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  • It is estimated that 1 to 1.25 million people in the United States have chronic Hepatitis B.
  • There are an estimated 140,000 to 320,000 new Hepatitis B infections each year in the United States.
  • Hepatitis B can cause chronic infection, cirrhosis (scarring) of the liver, liver cancer, liver failure and death.
  • Hepatitis B is preventable through vaccination.

HBV is found in transmittable levels in body fluids including:

  • Semen
  • Vaginal secretions
  • Saliva
  • Blood

HBV may be transmitted:

  • Sexually (having unprotected sex with an infected person)
  • Intravenously (sharing injecting drug needles or paraphernalia with an infected person)
  • Neonatally (mother-to-child if the mother is infected with HBV)

HBV may also be transmitted in rare cases:

  • Horizontally (oral exposure to infected secretions such as saliva). Saliva can be a means of transmission through bites; however, other types of exposure to saliva, including kissing, are unlikely ways of transmission.
  • Risk of transmission from blood transfusion is currently low in the United States since blood banks screen donated blood that appears to be infected.

What are the signs or symptoms of Hepatitis B?

Many adults have few or no symptoms. When symptoms are present they may include:

  • Anorexia (loss of appetite)
  • Malaise
  • Nausea and vomiting
  • Abdominal pain
  • Dark urine
  • Jaundice (yellowing of the skin and eyes)
  • Rash or arthritis may occur during the prodromal or early acute stage.

Your health care provider can confirm HBV by using a special blood test to detect HBV particles or antibodies in the blood.
Babies born to infected mothers should get blood tests at aged 9 to 15 months to be certain that the vaccine worked well and that the mother did not pass HBV to her baby during birth.

Reducing the risk:

Hepatitis B is preventable through vaccination. Since hepatitis D can only co-exist with hepatitis B, getting vaccinated against hepatitis B also protects you against hepatitis D.

The HBV vaccine is given in a series of three doses.

  • A new combination vaccine called Twinrix has been approved for protection from both HAV and HBV in persons 18 and older. It reduces the total number of injections for vaccination from both viruses from five to three.
  • The first and second doses must be given at least one month apart.
  • The first and third doses must be given at least 4 months apart.
  • If a dose is missed, it should be given as soon as possible.
  • The series should not be restarted if a dose is missed.
  • Routine booster doses of the HBV vaccine are NOT currently recommended.
  • Consult your health care provider for more information about the HBV vaccine and if it is right for you.
  • HIV can impair the response to the hepatitis vaccine.

Sexual prevention:

  • Latex condoms are effective prevention during vaginal, oral and anal sex by reducing contact with infected bodily fluids (semen, vaginal secretions and blood).
  • Abstinence and mutual monogamy also offer a high level of protection.


Hepatitis B can cause:

  • Chronic infection
  • Cirrhosis (scarring) of the liver
  • Liver cancer
  • Death

The best news is that hepatitis B is preventable through vaccination. A person can choose to be vaccinated and not have to worry.

If you have an acute or chronic hepatitis B infection then you need to talk to your partner about it so they can decide what option is best for them to prevent getting infected.

If you find out you have been exposed to hepatitis B, consult your health care provider as soon as possible to discuss your best options to help prevent infection.


Counselors are available on 1-866-478-3417


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