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ISDH Home > Publications > School Communicable Disease Guide: 2002 > Hepatitis B Hepatitis B

Clinical Manifestations

A viral inflammation of the liver that generally presents with malaise, loss of appetite, low grade fever, nausea, abdominal pain, gastrointestinal upset, and in some cases, jaundice and light-colored stools. The onset is usually more insidious than Hepatitis A. Hepatitis B is usually transmitted through sexual contact and drug-users sharing contaminated needles. It may also be transmitted from an infected mother to her infant at the time of birth. Transmission can occur anytime blood, or certain other body fluids such as semen and vaginal secretions from an infected person, come in direct contact with a susceptible person’s mucous membranes, broken skin, or through contact with a contaminated sharp object, such as a needlestick. Infection has been acquired through human bites.

Incubation Period

From 45-160 days; average of 90 days.

Period of Communicability

Begins several weeks before symptoms appear. In those persons who recover and do not become chronic carriers, the total period ranges from several weeks to a few months. Persons who do not recover from the disease (chronic carriers) remain infectious.

Applicable Laws For Indiana Schools

Surfaces and equipment contaminated with blood or other potentially infectious body fluids, or both, shall be appropriately disinfected, or when required, sterilized prior to use. (410 IAC 1-2.3-73(3))

School Nursing Implications

  • Ensure infected child is being provided medical care.

  • A safe and effective vaccine is available.

  • Many students have been vaccinated and have protective antibodies against the disease.

Related Sites/Additional Information

http://www.nih.gov/health/InformationIndex/HealthIndex/Pubincov.htm
www.cdc.gov/ncidod/diseases/hepatitis/b/index.htm
www.niaid.nih.gov/publications/hepatitis.htm
www.cdc.gov/nip/publications/pink/hepb.pdf
Hepatitis B Quick Facts