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{{Hepatitis B}}
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==Overview==
The first descriptions of [[hepatitis]] (epidemic [[jaundice]]), recorded in the 5<sup>th</sup> century BCE, are generally attributed to Hippocrates.<ref name="CDC1">Center for Disease Control and Prevention.Epidemiology and Prevention of Vaccine Preventable Diseases 2012. http://www.cdc.gov/vaccines/pubs/pinkbook/hepa.html</ref> In 1885, the earliest identifiable occurrence of hepatitis B virus was documented by Lurman.<ref name="Hussey1981">{{cite journal|last1=Hussey|first1=Hugh H.|title=The Hepatitis B Saga|journal=JAMA: The Journal of the American Medical Association|volume=245|issue=13|year=1981|pages=1317|issn=0098-7484|doi=10.1001/jama.1981.03310380021018}}</ref> In 1947, the current nomenclature of [[hepatitis A]] (so-called infectious hepatitis) and [[hepatitis B]] (so-called serum hepatitis) was proposed by MacCallum and Bauer. Throughout the 20th century, advancements in the recognition, isolation, classification, and prevention of hepatitis B were achieved. Today, the focus around HBV remains on the spread of awareness and prevention across the world, especially in [[endemic]] areas that would benefit greatly from immunization programs.<ref name="pmid10194463">{{cite journal| author=Mahoney FJ| title=Update on diagnosis, management, and prevention of hepatitis B virus infection. | journal=Clin Microbiol Rev | year= 1999 | volume= 12 | issue= 2 | pages= 351-66 | pmid=10194463 | doi= | pmc=PMC88921 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10194463  }} </ref><ref name=serum-hepatitis>Neefe, John R., Sydney S. Gellis, and Joseph Stokes. "Homologous serum hepatitis and infectious (epidemic) hepatitis: Studies in volunteers bearing on immunological and other characteristics of the etiological agents." The American journal of medicine 1.1 (1946): 3-22.</ref>


