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Hepatitis A and B

Dear Sir
I have both a general and a specific question please:
My general question is this - Some medical websites here in the UK give the impression that Hepatitis, especially Hep A, and to a lesser degree Hep B, are very easily transmitted.  They suggest that something as simple as touching someones hand and the bringing your hand close to your mouth could quite easily result in the virus being transmitted to you.  What is your view on this?  I think (or at least hope) that they are scaremongering somewhat to encourage safer sex.
More specifically I recently had 2 contacts with the same CSW (my first with any CSW).  On both occasions the contact was limited to massage, light neck/body kissing, light licking of nipples, and mutual masturbation (but both of us using latex gloves).  There was no oral or genital sex.  What risks of hepatitis do you think were present in such an encounter please?  
Many thanks,
James
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Many thanks, that has reduced my concerns.
James
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300980 tn?1194929400
MEDICAL PROFESSIONAL
First with regard to your general question.  The hepatitis viruses (A,B, and C) are all relatively easily transmitted if a person is exposed in the right way.  By exposure in the right way, I mean that one has to be exposed to another person's infection through whatever material is infectious.  For hepatitis A the infectious material is feces, for hepatitis B the infectious material is blood or genital secretions and for hepatitis C the infectious material is blood but not genital secretions.   Thus you could easily get hepatitis A from someone’s finger if their finger was contaminated with stool and was introduced into your mouth.  With respect to genital-genital sexual contact the only STD of concern is hepatitis B.  In such settings your risk is a function of whether or not your partner has hepatitis B, an infection which is becoming rater and rarer in North America and Western Europe as a result of a highly successful vaccine program and the practice of safer sex.

As for your specific question, I would consider the exposure you describe as no risk for any sort of hepatitis and do not see any need to worry or for testing.  Hope this helps.  EWH
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