Hepatitis B is a humorless liver infection caused by the hepatitis B virus (HBV). For most people, hepatitis B is short term, also called acute, and lasts less than six months. But for others, the infection becomes chronic, meaning it lasts more than six months. Having chronic hepatitis B increases your risk of developing liver failure, liver cancer or cirrhosis — a condition that permanently scars the liver.
Most adults with hepatitis B recover completely, even if their symptoms are severe. Babies and children are more likely to develop a long-lasting hepatitis B infection. This is known as a chronic infection.
A vaccine can help prevent hepatitis B, but there is no cure if you have the condition. However, taking certain precautions can help prevent spreading the virus to others if you are infected.
Symptoms of acute hepatitis B range from mild to severe. They generally appear about 1 to 4 months after you’ve been infected, although you could see them as early as two weeks after you are infected. Some people, generally young children, may not have any symptoms.
Hepatitis B signs and symptoms may include:
Abdominal pain
Dark urine
Fever
Joint pain
Loss of appetite
Nausea and vomiting
Weakness and fatigue
Yellowing of the skin and the whites of the eyes, also called jaundice
Hepatitis B infection is caused by the hepatitis B virus (HBV). The virus is passed from person to person through blood, semen or other body fluids. It doesn’t spread by sneezing or coughing.
Common ways that HBV can spread are:
Sexual contact. You may get hepatitis B if you have unprotected sex with someone who’s infected. The virus can pass to you if the person’s blood, saliva, semen or vaginal fluids enter your body.
Sharing of needles. HBV easily spreads through needles and syringes contaminated with infected blood. Sharing IV drug paraphernalia puts you at high risk of hepatitis B.
Accidental needle sticks. Hepatitis B is a concern for health care workers and anyone else who comes in contact with human blood.
Mother to child. Pregnant women infected with HBV can pass the virus to their babies during childbirth. However, the infant can be vaccinated to avoid getting infected in nearly all cases. Talk to your provider about being tested for hepatitis B if you’re pregnant or want to become pregnant.
Hepatitis B is caused by the hepatitis B virus (HBV), and is spread by contact with body fluids such as blood, saliva, semen, or vaginal fluids; by needle sticks or sharing needles; or from mother to child.
Hepatitis A and hepatitis B combination vaccine is recommended for all persons 18 years of age or older who are at risk from infection from their jobs or certain activities, or from traveling to the following parts of the world:
Africa
Central and South America
Eastern and Southern Europe
South and Southeast Asia (except Japan)
The Caribbean
The Middle East
The former Soviet Union
Hepatitis B vaccine can help prevent hepatitis B. Hepatitis B is a liver disease that can cause mild illness lasting a few weeks, or it can lead to a serious, lifelong illness.
Acute hepatitis B is a short-term illness that can lead to fever, fatigue, loss of appetite, nausea, vomiting, jaundice (yellow skin or eyes, dark urine, clay-colored stools), and pain in the muscles, joints, and stomach.
Chronic hepatitis B is a long-term illness that occurs when the hepatitis B virus remains in a person’s body. Most people who develop chronic hepatitis B don’t have symptoms, but it’s still very serious and can lead to liver damage (cirrhosis), liver cancer, and death. Chronically infected people can spread hepatitis B virus to others, even if they don’t feel or look sick themselves.
Hepatitis B is spread when blood, semen, or other body fluid infected with the hepatitis B virus enters the body of a person who isn’t infected.
People can become infected through:
Birth (if a pregnant person has hepatitis B, their baby can become infected)
Sharing items such as razors or toothbrushes with an infected person
Contact with the blood or open sores of an infected person
Sex with an infected partner
Sharing needles, syringes, or other drug-injection equipment
Exposure to blood from syringe sticks or sharp instruments
Most people who are vaccinated with hepatitis B vaccine are protected for life.
Hepatitis B vaccine is generally given as 2, 3, or 4 shots.
Babies should get their first dose of hepatitis B vaccine at birth and will generally complete the series at 6–18 months of age. The birth dose is an important part of preventing long-term illness in babies and the spread of hepatitis B in the United States.
Anyone 59 years of age or younger who has not yet gotten the vaccine should be vaccinated.
Hepatitis B vaccination is recommended for adults 60 years or older at increased risk of exposure to hepatitis B who weren’t vaccinated previously. Adults 60 years or older who aren’t at increased risk may also be vaccinated.
Hepatitis B vaccine may be given as a stand-alone vaccine, or as part of a combination vaccine.
Hepatitis B vaccine may be given at the same time as different vaccines.
Acute hepatitis B infection lasts less than six months. Your immune system usually can clear acute hepatitis B from your body, and you should recover fully within a few months. Most people who get hepatitis B as adults have an acute infection, but it can sometimes lead to chronic infection.
Chronic hepatitis B infection lasts six months or longer. It lingers because your immune system cannot fight off the infection. Chronic hepatitis B infection may last a lifetime, possibly leading to serious illnesses such as cirrhosis and liver cancer.
The younger you are when you get hepatitis B — particularly babies or children younger than 5 — the higher your risk of the infection becoming chronic.
Tell your vaccination provider if the person getting the vaccine:
Has had an allergic reaction after a previous dose of hepatitis B vaccine, or has any severe, life-threatening allergies.
Is very ill at the time (your provider may recommend delaying vaccination until recovery).
Is pregnant or breastfeeding — vaccination is still recommended in these cases.
Hepatitis B spreads through contact with blood, semen or other body fluids from an infected person. Your risk of hepatitis B infection increases if you:
Have unprotected sex with multiple partners or with someone infected with HBV
Share needles during IV drug use
Are a man who has sex with men
Live with someone who has chronic HBV infection
Are a child born to an infected mother
Have a job that exposes you to human blood
Travel to regions with high infection rates (Asia, Africa, Pacific Islands, Eastern Europe)
More than 1 billion doses of the hepatitis B vaccine have been given worldwide and it’s considered one of the safest and most effective vaccines ever made.
Common side effects may include:
Soreness, swelling and redness at the injection site
No evidence has been found that the hepatitis B vaccine causes autism, multiple sclerosis, or other neurological diseases.
Chronic hepatitis B infection can lead to serious complications such as:
Cirrhosis (scarring of the liver)
Liver cancer
Liver failure
Reactivation of HBV in immunosuppressed individuals
Kidney disease or blood vessel inflammation
Prevention:
The hepatitis B vaccine is generally given as two injections separated by a month or three or four injections over six months, depending on which vaccine is given. You cannot get hepatitis B from the vaccine. The hepatitis B vaccine is recommended by the United States Advisory Committee on Immunization Practices for grown-ups 19 to 59 times of age who don’t have a contraindication to the vaccine.
The hepatitis B vaccine is also explosively recommended for:
Take precautions to avoid HBV:
Other ways to reduce your threat of HBV include:
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