==Historical Perspective==
==Historical Perspective==
===Early History===
*The first descriptions of [[hepatitis]] (epidemic [[jaundice]]), recorded in the 5<sup>th</sup> century BCE, are generally attributed to Hippocrates.<ref name="CDC1">Center for Disease Control and Prevention.Epidemiology and Prevention of Vaccine Preventable Diseases 2012. http://www.cdc.gov/vaccines/pubs/pinkbook/hepa.html</ref>
*In 1885, the earliest identifiable occurrence of hepatitis B virus was documented by Lurman. Lurman's paper, which is regarded as a classic example of an [[epidemiological]] study, definitively identified contaminated [[lymph]] as the source of hepatitis outbreak.<ref name="Hussey1981">{{cite journal|last1=Hussey|first1=Hugh H.|title=The Hepatitis B Saga|journal=JAMA: The Journal of the American Medical Association|volume=245|issue=13|year=1981|pages=1317|issn=0098-7484|doi=10.1001/jama.1981.03310380021018}}</ref> Lurman described a form of hepatitis that was transmitted by direct [[inoculation]] of [[blood]] or blood products during a [[smallpox]] outbreak in Bremen, Germany. Thousands of shipyard employees were vaccinated against smallpox with a preparation made from human [[lymph]]. Between several weeks and 8 months later, 15% of the workers became ill with [[jaundice]], while unvaccinated workers remained healthy.<ref name="pmid10194463">{{cite journal| author=Mahoney FJ| title=Update on diagnosis, management, and prevention of hepatitis B virus infection. | journal=Clin Microbiol Rev | year= 1999 | volume= 12 | issue= 2 | pages= 351-66 | pmid=10194463 | doi= | pmc=PMC88921 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10194463  }} </ref>
*During the early 20th century, similar outbreaks of [[jaundice]] occurring after longer incubation periods were documented in clinics treating patients with [[syphilis]], [[diabetes]], and [[tuberculosis]].<ref name="pmid10194463">{{cite journal| author=Mahoney FJ| title=Update on diagnosis, management, and prevention of hepatitis B virus infection. | journal=Clin Microbiol Rev | year= 1999 | volume= 12 | issue= 2 | pages= 351-66 | pmid=10194463 | doi= | pmc=PMC88921 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10194463  }} </ref>
*In the 1920s, reports from clinics in Germany and the United States referred to the treatment of [[syphilis]] with intravenous therapy.<ref name=OMH>{{cite web | title = Evolution of Concepts of Hepatitis | url = http://history.amedd.army.mil/booksdocs/wwii/communicablediseasesV5/chapter17.htm }}</ref> At the time, the so-called "salvarsan [[icterus]]" was thought to be a direct effect of the treatment for syphilis, rather than an artifact of the use of contaminated needles and syringes.
*In 1926, Flaum, Malmros, and Persson published a paper on the role of syringes and needles in the transmission of the disease, in which they documented the distinctive [[incubation period]] of the infection compared to the so-called spontaneous catarrhal jaundice (now known as [[Hepatitis A]]). In their paper, they introduced the possibility that two different viruses might cause [[hepatitis]].<ref name=OMH>{{cite web | title = Evolution of Concepts of Hepatitis | url = http://history.amedd.army.mil/booksdocs/wwii/communicablediseasesV5/chapter17.htm }}</ref> Further evidence supporting the notion of the existence of at least two separate etiological agents causing hepatitis came during World War II, when [[jaundice]] [[epidemics]] were clearly distinguished among United States military personnel based on differences in [[transmission]] and [[incubation periods]].<ref name="Hussey1981">{{cite journal|last1=Hussey|first1=Hugh H.|title=The Hepatitis B Saga|journal=JAMA: The Journal of the American Medical Association|volume=245|issue=13|year=1981|pages=1317|issn=0098-7484|doi=10.1001/jama.1981.03310380021018}}</ref>
*In 1947, the current nomenclature of [[hepatitis A]] (so-called infectious hepatitis) and [[hepatitis B]] (so-called serum hepatitis) was proposed by MacCallum and Bauer. By this time, it was already known that in comparison with hepatitis A, hepatitis B:<ref name="pmid10194463">{{cite journal| author=Mahoney FJ| title=Update on diagnosis, management, and prevention of hepatitis B virus infection. | journal=Clin Microbiol Rev | year= 1999 | volume= 12 | issue= 2 | pages= 351-66 | pmid=10194463 | doi= | pmc=PMC88921 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10194463  }} </ref>
** Was transmitted by percutaneous exposure to [[blood]] products
**Had a longer incubation period (2-6 months)
** Occurred more often in adults
*In the 1960’s and 1970’s, Krugman et al. performed studies confirming these previously observed differences as well as the occurrence of homologous [[immunity]] after infection with hepatitis B.<ref name=OMH>{{cite web | title = Evolution of Concepts of Hepatitis | url = http://history.amedd.army.mil/booksdocs/wwii/communicablediseasesV5/chapter17.htm }}</ref>
*In 1965, the hepatitis B virus was discovered by Baruch Blumberg. He identified the Australia antigen (later known to be hepatitis B surface antigen or HBsAg) in blood collected from Australian aborigines.<ref name="pmid5930797">{{cite journal |author=Alter HJ, Blumberg BS |title=Further studies on a "new" human isoprecipitin system (Australia antigen) |journal=[[Blood]] |volume=27 |issue=3 |pages=297–309 |year=1966 |month=March |pmid=5930797 |doi= |url=http://bloodjournal.hematologylibrary.org/cgi/pmidlookup?view=long&pmid=5930797 |accessdate=2012-02-08}}</ref> In 1970, the virus particle was identified with electron microscopy by D.S. Dane ''et al''.<ref name="pmid4190997">{{cite journal |author=Dane DS, Cameron CH, Briggs M |title=Virus-like particles in serum of patients with Australia-antigen-associated hepatitis |journal=[[Lancet]] |volume=1 |issue=7649 |pages=695–8 |year=1970 |month=April |pmid=4190997 |doi= |url= |accessdate=2012-02-08}}</ref>
*In 1970, the virus particle was identified with [[electron microscopy]] by D.S. Dane ''et al''.<ref name="pmid4190997">{{cite journal |author=Dane DS, Cameron CH, Briggs M |title=Virus-like particles in serum of patients with Australia-antigen-associated hepatitis |journal=[[Lancet]] |volume=1 |issue=7649 |pages=695–8 |year=1970 |month=April |pmid=4190997 |doi= |url= |accessdate=2012-02-08}}</ref>
*In 1972, hepatitis B virus was classified into four subtypes: ''adr'', ''adw'', ''ayr'', and ''yaw''. This initial classification was based on the [[capsid|envelope protein]] of the virus.  The four subtypes were noted to have different geographical distributions, which helped trace the route of infections.<ref name="pmid4128782">{{cite journal| author=Mazzur S, Burgert S, Blumberg BS| title=Geographical distribution of Australia antigen determinants d, y and w. | journal=Nature | year= 1974 | volume= 247 | issue= 5435 | pages= 38-40 | pmid=4128782 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4128782  }} </ref><ref name="pmid1694959">{{cite journal| author=Yamanaka T, Akahane Y, Suzuki H, Okamoto H, Tsuda F, Miyakawa Y et al.| title=Hepatitis B surface antigen particles with all four subtypic determinants: point mutations of hepatitis B virus DNA inducing phenotypic changes or double infection with viruses of different subtypes. | journal=Mol Immunol | year= 1990 | volume= 27 | issue= 5 | pages= 443-9 | pmid=1694959 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1694959  }} </ref>
===Discovery and Vaccine===
*By the early 1980s the genome of the hepatitis B virus had been sequenced.
*Since 1982, a [[vaccine]] against hepatitis B has been available.<ref name="pmid5930797">{{cite journal |author=Alter HJ, Blumberg BS |title=Further studies on a "new" human isoprecipitin system (Australia antigen) |journal=[[Blood]] |volume=27 |issue=3 |pages=297–309 |year=1966 |month=March |pmid=5930797 |doi= |url=http://bloodjournal.hematologylibrary.org/cgi/pmidlookup?view=long&pmid=5930797 |accessdate=2012-02-08}}</ref>
*Recent discoveries have allowed [[hepatitis B virus]] to be classified not only according to [[serotype]], but according to genotype. Today, [[HBV]] is classified into ten [[genotypes]] (A-J) according to the variation of the [[nucleotide]] sequence of the [[genome]].<ref name="pmid16506363">{{cite journal| author=Enomoto M, Tamori A, Nishiguchi S| title=Hepatitis B virus genotypes and response to antiviral therapy. | journal=Clin Lab | year= 2006 | volume= 52 | issue= 1-2 | pages= 43-7 | pmid=16506363 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16506363  }} </ref>


