Hepatitis B

Hepatitis B - How to prevent?

Hepatitis B is best prevented by vaccination. The following groups who are at highest risk for contracting hepatitis B should be vaccinated:

Individuals requiring repeated transfusions of blood and blood products
Patients who have natural or acquired immune deficiency e.g. HIV, or cancer patients.
Patients with kidney failure who require dialysis.
Healthcare workers.
Intravenous drug abusers, homosexuals and commercial sex workers
Individuals living in areas where the prevalence of chronic hepatitis B is high e.g. Southeast Asia.
Offspring of women who are hepatitis B carriers.
Spouses and other sexual contacts of hepatitis B carriers.
Laboratory workers dealing with blood or serum samples.

Side-effects of vaccines are rare and include local soreness at the injection site, mild fever, malaise but extremely infrequently may cause swelling of the lymph nodes (glands in the neck, groin, armpits ), and abnormalities of the nervous system.

The vaccine is administered at time 0,1 and 6 months. However, before one gets vaccinated, one should check oneself for the immune status. Only those who are non-immune to hepatitis B and not carriers should be vaccinated.

Sacroiliac Joint Pain

Article contributed by Singapore General Hospital

The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth

Prof Ng Han Seong

Emeritus Consultant

Clinical Interests: Hepatology, Liver Cirrhosis, Viral Hepatitis, Autoimmune Liver Disease

Dr Chanda Kendra Ho

Senior Consultant

MD, MPH

Clinical Interests: Transplant Hepatology

Clin Assoc Prof Chow Wan Cheng

Senior Consultant

MBBS (Spore), MMed (Int Med), MRCP(UK), FAMS

Clinical Interests: Hepatology, Viral Hepatitis, Liver Transplantation, Autoimmune Liver Disease, Liver Cirrhosis

Clin Assoc Prof George Goh Boon Bee

Senior Consultant

MBBS, MRCP (UK), M Med (Int Med), FAMS (Singapore)

Clinical Interests: Hepatology, Non-alcoholic Fatty Liver Disease, Viral Hepatitis, Liver Cirrhosis, Diagnostic and Therapeutic Endoscopy, Liver Transplantation

Clin Assoc Prof Jason Chang Pik Eu

Senior Consultant

MBBS, MMed, MRCP(UK), FAMS

Clinical Interests: Liver Cirrhosis, Portal Hypertension, Hepatic Venous Pressure Gradient (HVPG) Measurement, Liver Fibrosis, Noncirrhotic Portal Hypertension, Diagnostic and Therapeutic Endoscopy, Hepatology

Clin Asst Prof Mark Cheah Chang Chuen

Senior Consultant

MBBS, MMed(Spore), MRCP(UK)

Clinical Interests: Non-alcoholic Fatty Liver Disease, Clinical Nutrition, Gastroenterology, Hepatology, Diagnostic and Therapeutic Endoscopy

Clin Assoc Prof Ong Ming Liang Andrew

Senior Consultant

MBChB (Hons), MRCP (UK), FAMS (Gastro), MMedEd (Dundee)

Clinical Interests: Diagnostic and Therapeutic Endoscopy, Gastroesophageal Reflux Disease (GERD), Irritable Bowel Syndrome ＆ Complex Functional GI Disorders, General Hepatology, Esophageal Manometry ＆ pH Monitoring, Intestinal Ultrasound, Pelvic Floor Disorders, Neurogastroenterology, Anorectal Manometry

Clin Asst Prof Rajneesh Kumar

Senior Consultant

MBBS (India), MD (Med)(India), MRCP (UK)

Clinical Interests: Hepatology, Viral Hepatitis, Liver Failure, Liver Transplant, Diagnostic and Therapeutic Endoscopy

Prof Tan Chee Kiat

Senior Consultant

MBBS (S'pore), MRCP (UK), FRCP (Edin), FAMS, FAASLD, PGDip MedEd (Dundee)

Clinical Interests: Hepatology, Liver Cancer, Liver Transplantation, Viral Hepatitis

Clin Asst Prof Tan Hiang Keat

Senior Consultant

MBBS (Spore), MRCP (UK)

Clinical Interests: Hepatology, Liver Cirrhosis, Portal Hypertension, Liver Transplant, Diagnostic and Therapeutic Endoscopy

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Sub-Committee on the Joint Implementation of Professional Training Competencies for House Officers, Medical Officers, MOHH, Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2008\u0026#58; Member, Clinical Practice Guidelines on Cancer Screening, MOH, Singapore\u0026#160;\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2006 – current\u0026#58; Member, Specialist Training Committee for Gastroenterology, Ministry of Health (MOH), Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2005\u0026#58; Member, SingHealth Clinical Advisory Panel for Business Development\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2004 – 2009\u0026#58; Head, Dept of Gastroenterology \u0026amp; Hepatology, Singapore General Hospital\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2004 – current\u0026#58; Clinical Assoc Professor, Faculty of Medicine, National University of Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2004 – 2008\u0026#58; Associate Editor, Singapore Medical Journal\u0026#160;\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2004 – 2005\u0026#58; Member, Biologics Expert Panel, Medicine Advisory Committee, Health Sciences Authority (HSA), Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2003 – current\u0026#58; Member, Pharmocovivgilance Advisory Committee, Health Sciences Authority (HSA), Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2002 – 2003\u0026#58; Member, Editorial Board, Singapore Medical Journal\u0026#160;\u0026#160;\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2001 – 2006\u0026#58; Member, Advisory and scientific committee on hepatitis and related disorders, Ministry of Health (MOH), Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2001 – 2005\u0026#58; External evaluator panel, Centre for Pharmaceutical Administration and Centre for Drug Evaluation, Health Sciences Authority (HSA), Singapore\u003cbr\u003e\u003c/li\u003e\u003cli\u003e2001 – 2003\u0026#58; Secretary, Working Committee for guidelines for management of chronic 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