Hepatitis among the pregnant women & transmission to newborn baby
(Nabeela Waheed, Islamabad)
Hepatitis with all its
definitions and types is a universal issue and as reported by WHO 12-15 million
people are infected each year. In Pakistan the situation is quite similar with
rest of the other countries. Among the types of hepatitis viruses, hepatitis B
and C are those viruses who required wideranging studies to cover the area to
control the disease. Many researchers carried out in a variety of groups in
different health facilities have reported variable results concerning prevalence
of hepatitis B and C. Most recently, Pakistan Medical Research Council (PMRC)
had arranged a national survey to target and record the prevalence of hepatitis
B and C in common population of Pakistan both living in urban or rural areas.
The opening reports disclose that HBsAg is positive in 2.5% and Anti-HCV in
4.9%. Thus overall positivity for both these viruses is 7.4%. According to this
survey a bigger set as about 12 million population of Pakistan is affected by
these viruses. The prevalence of hepatitis is increasing day by day among
pregnant women also among common people in Pakistan. Mother to child
transmission of HIV during pregnancy, child-birth, or through breast-feeding is
the most important source of infection in children. HIV/AIDS has not spared
Pakistan, and an increasing number of women and children infected with HIV are
being reported from around the country. Although the documented number of
peri-natally acquired cases among children in Pakistan is only 39 (NACP 2005),
several factors contribute to suggest that this number is a significant
under-estimate. These include the lack of awareness about HIV/AIDS among the
general population and among health care professionals, the stigma associated
with HIV/AIDS, lack of diagnostic testing facilities, and the difficulties of
making a diagnosis in children, especially in a country where malnutrition rates
are as high as 30% among children under 5 years of age. To date, the majority of
HIV-infected children identified in Pakistan have been born to mothers whose
husbands’ acquired HIV while working abroad and were identified through routine
screening for visa processing/renewals. Hepatitis among the pregnant women and
then transmission to the next generation via affected women required greater
attention to develop and implement serious health program to secure not only
mothers but also our future. Government along with private sector should work in
close collaboration on health issues to promote public health in the country
should try to plan clear policies on awareness like adoption of protective
measures, highlight the importance of safe sex relationships, to avoid the
infected instruments, knowledge about basic carriers of disease and implement
health care plan to secure the future.
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