The earliest record of an epidemic caused by hepatitis B virus was made by Lurman in 1885.<ref>{{cite journal |author=Lurman A |title=Eine icterus epidemic |journal=Berl Klin Woschenschr |volume=22 |pages=20–3 |year=1885 |language=German}}</ref> An outbreak of [[smallpox]] occurred in Bremen in 1883 and 1,289 shipyard employees were [[vaccinated]] with [[lymph]] from other people. After several weeks, and up to eight months later, 191 of the vaccinated workers became ill with [[jaundice]] and were diagnosed as suffering from serum hepatitis. Other employees who had been inoculated with different batches of lymph remained healthy. Lurman's paper, now regarded as a classical example of an [[epidemiology|epidemiological]] study, proved that contaminated lymph was the source of the outbreak. Later, numerous similar outbreaks were reported following the introduction, in 1909, of [[hypodermic needles]] that were used, and, more importantly, reused, for administering [[Arsphenamine|Salvarsan]] for the treatment of [[syphilis]]. The virus was not discovered until 1965 when [[Baruch Blumberg]], then working at the [[National Institutes of Health]] (NIH), discovered the [[Australia antigen]] (later known to be hepatitis B surface antigen, or HBsAg) in the blood of Australian aboriginal people.<ref name="pmid5930797">{{cite journal |author=Alter HJ, Blumberg BS |title=Further studies on a "new" human isoprecipitin system (Australia antigen) |journal=[[Blood]] |volume=27 |issue=3 |pages=297–309 |year=1966 |month=March |pmid=5930797 |doi= |url=http://bloodjournal.hematologylibrary.org/cgi/pmidlookup?view=long&pmid=5930797 |accessdate=2012-02-08}}</ref> Although a virus had been suspected since the research published by MacCallum in 1947,<ref>{{cite journal |author=MacCallum, F.O. |title=Homologous serum hepatitis |journal=Lancet |volume=2 |pages=691 |year=1947 }}</ref> D.S. Dane and others discovered the virus particle in 1970 by [[electron microscopy]].<ref name="pmid4190997">{{cite journal |author=Dane DS, Cameron CH, Briggs M |title=Virus-like particles in serum of patients with Australia-antigen-associated hepatitis |journal=[[Lancet]] |volume=1 |issue=7649 |pages=695–8 |year=1970 |month=April |pmid=4190997 |doi= |url= |accessdate=2012-02-08}}</ref> By the early 1980s the [[genome]] of the virus had been sequenced,<ref name="pmid399327">{{cite journal |author=Galibert F, Mandart E, Fitoussi F, Tiollais P, Charnay P |title=Nucleotide sequence of the hepatitis B virus genome (subtype ayw) cloned in E. coli |journal=[[Nature]] |volume=281 |issue=5733 |pages=646–50 |year=1979 |month=October |pmid=399327 |doi= |url= |accessdate=2012-02-08}}</ref> and the first vaccines were being tested.<ref name="pmid6108398">{{cite journal |author= |title=Hepatitis B vaccine |journal=[[Lancet]] |volume=2 |issue=8206 |pages=1229–30 |year=1980 |month=December |pmid=6108398 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0140-6736(80)92484-8 |accessdate=2012-02-08}}</ref>
===Global Health===
*In 1992, the Global Advisory Group to the World Health Organization (WHO) recommended that hepatitis B vaccine be incorporated into national immunization programs in all countries by 1997.
*Since 2007, World Hepatitis Day has taken place on July 28. The intention of the day is to raise global awareness of hepatitis B and [[hepatitis C]] and encourage prevention, diagnosis, and treatment. It has been led by the World Hepatitis Alliance.
*On May 2010, the World Hepatitis Alliance received global endorsement from the [[World Health Organization]].<ref> World Health Organization. Viral hepatitis (2010). http://apps.who.int/gb/ebwha/pdf_files/EB126/B126_R16-en.pdf Accessed on October 5th, 2016 </ref>


