What Is Hepatitis B?

Hepatitis B is a viral infection that attacks the liver. It can be acute (short-term) or chronic (lifelong).

Transmission

  • Blood contact
  • Sexual contact
  • Mother to baby at birth
  • Sharing needles

Symptoms

  • Many have no symptoms
  • When present: fatigue, jaundice (yellowing), dark urine, abdominal pain, nausea

Acute vs Chronic

  • Adults: 95% clear the virus spontaneously
  • Infants: 90% develop chronic infection
  • Chronic infection can lead to cirrhosis and liver cancer

Prevention

  • Hepatitis B vaccine — safe and effective (3 doses)
  • Given to all newborns in the U.S.

Treatment

  • Antivirals (tenofovir, entecavir) for chronic infection
  • Regular liver monitoring
Source: CDC, American Sexual Health Association.

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