Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century

"Parenteral" or "serum" hepatitis is known to have afflicted man for centuries. However, it was not until the mid-1960s that the causative agent of this infection, the hepatitis B virus, was discovered. Since then, the biology and the replication strategy of the virus, and the cl...

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Main Author: Yap, S.F.
Format: Article
Published: College of Pathologists, Academy of Medicine Malaysia 2004
Subjects:
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author Yap, S.F.
author_facet Yap, S.F.
author_sort Yap, S.F.
collection UM
description "Parenteral" or "serum" hepatitis is known to have afflicted man for centuries. However, it was not until the mid-1960s that the causative agent of this infection, the hepatitis B virus, was discovered. Since then, the biology and the replication strategy of the virus, and the clinical features and the epidemiology of the hepatitis B infection have been determined. Knowledge about the virus and the infection it causes led to the development of firstly, a plasma-derived vaccine and later a recombinant vaccine for the prevention of the infection. Integration of the hepatitis B vaccine into newborn vaccination programmes on a worldwide basis represents a major step in the effort to eliminate this infectious disease and its complications. Laboratory tests are available for the diagnosis and monitoring of the disease. Therapies have been developed to halt the progress of the chronic infection in affected individuals. While these developments have resulted in a decrease of the frequency of infection in many countries, particularly those that have implemented universal immunization of newborns, the chronic infection remains a significant global problem. Worldwide, over 300 million individuals are infected and each year, an estimated 1 million persons die from chronic complications of the disease including hepatocellular carcinoma and hepatic failure. The therapies currently available result in elimination of the virus in only a relatively small proportion of subjects and carry with it serious side effects. Geopolitical, economic and other factors hinder the vision of elimination of the infection through immunization programmes. Nevertheless, work continues to clarify further the underlying pathological mechanism of the infection, the host and viral factors that promote elimination or persistence of the virus in the human host. It is hoped that such investigations will reveal viral targets for the design of newer and potentially more effective drugs to treat the infection.
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spelling um.eprints-16062018-10-26T01:26:06Z http://eprints.um.edu.my/1606/ Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century Yap, S.F. R Medicine Theories of disease. Etiology. Pathogenesis "Parenteral" or "serum" hepatitis is known to have afflicted man for centuries. However, it was not until the mid-1960s that the causative agent of this infection, the hepatitis B virus, was discovered. Since then, the biology and the replication strategy of the virus, and the clinical features and the epidemiology of the hepatitis B infection have been determined. Knowledge about the virus and the infection it causes led to the development of firstly, a plasma-derived vaccine and later a recombinant vaccine for the prevention of the infection. Integration of the hepatitis B vaccine into newborn vaccination programmes on a worldwide basis represents a major step in the effort to eliminate this infectious disease and its complications. Laboratory tests are available for the diagnosis and monitoring of the disease. Therapies have been developed to halt the progress of the chronic infection in affected individuals. While these developments have resulted in a decrease of the frequency of infection in many countries, particularly those that have implemented universal immunization of newborns, the chronic infection remains a significant global problem. Worldwide, over 300 million individuals are infected and each year, an estimated 1 million persons die from chronic complications of the disease including hepatocellular carcinoma and hepatic failure. The therapies currently available result in elimination of the virus in only a relatively small proportion of subjects and carry with it serious side effects. Geopolitical, economic and other factors hinder the vision of elimination of the infection through immunization programmes. Nevertheless, work continues to clarify further the underlying pathological mechanism of the infection, the host and viral factors that promote elimination or persistence of the virus in the human host. It is hoped that such investigations will reveal viral targets for the design of newer and potentially more effective drugs to treat the infection. College of Pathologists, Academy of Medicine Malaysia 2004-06 Article PeerReviewed Yap, S.F. (2004) Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century. The Malaysian Journal of Pathology, 26 (1). pp. 1-12. ISSN 0126-8635, DOI 16190102. http://www.mjpath.org.my/past_issue/MJP2004.1/hepatitis-B.pdf 16190102
spellingShingle R Medicine
Theories of disease. Etiology. Pathogenesis
Yap, S.F.
Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title_full Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title_fullStr Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title_full_unstemmed Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title_short Hepatitis B: review of development from the discovery of the "Australia Antigen" to end of the twentieth Century
title_sort hepatitis b review of development from the discovery of the australia antigen to end of the twentieth century
topic R Medicine
Theories of disease. Etiology. Pathogenesis
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