CHITWAN SCHOOL OF MEDICAL SCIENCES COLLEGE OF NURSING BHARATPUR-13, KAILASHNANAR CHITWAN

Topic:- Hepatitis E Submitted To: Lecturer Gayatri Mam Submitted by: Roll no:-21 to 25

HEPATITIS E
Content Introduction Incubation period Mode of transmission Diagnosis Clinical features Factors responsible for spread of hepatitis e Prevention and control of hepatitis e

Introduction
Hepatitis E is an acute self limiting disease of the liver caused by hepatitis E virus (HEV) that manifest clinically as acute jaundice.

High risk
young adults and pregnant women

Incubation period :2-9 wks

Mode of transmission:Faeco oral route via contaminated water

Diagnosis: Clinical features of fever , jaundice Anti HEV antibodies can be detected in serum.

Clinical features
Jaundice Fatigue Dark Urine Yellow Skin Pale Stools Yellow Eyes Abdominal Swelling Fever (mild up to 38o c) Vomiting Nausea Abdominal Pain Ascites Loss of Appetite

Factors responsible for spread of hepatitis E in endemic areas

Leaky water- pipes with intermittent flow that runs through polluted soil or in proximity of sewage pipes. Diversion of sewage into water pipes during road or house repair work. Failure of the chlorination of drinking water at the treatment station. Diversion of sewage into water pumping station following flooding or heavy rains. Crowded living conditions with unsafe water supply and disposal of human wastes.

Prevention and control of hepatitis E

Confined to proper hygiene, safe drinking water and adequate sewage disposal. Efficient chlorination of the water at the treatment sites should be insured. Care should be taken to prevent contamination of drinking water supply system from sewage during construction of road and house. No specific treatment , only supportive measures. No vaccines or immunoglobulin available.

REFRENCES
KC Saroj raj , Applied Epidemiology in Nepalese context ,A.K Books Publishers and Distributors. K Park, Parks Textbook of Preventive and Social Medicine,19th edition Suzanne C Smettza , Brenda G Bare, Genice L Hinkle, Kerry H Cheever, Burner and Suddharths Text Book of Medical and Surgical Nursing, 11th edition Internet source