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Death from Hep A infection is rare. How is the Hepatitis A Virus Spread? The Hep A virus is spread from person to person by putting something in the mouth that has been contaminated with the stool of a person with Hep A. Once infected, a person can pass the virus to others for 2 weeks or more before they even know they are sick. Hep A outbreaks have also been linked to eating shellfish or any food that has come into contact with water contaminated with sewage. Hep A can also be spread through anal-oral sexual contact with a person who has Hep A. If you have had close contact with a person with Hep A, a vaccine is available that can help prevent you from getting sick if it is given within 14 days of your contact with the ill person.

Thorough hand washing is the best prevention. Wash hands after using the toilet, changing diapers and before handling or eating food. Do not eat raw shellfish and avoid eating raw fish. If traveling outside Canada, be sure the water you drink is bottled or properly treated. Remember that ice cubes could be contaminated. Avoid sex that involves anal-oral contact. Consider the Hep A immunization if your personal and or professional life puts you at risk for Hep A.

The Hep A vaccine consists of 1 dose with a booster, 6 — 12 months after the first dose. Protection is expected to last 10 years after the second dose. If traveling to an area where Hep A is common, immunization is strongly recommended. Hepatitis B is a virus that affects the liver. The virus can cause inflammation, damage or cancer of the liver. Hepatitis B spreads through blood and body fluids. There is no cure for hepatitis B. Most people that get sick with hepatitis B will get well. However, about 10 per cent of people infected will have the virus for life and can keep infecting other people.

Therefore, immunization to prevent hepatitis B is important. Hepatitis B is contagious. The virus spreads through contact with the blood or body fluids of an infected person. In Canada, it spreads mainly spread through unprotected sexual contact. An infected mother can spread it to her baby at birth. Saliva can spread the virus in a bite wound with broken skin. However, some people especially children may not have any symptoms and therefore can infect others without knowing it. The hepatitis B vaccine is not required by law to attend school. However, your student could be at risk of getting hepatitis B if you decide not to vaccinate.

The hepatitis C virus HCV is one of several viruses that can cause hepatitis, a disease that attacks your liver. Of those infected with hepatitis C, only about 20 percent will clear the virus from their body. Most people infected with hepatitis C become chronic carriers. Chronic carriers have the virus in their blood for the rest of their life and can spread it to others. You can get hepatitis C from any exposure to blood from a person infected with the virus.

The virus enters the body through a break in the skin or through mucous membranes such as the mouth or nose. Symptoms can start to appear anytime from two weeks up to six months after exposure. Usually, symptoms begin to appear six to nine weeks after exposure.

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Often people have no symptoms. Most carriers are symptom free for years. However, some people will get sick because of ongoing damage to their liver.

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Chronic hepatitis C can lead to liver cirrhosis scarring of liver and cancer. Most people who get hepatitis C have mild disease. After 20 years, approximately 20 percent of people will develop liver cirrhosis scarring of liver. They can order blood tests to see if you have the virus in your blood. You should discuss testing with your HCP if you have any risk factors or think you may have been exposed.

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Please discuss possible treatment options with your HCP. Treatment costs may not be covered by OHIP. There is no vaccine for hepatitis C. To protect yourself you need to avoid behaviours that put you at risk of coming in contact with the blood of someone infected with hepatitis C. Contact the Canadian Liver Foundation for support and information at liver. What is influenza? Influenza also known as flu is an infection caused by a virus.

It affects the nose, throat, and lungs. Flu symptoms include a sudden fever, cough and a sore throat.

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It is common to also have a runny nose, headache, chills, and body aches. You may feel more tired and have a lower appetite. Nausea, vomiting and diarrhea may also occur, especially in children. Flu spreads easily from infected persons through coughing and sneezing.

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You can also get the flu by touching surfaces contaminated by the virus and then touching your eyes, mouth, or nose. Most people recover within a week to ten days.

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Some people for example seniors, and children under five years of age are at greater risk of complications. Complications include pneumonia , hospitalization, and worsening of certain health conditions. Each year a new flu vaccine is made to protect against strains of the flu virus that are expected in the up-coming flu season.

The vaccine will trigger your body to fight off infection if you come in contact with the flu. This means you will either not get the flu, or the symptoms will be lessened. After vaccination, it takes about two weeks for full protection. Adults should have one dose of flu vaccine every year. Children under nine years of age getting the vaccine for the very first time should have two doses given at least 4 weeks apart.

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Then they should get one dose per year. Some flu vaccines are made to protect against three different strains of flu virus and others protect against four strains. In Ontario, the three-strain vaccine is free for adults 18 years of age and older. The fourstrain vaccine is free only for children age 6 months through 17 years and is available by needle or a nasal spray.

The flu vaccine is safe. Most people have no reaction to the vaccine. Some may get mild side effects such as soreness, redness or swelling at the injection site lasting up to two days. Life-threatening allergic reactions and severe side effects are rare.

Measles is a highly contagious viral infection that can affect people of any age who are not immune to the virus. Measles is spread when an infected person breathes, coughs, or sneezes. The particles from an infected person can stay in the air and on surfaces for up to two hours after that person has left a room. Measles is not common in Canada due to high vaccination rates.

However, measles can occur in unvaccinated or under vaccinated persons, especially if those people have travelled to countries where measles is more common. Symptoms usually appear 10 days after contact with an infected individual, but can appear from 7 to 21 days.

The rash usually appears days after exposure. Most people with measles are sick for up to 10 days and then recover completely. Symptoms can be more severe for infants and adults.