,DIRECT BILIRUBIN,INDIRECT BILIRUBIN, HBsAg, HAV IgM, HEP E IGM. HEPATITIS PROFILE HAV-IgM, HAV-Total, Anti Hbe; HBeAg, Anti PAN114 PAN115 PAN116 PAN117 PAN118 IgG & IgM ANTIBODIES HB10 HBs, HbsAg, HCV Antibody, Anti HBc - IgM, HBcAb - Total, HEV - IgM HBeAG NEGATIVE REFLEX TO HBV PRECORE & BASAL CORE MUTATION HB11 HBV BASAL CORE PROMOTER MUTATION HB12 HBV DRUG RESISTANCE (Lamivudine, Telbivudine, Adefovir, Tenofovir and Entecavir) HB13 HBV GENOTYPING HB14 HBV PRECORE MUTATION HB15 HBV QUALITATIVE HB16 HBV QUANTITATIVE HC17 HCV GENOTYPING HC18 HCV RNA PCR QUALITATIVE HC19 HCV RNA QUANTITATIVE Reference: 1. http://www.who.int/features/qa/76/en/# 2. http://www.who.int/campaigns/hepatitis-day/2014/hepatitis-b-c-d.pdf?ua=1 3. http://www.who.int/campaigns/hepatitis-day/2014/hepatitis-a-e.pdf?ua=1