Monsoon and Hepatitis: Far too deadly combo to ignore

The article based on the inputs from Dr Sunil Bhasin, a well known Pediatrician and Child Specialist, lists out important aspects related to Hepatitis A and its prevention through vaccination and healthy diet


New Delhi: Monsoon season is right at our doorstep but are we ready enough to enjoy the wet spells for this year? Along with simple infections, fever, cold and cough that strike during monsoon, people are also exposed to the more serious Hepatitis A infection. Hepatitis A is a mild to moderate liver disorder that is transmitted through consumption of contaminated food or water. Since there is a high probability of water contamination during monsoon, an increase in the incidence of Hepatitis A is also observed.

Causes, Symptoms and Risks of Hepatitis A infection:

The number one cause of Hepatitis A infection is ingesting food or water contaminated with an infected persons faeces, and also direct contact with an infected person. In a country like ours, sewage-contamination during monsoon is quite common and hence the spurt in Hep-A infection.

Hepatitis A virus usually takes 14-28 days to incubate and the most common symptom of a Hep –A infection is jaundice i.e. yellowing of the whites of the eyes and skin, fever, loss of appetite, weakness, diarrhoea and nausea. The severity of symptoms is slightly more in older children (6 and above) with 70% of those infected suffering from jaundice.

Children and adults who have been previously vaccinated against Hepatitis A are practically at very low risk of developing the infection. However, those who have not been vaccinated and get infected with virus, people with poor hygiene, people living with an infected individual are at high risk of acquiring Hepatitis A infection.

Liver is the most important organ of our body:

The liver is the largest solid organ in the human body. It receives about 1.5 litres of blood per minute, and is involved in three major vital functions that are essential to our body: cleansing, synthesis, and storage. The liver collects many toxins, transforms them to make them harmless, and then eliminates them. It is also involved in metabolising carbohydrates, lipids (cholesterol, triglycerides), and proteins (albumen). It has an essential role in the production of coagulation factors, to prevent haemorrhaging.  The liver stores the fat-soluble vitamins (A, D, K, and E) and glycogen. It thus stores energy in the form of sugar and makes it available to the body in case of need.

also observed.

Few facts on Hepatitis A prevention-


∎ No specific treatment or medicines if your liver is infected with Hepatitis-A infection and it can cause fatal complications

∎ Prevention in the form of vaccination is available these days that ensures safety from Hepatitis A disease

∎ For long term protection single dose of live attenuated Hepatitis A vaccine  is better than two dose of Hepatitis A vaccine. Live attenuated vaccine is given sub cutaneous, hence less painful VS Killed vaccine given intra-muscular, which is painful. It gives multipronged immunity  i.e. Cellular as well as Humoral, whereas killed only gives Humoral Immunity. Vaccination can be taken at any age (except below the age of 1)

Treatment and Prevention of Hepatitis A infection:

There is no specific treatment or medicines if your liver is infected with Hepatitis-A infection. The only treatment includes complete recovery from the infection, which may be slow and may take nearly a month. Care should be taken to provide adequate nutrition and fluids to the infected person as malnourishment may persist due to nausea, vomiting and diarrhoea.

Dr Sunil Bhasin, a well known Pediatrician and Child Specialist on whose inputs, this article is based, says, “Prevention in the form of vaccination is available these days that ensures safety from Hepatitis A virus. Almost everyone develops antibodies that fight against the virus within one month of the single dose of Live attenuated Vaccine and gives long-term immunity. In fact, a sudden exposure to the virus within a couple of weeks of vaccination also ensures protection from the virus. Millions of people have been vaccinated worldwide without any side effects. These days advanced forms of vaccination are available which are given as a single subcutaneous prick instead of the 2 dose traditional intramuscular injection which could be quite painful for kids. The World Health Organisation recommends that Hepatitis A vaccination should be a part of your child’s immunization plan to ensure long term protection from the infection.”

Since these vaccines are cost effective and relatively painless, every parent must ensure their child’s safety with Hepatitis A vaccine. Moreover, this vaccination can be taken at any age (except below the age of 1); hence even adults, who weren’t vaccinated in their childhood, too can protect themselves from acquiring this infection by getting vaccinated now.

If adults are infected with the Hepatitis A virus, the symptoms can be more serious, and the disease can even have a fatal outcome. When such dangerous liver infection is preventable, why take chances? Before the onset of monsoon, one should protect themselves and their children by proper vaccination, especially if they have missed the vaccine earlier. Maintaining proper hygiene, washing food thoroughly before eating, drinking boiled water and getting vaccinated are the best ways to prevent a Hepatitis A infection.