== References ==   
==References ==   
{{Reflist|2}}  
{{Reflist|2}}


[[Category:Hepatitis|B]]
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jolanta Marszalek, M.D. [2], Sara Mehrsefat, M.D. [3]

Overview

The first descriptions of hepatitis (epidemic jaundice), recorded in the 5th century BCE, are generally attributed to Hippocrates.[1] In 1885, the earliest identifiable occurrence of hepatitis B virus was documented by Lurman.[2] In 1947, the current nomenclature of hepatitis A (so-called infectious hepatitis) and hepatitis B (so-called serum hepatitis) was proposed by MacCallum and Bauer. Throughout the 20th century, advancements in the recognition, isolation, classification, and prevention of hepatitis B were achieved. Today, the focus around HBV remains on the spread of awareness and prevention across the world, especially in endemic areas that would benefit greatly from immunization programs.[3][4]

Historical Perspective

Early History

  • The first descriptions of hepatitis (epidemic jaundice), recorded in the 5th century BCE, are generally attributed to Hippocrates.[1]
  • In 1885, the earliest identifiable occurrence of hepatitis B virus was documented by Lurman. Lurman's paper, which is regarded as a classic example of an epidemiological study, definitively identified contaminated lymph as the source of hepatitis outbreak.[2] Lurman described a form of hepatitis that was transmitted by direct inoculation of blood or blood products during a smallpox outbreak in Bremen, Germany. Thousands of shipyard employees were vaccinated against smallpox with a preparation made from human lymph. Between several weeks and 8 months later, 15% of the workers became ill with jaundice, while unvaccinated workers remained healthy.[3]
  • During the early 20th century, similar outbreaks of jaundice occurring after longer incubation periods were documented in clinics treating patients with syphilis, diabetes, and tuberculosis.[3]
  • In the 1920s, reports from clinics in Germany and the United States referred to the treatment of syphilis with intravenous therapy.[5] At the time, the so-called "salvarsan icterus" was thought to be a direct effect of the treatment for syphilis, rather than an artifact of the use of contaminated needles and syringes.
  • In 1926, Flaum, Malmros, and Persson published a paper on the role of syringes and needles in the transmission of the disease, in which they documented the distinctive incubation period of the infection compared to the so-called spontaneous catarrhal jaundice (now known as Hepatitis A). In their paper, they introduced the possibility that two different viruses might cause hepatitis.[5] Further evidence supporting the notion of the existence of at least two separate etiological agents causing hepatitis came during World War II, when jaundice epidemics were clearly distinguished among United States military personnel based on differences in transmission and incubation periods.[2]
  • In 1947, the current nomenclature of hepatitis A (so-called infectious hepatitis) and hepatitis B (so-called serum hepatitis) was proposed by MacCallum and Bauer. By this time, it was already known that in comparison with hepatitis A, hepatitis B:[3]
    • Was transmitted by percutaneous exposure to blood products
    • Had a longer incubation period (2-6 months)
    • Occurred more often in adults
  • In the 1960’s and 1970’s, Krugman et al. performed studies confirming these previously observed differences as well as the occurrence of homologous immunity after infection with hepatitis B.[5]
  • In 1965, the hepatitis B virus was discovered by Baruch Blumberg. He identified the Australia antigen (later known to be hepatitis B surface antigen or HBsAg) in blood collected from Australian aborigines.[6] In 1970, the virus particle was identified with electron microscopy by D.S. Dane et al.[7]
  • In 1970, the virus particle was identified with electron microscopy by D.S. Dane et al.[7]
  • In 1972, hepatitis B virus was classified into four subtypes: adr, adw, ayr, and yaw. This initial classification was based on the envelope protein of the virus. The four subtypes were noted to have different geographical distributions, which helped trace the route of infections.[8][9]

