Jaundice: Infections will increase, hygiene warns. How to protect yourself?


The incubation period for hepatitis A is up to 50 days. “We have the first patient on October 2. So others can appear until mid-November, “Said Jitka Luňáčková from the South Bohemian Regional Hygiene Station. Hygienists found out some time ago that the infected people were connected with a catering facility near the České Budějovice railway station. Therefore, they were often employees of Czech Railways.

The hospital is looking for a retired doctor

The patients come from several South Bohemian districtsat. It is currently located in hospitals in České Budějovice, Český Krumlov and Strakonice. According to the chairwoman of the board of directors of the holding of the South Bohemian Hospital, Zuzana Roithová, the situation will not limit the operation of hospitals in any way. “We are in Český Krumlov set aside an infection department for patients (with hepatitis A), we will use other beds there in the new building, “she said.

According to her, hospitals would welcome them helped by paramedics and doctors who are already retired. “It would allow us that tribal employees could fully coronavirus and jaundicee, “she said. She added, that those interested can contact her at the e-mail address [email protected]

An epidemic lasting a year and a half

The last major epidemic of jaundice appeared in summer in 2016 in the South Moravian Region and spread mainly among young people and squatters. It lasted year and a half and more than 500 people became infected. Most people became infected in 2016, when 449 people became ill. Every week up to 30 new cases were added. The most affected was Brno and its surroundings.

The infection gradually affected all age groups, but most of all the age group 25 to 44 years in Brno and its surroundings.

The city of Brno reacted to the situation at the time by having it vaccinated police officers and social workers, who come into contact with, for example, the homeless at work. The rescue service took the same step. Brno then provided the possibility of vaccination even for homeless people.

Only in the year 2018, when no case occurred for 50 days, hygiene could declare that the epidemic was over.

In the fall of the year In 2017, jaundice appeared in the Ústí nad Labem Region, where it spread from excluded localities and reached Ústí nad Labem.

The last bigger one the epidemic was in northern Bohemia in October 2019. While the previous year two people fell ill, hepatitis A got 39 people, most cases were in district of Turnov, Liberec and Jablonec.

Treatment of jaundice costs almost a billion a year

According to the General Health Insurance Company (VZP), the number of patients with hepatitis is increasing. Between 2018 and 2019, there was an increase of over 600 patients.

In 2019, a total of hepatitis was treated 12,771 VZP clients, which is 644 clients more than in the previous year. In 2019, VZP spent almost on the treatment of various types of hepatitis CZK 929 million, which is 116 million crowns more than in 2018.

Most VZP clients diagnosed with hepatitis was in 2019 in Prague, a total of 2,809, and in the Ústí Region, a total of 2,224. The least in the Olomouc region, a total of 272 patients were treated there. VZP spent the most costs on hepatitis treatment in Prague and the Ústí Region, and the least in the Vysočina Region.

What is hepatitis A?

Viral hepatitis A, formerly called infectious jaundice, is caused by the hepatitis A virus. it is very resistant to the effects of the external environment, survives for weeks at room temperature, years in a frozen state. It is destroyed, for example, after boiling for five minutes, after ten hours at 60 ° C, after exposure to disinfectants.

.Incubation time, ie the time from human infection to the development of symptoms of the disease, is 14 – 50 days, most often 30 days. Already at the end of the incubation period, uncharacteristic symptoms are present.

What are the symptoms of jaundice?

These are most often manifestations of influenza (ie fever, headache, muscle aches, tiredness, runny nose, cough, conjunctivitis), gastric and intestinal (anorexia, nausea, vomiting, diarrhea, other times constipation, belching, bloating, pressure in the right lower jaw). It occurs rarer to joint manifestations (pain, swelling), skin (itching, sometimes rash), nervous (headache, inflammatory involvement of one or more nerves).

After this phase, announcing the arrival of the disease begins the actual phase of the disease, when the problem worsens and “jaundice„. “At the same time, the patient has darker urine, light stools and itchy skin. Sometimes the above uncharacteristic flu, gastric and intestinal symptoms may not be present at all and the patient is brought to the doctor by the yellow discoloration of the skin and the whites of the eye, ”Explains MUDr. Kateřina Fabiánová from SZÚ.

Measles, jaundice or whooping cough.  What infections are threatening you at work?

How to protect yourself?

Non-specific preventive measures include increases personal hygiene, health education, safe drinking water and food supply. In the case of water it’s not just about drinking it, but they are dangerous e.g. and salads, fruit or other uncooked food, which have been washed with contaminated water before eating. For example, i ice cubes prepared from faulty water.

In exotic countries, it is not recommended to use public tap water or to clean teeth. It is good to follow the basic rule of the World Health Organization for food preparation in exotic countries: “Boil, bake, peel, or leave to be.”

Get vaccinated

Another possible prevention is vaccination, which is recommended for persons at increased risk of contracting hepatitis A in their profession, hereinafter traveling to areas with a high incidence of this infection, people with chronic diseases liver, close contact with patients, homosexuals, promiscuous persons, drug addicts.

They are available in the Czech Republic safe and effective vaccines for children from one year of age and for adults. For basic vaccination, one dose is enough, revaccination with a single dose is performed optimally in 6-12 months, possibly up to five years after the first dose. Length of protection is long-term, theoretically lifelong. Vaccination against viral hepatitis A is not a state-funded vaccination, is included among the on – demand vaccinations paid by the applicant.


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