Goodhealthnyou - Hepatitis

Hepatitis-B risk: Self-test


1.	Medical History
Currently, or in the past, have you experienced any of the following?
.	Blood transfusion prior to 1975
.	Chronic fatigue/tiredness for which your doctor was unable to find an explanation
.	Any surgery, including oral surgery
.	Endoscopy or other exploratory procedure (oral, nasal, rectal)
.	Cesarean delivery or other obstetric or gynecological surgical intervention
.	Diagnosis of HIV-positive
.	Kidney dialysis
.	Elevated liver enzymes test (ALT)
.	Diagnosis of hepatitis B or hepatitis C

	Yes No

2.	Work History
Does your work ever put you in contact with blood, blood products, or needles? Examples include:
.	Armed Forces: Army, Navy, Air Force, Reserves, VA Hospital or Home, Coast Guard
.	Health Care: Doctors, Nurses, Dentists or Dental Workers, Oral Surgeons, Hospital Cleaning Services
.	Emergency Services: Police Officers, Firefighters, Paramedics
.	Prison Services: Corrections Officers, Firefighters, Paramedics
.	Science Laboratories
.	Clinical Laboratories
.	Beauticians, Barbers
.	Institution Workers: Nursing Homes/Elderly Care, Psychiatric Hospitals, Substance Abuse Centers, Hospices.

	Yes No

3.	Lifestyle
Currently, or in the past, have you:
.	Had a tattoo?
.	Had any part of your body pierced?
.	Had acupuncture?
.	Been in the military?
.	Changed sex partners frequently?
.	Inhaled cocaine?
.	Been in prison?
.	Injected drugs (even once)?
.	Had a problem with alcoholism?
.	Had unprotected sex with anybody who you know would fit any of the descriptions above?

	Yes No

3.	Family History
Do any of the above descriptions apply to a member of your immediate family, or has a member of your immediate family been diagnosed with hepatitis B or hepatitis C?

	Yes No

This site is educative not prescriptive.
Always consult doctor before treatment.

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