Found the link
http://www.aasld.org/LM2011/PRESS/Pages/pressthree.aspx
"....Chemotherapy and its related immunosuppression can cause a reactivation of HBV – "a potentially fatal and preventable disease," said Emmy Ludwig, MD, from Memorial Sloan-Kettering Cancer Center in New York City.
"Reactivation may complicate cancer therapy," said Dr. Ludwig, explaining that delays in treatment can result.
Testing allows infected patients — those with chronic infection or past exposure — to be treated with prophylactic antiviral oral therapy, which is an "extremely effective" means of preventing reactivation, she said. Dr. Ludwig also told the NCCN audience that 5% to 40% of reactivation cases will die of liver failure.
Currently, cancer patients treated with rituximab are routinely screened for HBV, said Dr. Ludwig. In 2004, the US Food and Drug Administration issued a warning that there was a risk for HBV-reactivation-related fatal fulminant hepatitis with rituximab.
However, the need to screen for HBV is often associated only with "high-risk" groups, said Dr. Ludwig, especially natives of Asia. But "profiling patients by country of birth misses patients — about half of them," she said.
Furthermore, she said that the HBV problem is "enormous" and that an estimated one third of the world has been "exposed" to HBV, meaning that they have a core antibody (HBcAb+), and that about 350 million people have chronic infection, meaning that they have a surface antigen (HBsAg+).
In the United States, an estimated 15 million people (5% of population) have been exposed and about 1 million have chronic infection.
Interestingly, the NCCN does not recommend universal testing for patients undergoing chemotherapy....."
Test All Chemo Patients for Hepatitis B, Says NCCN Presenter
March 17, 2011 (Hollywood, Florida)
http://www.medscape.com/viewarticle/739169
If you've never been exposed to hep b nothing to worry about. I was told in group testing for hep b when you have a small viral load that shows you've been exposed is normal practice when you have chronic hep c.
Don't know if that is the same as being exposed and clearing. As my understanding with hep a is you can get it again if you cleared and are exposed again.Vacines I believe are different, but I'm not an expert. I do know my hepotolotgist has tested my hep B viral load and I wondered why he would do that, It's my understanding it can come back when you have hep c but don't thing the vaccine is the same. Ask you doctor.
If we've been given the hepB and A shots wouldn't we have the antibodies?
This is very interesting. It scares me sometimes to think of all the interactions there are between medications, foods supplements, who can keep track?
Thanks for sharing
Dee
Well that is very interesting.
Thanks,
Ev