 [ Symptoms ] what does it mean when i dream about my close friend coming back to school and me hugging her for a very ong time  when i went to sleep there was snow outside so i was happy during my dream i was in the school cafeteria but it was not the cafeteria it was my parent is old restaurant as the cafeteria the i saw my friend and she came over and tapped on my shoulder then i got up and started to her we were hugging while walking in a circle then somehow we fall to the ground and i was on top but i saved her from landing on the floor then we got up and stopped hugging and i was smiling by then [ Disease ] delta hepatitis is caused by a virus that only infects people who already have hepatitis b the delta hepatitis virus also known as hepatitis d or hdv is an rna virus meaning that its genetic material is made up of ribonucleic acid it is spread through exposure to contaminated blood especially with illicit intravenous drug use and by sexual contact delta hepatitis can be acquired at the same time as acute hepatitis b when this happens infected people are quite sick but more than 95 are eventually able to eliminate the viruses from their bodies people who already have chronic hepatitis b can acquire delta hepatitis as well this often causes severe inflammation of the liver and the viruses are less likely to be cleared delta hepatitis makes chronic hepatitis b much worse it increases the risk of complications especially cirrhosis which occurs in up to two thirds of patients there is no vaccine against delta hepatitis interferon treatment may cause improvement in the hepatitis but relapse is common after therapy is stopped prevention includes avoiding contaminated needles and practicing safer sex abstaining or limiting the number of partners using barrier methods of contraception universal vaccination of newborns with hepatitis b vaccine effectively prevents delta hepatitis because the delta hepatitis virus only causes disease in the presence of hepatitis b virus