Can Hepatitis B Be Transmitted Through Shared Food? - Internal Medicine

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Is Hepatitis B contagious?


Dear Doctor: I am someone who is preparing to get pregnant.
However, recently my new colleague has hepatitis B, and she has shared a bowl of noodles with me more than once.
After I found out, I became very worried.
Other colleagues have told me that hepatitis B is only transmitted vertically (from mother to fetus) and that it cannot be transmitted through saliva in situations like ours.
Is this true?

judy, 20~29 year old female. Ask Date: 2003/09/07

Dr. Chen Jingwen reply Internal Medicine


Answer: Hepatitis B is primarily transmitted through blood, with transmission routes including blood transfusions, sharing needles among drug users, inadequate sterilization of surgical and dental instruments, tattooing, and sharing toothbrushes that may cause bleeding.
Additionally, sexual contact or deep kissing can also transmit the virus through bodily fluids.
Sharing utensils such as bowls, chopsticks, and spoons does not transmit Hepatitis B.
Therefore, sharing a bowl of noodles does not pose a risk for Hepatitis B transmission.
Chen Jingwen

Reply Date: 2003/09/07

More Info


Hepatitis B is a viral infection that primarily spreads through contact with infectious body fluids, such as blood, semen, and vaginal secretions. The most common modes of transmission include unprotected sexual contact, sharing needles, and from mother to child during childbirth. It is important to understand the risks associated with different types of contact, especially in social settings like shared meals.

In your case, sharing a bowl of noodles with a colleague who is a Hepatitis B carrier does not pose a significant risk of transmission. Hepatitis B is not transmitted through casual contact, which includes sharing food or drinks. The virus is not present in saliva in sufficient quantities to cause infection, and the act of eating from the same bowl does not facilitate the transfer of the virus. Your colleagues are correct in stating that Hepatitis B is primarily transmitted through more direct routes, such as blood-to-blood contact or sexual contact.

The Centers for Disease Control and Prevention (CDC) emphasizes that Hepatitis B is not spread through food, water, or casual contact like hugging, kissing, or sharing utensils. Therefore, the risk of contracting Hepatitis B from sharing a meal is extremely low.
However, it is essential to maintain good hygiene practices, especially in communal eating situations. Using separate utensils and plates can further minimize any potential risk, even if the risk is already very low. If you have any cuts or sores in your mouth, it is advisable to avoid sharing food or drinks, as this could theoretically increase the risk of transmission of other infections, although not specifically Hepatitis B.

As someone preparing for pregnancy, it is also wise to be aware of your own Hepatitis B status. If you have never been infected with Hepatitis B and are unsure of your immunity, consider getting tested. If you are not immune, vaccination is available and highly effective in preventing Hepatitis B infection.
In summary, sharing food with a Hepatitis B carrier does not pose a significant risk of transmission. The virus is primarily spread through blood and body fluids, not through casual contact or shared meals. If you have further concerns about your health or potential exposure, consulting with a healthcare provider for personalized advice and testing is always a good step.

Similar Q&A

Can Hepatitis B Be Transmitted Through Shared Laundry or Saliva?

Hello, doctor. I would like to ask if Hepatitis B can be transmitted through washing clothes together. Also, can saliva cause the transmission of Hepatitis B? The information on the internet is unclear and does not resolve my doubts, which is why I am here to ask.


Dr. Chen Shidian reply Gastroenterology and Hepatology
Clothing does not transmit infections. Individuals born after 1984 have received the hepatitis B vaccine, so there is no need to worry about transmission through saliva.

[Read More] Can Hepatitis B Be Transmitted Through Shared Laundry or Saliva?


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Hello, doctor. If a carrier of hepatitis B drinks from a cup and then a second person uses the same cup a few hours later, is there a risk of contracting hepatitis B? Thank you.


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Hepatitis B is transmitted through blood and bodily fluids. The above behaviors do not transmit the virus. Wishing you safety and health. Dr. Chen Chih-Feng, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Can You Get Hepatitis B from Sharing a Cup?


Understanding Hepatitis B Transmission Risks in Daily Life

My mother has hepatitis B and is undergoing regular treatment. I would like to ask if sharing meals with her (without using serving utensils) poses a risk of transmission, especially since I often have mouth ulcers. Is the transmission risk high?


Dr. Chen Shidian reply Gastroenterology and Hepatology
In principle, hepatitis B is not easily transmitted through diet. Additionally, if the patient is already on antiviral medication, the risk of transmission to others is significantly reduced.

[Read More] Understanding Hepatitis B Transmission Risks in Daily Life


Infection Risks of Sharing Utensils with Hepatitis B Carriers: A Dental Perspective

Hello, doctor. I would like to ask if there is a possibility of infection when sharing utensils and food with the child of a hepatitis B carrier while having non-bleeding wounds in the mouth. I recently started orthodontic treatment and have developed a few sores in my mouth due ...


Dr. Chen Shidian reply Gastroenterology and Hepatology
In principle, the likelihood of infection as described is very low (almost impossible). If a person has received the hepatitis B vaccine at birth and has developed antibodies, there is even less reason for concern.

[Read More] Infection Risks of Sharing Utensils with Hepatitis B Carriers: A Dental Perspective


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