Viral Hepatitis

Viral Hepatitis Shanghai China

Gay and  bisexual men are at increased risk for certain sexually transmitted diseases  (STDs), including Hepatitis A, B and C, which are contagious liver  diseases. Approximately 10 % of new Hepatitis A and 20% of all new Hepatitis B  infections in the United States are among men who have sex with men. Many men  have not been vaccinated against viral hepatitis, despite the availability of  safe and effective vaccine.  In addition,  CDC has investigated several outbreaks of Hepatitis C among HIV positive gay  men. In addition, CDC has investigated several outbreaks of Hepatitis C among HIV positive gay men.

There is a safe and effective vaccine that protects gay and bisexual men from Hepatitis A and B. In fact, CDC recommends that men who have sex with men (MSM) get vaccinated against viral hepatitis A and B.

How is Hepatitis A spread?

Hepatitis  A is usually spread from contact with feces (or stool) of an infected person. In men who have sex with men, Hepatitis A usually is transmitted through oral-anal sexual contact. Hepatitis A ranges in severity from a mild illness lasting a few weeks to a  severe illness lasting several months.

How is Hepatitis B spread?

Hepatitis  B is spread when blood, semen, or other body fluid infected with the Hepatitis  B virus enters the body of a person who is not infected. In men who have sex with men, Hepatitis B is often transmitted through unprotected anal sex or receptive oral sex (giving oral sex). The infection can also be spread when individuals share injection drug equipment. Hepatitis B can be  either "acute" or "chronic." Acute Hepatitis B is a mild  illness that can last a few weeks or months.   While some people “clear” the virus, others go on to develop chronic Hepatitis B, a serious, lifelong  illness.

How is Hepatitis C spread?

Hepatitis  C is spread through contact with blood  from an infected person by sharing needles or other drug injection  equipment.  Hepatitis C also can be  spread through sexual contact, although scientists do not know how frequently  this occurs. Scientists continue to see outbreaks of Hepatitis C among HIV-infected gay and bisexual men. Rough sex, sex with multiple partners, or having a sexually  transmitted disease or HIV appears to increase a person’s risk for Hepatitis C. 

What are the symptoms of viral hepatitis?

Many people  with viral hepatitis do not have any symptoms. Symptoms, if they do appear, are  similar for all types of hepatitis and can include: fever, fatigue, loss of appetite,  nausea, vomiting, abdominal pain, dark urine, grey-colored bowel movements,  joint pain and jaundice (a yellowing of the skin or eyes).

Can viral hepatitis be prevented?

Experts  recommend that all gay and bisexual men be vaccinated for Hepatitis A and B.  The Hepatitis A and B vaccines can be given separately or as a combination  vaccine. The vaccines are safe, effective, and require 2-3 shots within a  six month period depending on the type of vaccine. A person should complete all  shots in the series for long-term protection.  There is no vaccine for  Hepatitis C.