Can Hepatitis B Be Transmitted Through Open Wounds on Public Surfaces? - Internal Medicine

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Inquiry about Hepatitis B transmission?


Hello, I am a carrier of hepatitis B.
Sometimes, my skin has wounds due to various reasons, such as accidental cuts/scrapes, eczema, or insect bites, and I am unsure if these wounds have any fluid or blood.
If these wounds come into contact with public objects, and someone else touches the same objects, could they potentially contract hepatitis B from me? It is difficult for me to completely ensure that I have no wounds, and it is also not easy to avoid contact with public items.
I am worried that my wounds might come into contact with public objects and potentially transmit hepatitis B to others, which causes me a lot of stress.
If possible, I hope you can help clarify this for me.
Thank you.

Niming, 30~39 year old female. Ask Date: 2022/07/26

Dr. Liao Zhongxin reply Internal Medicine


A.
According to the Centers for Disease Control data: The hepatitis B surface antigen can be found in body fluids and secretions, but only blood, semen, and vaginal secretions are infectious.
The presence of the e antigen indicates a high viral load and high infectivity.
Transmission can occur through perinatal infection, or through contact with infected blood or body fluids entering the body via skin or mucous membranes.
Therefore, transmission can occur through the transfusion of untested blood and its products, sharing needles or syringes, acupuncture, ear piercing, eyebrow tattooing, tattooing, sharing toothbrushes or razors, and sexual intercourse (individuals without hepatitis B surface antibodies who engage in vaginal, anal, or oral sexual contact without a condom with someone who is hepatitis B surface antigen positive).
In Southeast Asian countries and the Far East, perinatal infection in newborns is a significant route of transmission, especially from mothers who test positive for both hepatitis B surface antigen and e antigen, transmitting the virus to their newborns during or after delivery.

B.
From the above, it is understood that hepatitis B virus does not easily survive on objects in public places; rather, sharing certain utensils (containing blood and body fluids) and engaging in unsafe sexual practices are more likely to result in transmission.
Additionally, whether or not one has received oral antiviral medication for hepatitis B can significantly reduce the chances of transmission.
If there are further questions, one may seek additional consultation at a healthcare facility.

Reply Date: 2022/07/26

More Info


Hepatitis B is a viral infection that primarily spreads through contact with infectious body fluids, particularly blood, semen, and vaginal secretions. As a carrier of Hepatitis B, your concerns about the potential transmission of the virus through open wounds on public surfaces are understandable. However, the risk of transmission in the scenario you described is quite low.

Firstly, it is important to note that Hepatitis B virus (HBV) does not survive long outside the human body. While studies have shown that HBV can remain viable on surfaces for up to seven days, the conditions must be right for the virus to remain infectious. The virus is primarily transmitted through direct contact with infected fluids, such as blood, rather than through casual contact with surfaces that may have been contaminated.
In your case, if you have an open wound that may or may not be bleeding, and if that wound comes into contact with a public surface, the likelihood of transmitting the virus to another person who later touches that surface is extremely low. This is because the virus would need to be present in sufficient quantities and remain viable long enough to infect another person. Moreover, for transmission to occur, the virus would need to enter the bloodstream of another individual, which typically requires direct contact with an open wound or mucous membranes.

Regarding your specific concerns about public items, such as chairs or tables, the risk of transmission through these surfaces is minimal. The most common routes of transmission for Hepatitis B include sharing needles, unprotected sexual contact, and from mother to child during childbirth. Therefore, while it is wise to be cautious and maintain good hygiene practices, the fear of transmitting Hepatitis B through casual contact with public surfaces is largely unfounded.

If you are worried about your wounds and their potential to transmit the virus, it may be beneficial to take preventive measures. Keeping wounds clean and covered can help minimize any risk of exposure. Additionally, if you are concerned about your health or the health of others, consulting with a healthcare provider for personalized advice and potential vaccination for those around you can be a proactive step.

In summary, while it is understandable to have concerns about the transmission of Hepatitis B, the risk associated with open wounds contacting public surfaces is very low. Maintaining good hygiene, covering wounds, and seeking medical advice when necessary can help alleviate your worries. If you continue to feel anxious about this situation, consider discussing your concerns with a healthcare professional who can provide reassurance and further information tailored to your specific circumstances.

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