Rumor 1: Hepatitis B virus can be transmitted through daily contact According to media reports, after the deceased’s roommates knew about her infection, they did not dare to touch her coat hanger, and when her cell phone was placed on other people’s desks, people would put away their own things in a hurry. It is one of the most widely circulated claims in the community that hepatitis B can be transmitted through daily contact such as eating together and shaking hands. In fact, there are viral and non-viral forms of hepatitis. There are five recognized types of viral hepatitis: hepatitis A, hepatitis B, hepatitis C, hepatitis D and hepatitis E. Hepatitis A and hepatitis E are transmitted through a combination of viral and non-viral infections. Hepatitis A and E are transmitted through the digestive tract, while Hepatitis B, C and D are transmitted vertically from mother to child, through blood, body fluids, injections and sexual contact. Daily work or living contacts, such as working in the same office (including sharing computers and other office supplies), shaking hands, hugging, living in the same dormitory, sharing meals, sharing toilets, and other non-blood-exposure contacts generally do not spread. This is also the basis of the state issued on the entry into the school physical examination no longer check hepatitis B-related indicators. And non-viral hepatitis such as drug hepatitis, autoimmune hepatitis is not infectious. Rumor 2: I am only hepatitis B virus carriers do not need to see a doctor in the clinical work often see the first visit to the clinic that is cirrhosis or liver cancer patients, through the history of follow-up questions found that these people know that they are carriers of the hepatitis B virus, usually due to the “no abnormal feeling” will not be a regular physical examination, and often feel uncomfortable (bloating, abdominal pain, etc.) before coming to the doctor. Often when they feel sick (abdominal distension, abdominal pain and other obvious symptoms), they come to the doctor, and then they often find out that the disease is already in an advanced stage, which is very unfortunate. Because chronic hepatitis B, C is often quietly cause liver cell damage, fibrosis and even cirrhosis, liver cancer, therefore, once found to have hepatitis B or hepatitis C virus infection, should be regularly (3-6 months) to the hospital to check the liver function, virology and tumor-related indicators, in order to early detection of changes in the condition of the disease, timely treatment. Rumor 3: Hepatitis B is incurable Many hepatitis B patients, once they know they have hepatitis B, start to worry, and even lose confidence in life. In fact, hepatitis B is not terrible, as long as you believe in science, adhere to regular long-term treatment, maintain a positive, objective mindset, the vast majority of patients can get good control of the disease, and be able to study, work and live a normal life (including marriage, childbirth). However, the majority of patients should also realize that hepatitis B is a chronic, long-term, progressive disease like many other chronic diseases. For most of the chronic diseases, the goal of the current medical level is not to cure, but to maximize the control of the disease and minimize the impact of chronic diseases on the patient’s life and life. Rumor 4: “a shot of hepatitis B virus eradication” Some unscrupulous medical institutions are precisely the patients of hepatitis B and virus carriers are eager to seek treatment of the mentality, playing “packet conversion”, “packet cure” advertisement, believe the advertisement of “packet conversion”, “packet cure”. “Advertisements, believe these rumors, the result is bound to be deceived, not only spent money, more importantly, delayed treatment, serious and life-threatening. The so-called “turn negative” in the advertisement actually means “DNA turn negative”. In fact, in the regular hospital application of antiviral drugs to obtain HBV DNA undetectable (the so-called negative) probability is still relatively high. However, since the internationally available drugs are not yet able to act on the “root” of viral replication, most patients need long-term antiviral treatment, and it is not possible to remove the “root” of the virus with one or three injections. Some patients who achieve “surface antigen” conversion during treatment usually do so over a longer period of time (several years). Therefore, in order to accurately treat the “conversion”, it is best to go to a regular hospital for scientific examination and treatment. Rumor 5: “small triple positive” is good “big triple positive” is not good The so-called “big triple positive” is hepatitis B five HBsAg, HBeAg and anti-HBc positive; The so-called “small triple positive” refers to hepatitis B five HBsAg, anti-HBe and anti-HBc three positive (the difference is HBeAg and anti-HBe which is positive). The severity of chronic hepatitis B depends on the liver function and other indicators; the infectiousness depends on the viral load in the blood. In antiviral treatment, after the HBVDNA is undetectable, if it is accompanied by a major triple positive to a minor triple positive, it suggests that the virus is being cleared, but if the HBVDNA is still positive, even if it has become a minor triple positive, there is still viral activity. Therefore, according to the different time to dialectically view “triple positive” and “triple positive”, there is no good or bad. Rumor 6: Hepatitis B virus DNA turn negative can stop the drug Hepatitis B patients see HBV-DNA turn negative, think it’s okay, they stop the drug, Hepatitis B casually stop the drug consequences are very serious. Whether it is interferon therapy or nucleoside analog therapy, HBV-DNA turn negative, can only prove that the treatment is effective, and stopping the drug is another criterion. Interferon is generally recommended that patients can use enough for about a year, according to the patient’s efficacy of the treatment to determine whether to continue treatment or switch to other programs of treatment, not to stop the drug at will, in order to minimize the recurrence of the disease. Nucleoside analogs have a much longer course of treatment. There is a concern about the recurrence of hepatitis or even exacerbation of the disease caused by stopping the drug. Therefore, for chronic hepatitis B, in the treatment with nucleoside (acid) analogs must be regular medication, do not arbitrarily stop. For patients with cirrhosis, especially end-stage patients, only nucleoside (acid) analogs can be used in antiviral treatment, and it is recommended to take medication for life. Rumor 7: Hepatitis B is equal to liver cancer Hepatitis B is likely to deteriorate and finally become liver cancer if it is not treated in time, but not all of hepatitis B will develop into liver cancer, only repeated episodes of chronic hepatitis will develop into cirrhosis under certain circumstances, and 20%-30% of cirrhosis patients will turn into liver cancer. Rumor 8: Hepatitis B will be hereditary, can not get married, have children Chronic hepatitis B is an infectious disease rather than hereditary disease. Male carriers have children basically not affected. Female carriers can give birth to healthy babies if they undergo mother-to-child interruption technology, which enables more than 95% of hepatitis B carriers to give birth to healthy babies. Even hepatitis B patients can control their condition through treatment, get married and have children when their liver function is stable and the virus is not replicating. However, always remember to go to the Obstetrics and Gynecology and Liver Disease Specialist for consultation and consultation. There is also a myth in the community that since the mother-to-be’s birth secretions and blood contain the hepatitis B virus, the baby will not be infected with the hepatitis B virus by using a cesarean section to avoid these, this idea is completely wrong. This is because cesarean section is a surgical procedure that causes bleeding, and there is no way to talk about the baby not coming into contact with the mother’s blood. Medical studies have proved that cesarean section does not reduce the probability of vertical transmission of hepatitis B. Hepatitis B carriers are not scary and should not be discriminated against and isolated. So many years later, these hepatitis B “rumors” are still “poison”, even highly educated college students can not escape the nightmare of hepatitis B discrimination, indicating that the elimination of hepatitis B discrimination is a long road. This not only needs the state to continue to introduce measures, but also needs the media to give strength in publicity, so that the public get the correct knowledge of prevention and treatment, to crush these hepatitis B “rumors”, “crooked reasoning”.