Is a physical examination considered合格 (qualified) if the result for hepatitis B is positive for both items 2 and 4?

Apr 12, 2023 Source: Cainiu Health

Dr. Jiang Weimin

Introduction

A positive result for items 2 and 4 in a hepatitis B test indicates possible carriage of the hepatitis B virus. Whether such individuals pass a medical examination depends on the specific job requirements. As long as liver function is normal, individuals can undergo medical screening as hepatitis B carriers. Hepatitis B carriers should have regular liver function tests, and if abnormalities in liver function are detected, timely treatment is necessary.

For hepatitis B patients with positive results in items 2 and 4, this may indicate carrying the hepatitis B virus. Whether the physical examination is passed depends on the specific job requirements applied for.

1. Pass

A positive result in item 2 of the hepatitis B panel indicates that the body has immunity against the hepatitis B virus, meaning the likelihood of hepatitis B infection is low. A positive result in item 4 suggests that viral replication of hepatitis B in the body has stopped or significantly decreased. The infectivity is also relatively weak, which is a major sign of improvement in hepatitis B condition—although it does not yet indicate complete recovery. Generally, individuals who are carriers of the hepatitis B virus can pass the medical examination as long as their liver function is normal.

2. Fail

For certain special positions such as chefs, pastry cooks, food processing factory workers, or military recruits, which involve frequent contact with food and have high health standards, a hepatitis B panel test is usually required. This test can detect whether an individual carries the hepatitis B virus, so passing the medical examination is not guaranteed.

Hepatitis B virus carriers should undergo regular liver function tests. If abnormal liver function is detected, timely treatment is necessary.

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Can HBsAg positive and HBeAb positive (HBV 45 positive) resolve spontaneously?

Hepatitis B refers to hepatitis type B. If the condition of hepatitis B is mild and there are only four positive markers (commonly referred to as "45 positive"), the so-called "big three" or "small three" positive patterns may not necessarily develop, and the disease can usually be cured. However, once these patterns have developed, spontaneous recovery is unlikely. In daily life, it's important to ensure adequate sleep, avoid prolonged late-night hours, maintain regular作息 (daily routines), and avoid processed foods in the diet.

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What does it mean if the mother's HBsAg is positive?

A positive HBsAg in the mother indicates the presence of hepatitis B surface antigen, suggesting she may be a carrier of the hepatitis B virus or currently infected with hepatitis B. For pregnant women who are HBsAg-positive, appropriate preventive measures can reduce the risk of transmitting the hepatitis B virus to the newborn. It is recommended to develop an individualized treatment plan and preventive strategies based on specific circumstances.

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Is "Big Three Positive" of hepatitis B a type of hepatitis?

The term "Big Three Positive" for hepatitis B refers to a positive result for hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), and hepatitis B core antibody (anti-HBc) in the five-item hepatitis B test. This indicates active replication of the hepatitis B virus in the body and a relatively high level of infectivity. Patients typically have liver inflammation, as the extensive replication of the virus stimulates the immune system. During the process of clearing the virus, the immune response can damage liver cells, leading to an inflammatory reaction.