Discovery and Vaccine

  • By the early 1980s the genome of the hepatitis B virus had been sequenced.
  • Since 1982, a vaccine against hepatitis B has been available.[6]
  • Recent discoveries have allowed hepatitis B virus to be classified not only according to serotype, but according to genotype. Today, HBV is classified into ten genotypes (A-J) according to the variation of the nucleotide sequence of the genome.[10]

Global Health

  • In 1992, the Global Advisory Group to the World Health Organization (WHO) recommended that hepatitis B vaccine be incorporated into national immunization programs in all countries by 1997.
  • Since 2007, World Hepatitis Day has taken place on July 28. The intention of the day is to raise global awareness of hepatitis B and hepatitis C and encourage prevention, diagnosis, and treatment. It has been led by the World Hepatitis Alliance.
  • On May 2010, the World Hepatitis Alliance received global endorsement from the World Health Organization.[11]

References

  1. 1.0 1.1 Center for Disease Control and Prevention.Epidemiology and Prevention of Vaccine Preventable Diseases 2012. http://www.cdc.gov/vaccines/pubs/pinkbook/hepa.html
  2. 2.0 2.1 2.2 Hussey, Hugh H. (1981). "The Hepatitis B Saga". JAMA: The Journal of the American Medical Association. 245 (13): 1317. doi:10.1001/jama.1981.03310380021018. ISSN 0098-7484.
  3. 3.0 3.1 3.2 3.3 Mahoney FJ (1999). "Update on diagnosis, management, and prevention of hepatitis B virus infection". Clin Microbiol Rev. 12 (2): 351–66. PMC 88921. PMID 10194463.
  4. Neefe, John R., Sydney S. Gellis, and Joseph Stokes. "Homologous serum hepatitis and infectious (epidemic) hepatitis: Studies in volunteers bearing on immunological and other characteristics of the etiological agents." The American journal of medicine 1.1 (1946): 3-22.
  5. 5.0 5.1 5.2 "Evolution of Concepts of Hepatitis".
  6. 6.0 6.1 Alter HJ, Blumberg BS (1966). "Further studies on a "new" human isoprecipitin system (Australia antigen)". Blood. 27 (3): 297–309. PMID 5930797. Retrieved 2012-02-08. Unknown parameter |month= ignored (help)
  7. 7.0 7.1 Dane DS, Cameron CH, Briggs M (1970). "Virus-like particles in serum of patients with Australia-antigen-associated hepatitis". Lancet. 1 (7649): 695–8. PMID 4190997. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)
  8. Mazzur S, Burgert S, Blumberg BS (1974). "Geographical distribution of Australia antigen determinants d, y and w." Nature. 247 (5435): 38–40. PMID 4128782.
  9. Yamanaka T, Akahane Y, Suzuki H, Okamoto H, Tsuda F, Miyakawa Y; et al. (1990). "Hepatitis B surface antigen particles with all four subtypic determinants: point mutations of hepatitis B virus DNA inducing phenotypic changes or double infection with viruses of different subtypes". Mol Immunol. 27 (5): 443–9. PMID 1694959.
  10. Enomoto M, Tamori A, Nishiguchi S (2006). "Hepatitis B virus genotypes and response to antiviral therapy". Clin Lab. 52 (1–2): 43–7. PMID 16506363.
  11. World Health Organization. Viral hepatitis (2010). http://apps.who.int/gb/ebwha/pdf_files/EB126/B126_R16-en.pdf Accessed on October 5th, 2016


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