Asking for directions and safety measures

Hello,

I have a relative who has chronic Hep B and D, who happens to be my caretaker, as I am with cerebral palsy. And I would like to ask a couple of questions and ask for directions

  1. I have heard that saliva is a potential carrier(but with very low risk), and as I use objects and touch everywhere so I can move(and after that touch my eyes, face, etc), and in addition, sometimes happen saliva to land on my eyes during conversation. Should I be worried or take some extra measures?

  2. Is soap and water enough to disinfect surfaces and objects when blood accidentally lands there? If it is not, could you recommend something stronger?

  3. Is it a good idea to have some immunoglobulin stored if blood a to-blood accident happens with some guest , neighbor etc?

(I am asking this particular question because I live in a small town in Eastern Europe, and let’s just say that the medical services often happen to be far from adequate)

  1. I am Hep B vaccinated by birth with 3 doses, but that was 30 years ago, and my antibodies may have been worn off a little bit. Do I still have some sort of protection?

  2. The viral load is 48.72942 UI/ml for Hepatitis B and 3100.47942 UI/ml for Hepatitis D. The gastroenterologist said that for now, medications are not needed, but I would like to ask if there is any alternative to the pegylated interferon.

  3. Is one month enough time for HBsAg and anti-HBc total, and do I require emergency testing

It will be a long trip to get to a proper testing center, and is very hard for me to get there, so unless it is hardly recommended, I would like to leave the testing for a later time or skip it entirely.

Thanks in advance for the answers

Hi @StevenS,
Welcome to the community. I will try and answer some of your questions. First, there is no evidence that HBV is transmitted through saliva. HBV is a bloodborne virus so there have to be an infected blood and opening or wound to enter the other person. Mode of transmission for HBV is sexually, through the birthing process, blood transfusion with an infected blood and exposure to other bodily fluids such as sperms etc.

To clean blood, you can mix bleach with some water and use as a disinfectant on surfaces where there is blood. To your third question, I am not sure why you will need this since you have been fully vaccinated. I don’t think you need that. If you are exposed, you can get antivirals as post-exposure prophylaxis but I doubt you will need it because you are fully vaccinated. It will be hard to store such a product either way.

Your provider can check your antibody count or tithers to see where you are if that will make things easier for you to know. There are newer medications coming out for hepatitis D. I know some are already approved in Europe so you might want to have a conversation with the provider for your family member. I hope this is helpful. Bansah1

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Thanks @Bansah1

I found this document in which there is a statement that there is a low risk from saliva
Article

How low exactly, I do not know

Hi @StevenS,
Thanks for sharing this article. The authors actually say this is plausible, but plausibility is not necessarily causation. Saying something is probable or reasonably does not mean it is the cause of an issue or something. Per the conclusion of their commentary they share that this mode of transmission is less likely to happen. Because in other for this to happen, there has to be blood in one person’s mouth and at the same time an opening or cut in the other person for the chance of transmission; hence the low risk. You are more likely to get it through sex and birth today than any other mode.

There have been some discussions here about this issue in the past, I hope you find this helpful:
Are people around me safe?

The fear of being transmitted by touching surface with punctured finger

Transmitting HBV through sweat?

Constant fear of transmitting the virus

Best, Bansah1.

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Thanks again, @Bansah1. I have actually already read one of the articles you gave me 2-3 days ago.

I merely want to do what do what is best for me and my relative. Only I know English and can operate a computer in my household, and they rely on me and my answers. So from what you told me, I assume the risk is rather theoretical than practical :slight_smile:

As one last thing, I would like to ask if there are any scientists or chemists to tell me (if possible) what are the names of the medications for hepatitis D and their relative prices, as I assume the governmental healthcare in my country will not cover these?

Thanks very much again in advance :slight_smile:

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Sounds like you have a lot of responsibility providing such health information to your family. They are lucky to have you able to do that for them. Sure, I understand what you mean.

Hepcludex is the Hepatitis D medicine in Europe not approved for use in the US. Its usage seems much restricted. There is also peginterferon alpha 2. Given that your family member has both I don’t know if by treating the Hepatitis B will decrease their chances of severe liver disease. Hepatitis B and D together together increases the chance of severe liver problems such as cirrhosis or liver cancer.

Hopefully, there’s a cure for both viruses soon. Best, Bansah1.

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Hi guys I was intimate with a girl and there was a little bit of intimacy and I kinda sucked her breasts…now idk what it is but i think i got a little fluid from the breast…it could or could not be…but this has put me into overthinking for std. Could anyone pls help me with the risks that i would get Hepatitis B from this pls.

Hello there,

The risk from this encounter is near-zero, to none. Especially if you did not have wounds on your mouth.

If you are still concerned, you may have the hep B vaccine in 1 to 3 days after this event.

It is recommended you get one if you are sexually active, anyway

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Hi @Charan_Venkatesh,

Current guidelines mention that transmission through breast milk is negligible, so I completely agree with @StevenS.

TT

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