Hepatitis B: Transmission, Prevention, and Genetic Factors - Internal Medicine

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Hepatitis B


Hello, I am a carrier of Hepatitis B and would like to ask if it could be hereditary (my father is also a carrier).
Are there any precautions I should take in daily life? Additionally, my boyfriend is a foreigner, and I am concerned about whether he could be infected by me.
What preventive measures can I take? Is it true that those who have been vaccinated will not get infected? Could you please briefly explain the term and condition of being a Hepatitis B carrier in English? I would like to explain it to him.
Thank you!
Hepatitis B carrier, also known as a chronic Hepatitis B infection, refers to a person who is infected with the Hepatitis B virus (HBV) and has the virus present in their blood for at least six months.
This condition can be hereditary, as the virus can be transmitted from an infected parent to their child.
In daily life, it is important to avoid sharing personal items that may have blood on them, such as razors or toothbrushes, and to practice safe sex to prevent transmission to partners.

To protect your boyfriend, you should encourage him to get vaccinated against Hepatitis B, as vaccination is highly effective in preventing infection.
If he has been vaccinated, he is unlikely to become infected with the virus.

Yixin, 20~29 year old female. Ask Date: 2000/09/06

Dr. Yang Guojun reply Internal Medicine


1.
Hepatitis B can be transmitted horizontally and vertically, meaning it can be transmitted from mother to child, so it is not hereditary but rather due to infection during childbirth through the birth canal.

2.
The hepatitis virus is transmitted through blood, so avoid eyebrow tattoos, sharing needles, and sharing razors.
However, food does not need to be separated (it is not transmitted through saliva).

3.
Sexual activity between men and women can potentially transmit the virus, so your boyfriend should be tested for hepatitis B antigens and antibodies.
If your boyfriend tests positive for hepatitis B antigens, it indicates that both of you are carriers, and there is no risk of mutual transmission.
If your boyfriend tests positive for hepatitis B antibodies, he has immunity and cannot be infected.
If he has neither antibodies nor antigens, he should receive vaccination to develop immunity.

4.
Chronic Hepatitis B.

5.
The mortality rate from liver cancer caused by hepatitis B is 100%.

Reply Date: 2000/09/06

More Info


Hepatitis B is a viral infection that affects the liver and can lead to chronic disease and increases the risk of liver cancer. It is important to understand the transmission, prevention, and genetic factors associated with this condition, especially for individuals who are carriers of the virus.

Transmission of Hepatitis B:
Hepatitis B is primarily transmitted through contact with infectious body fluids, such as blood, semen, and vaginal secretions. The virus can be spread through various means, including:
1. Vertical Transmission: This occurs when an infected mother passes the virus to her baby during childbirth. This is not considered genetic inheritance but rather a transmission during the birthing process.


2. Horizontal Transmission: This includes sharing needles, unprotected sexual contact, and exposure to infected blood. It is crucial to avoid sharing personal items that may have come into contact with blood, such as razors or toothbrushes.

3. Non-Transmission through Casual Contact: Hepatitis B is not transmitted through casual contact, such as sharing food or drinks, hugging, or using the same toilet.

Genetic Factors:
While Hepatitis B itself is not inherited in a genetic sense, the susceptibility to the virus can be influenced by genetic factors. If your father is a carrier, it does not mean you inherited the virus directly from him; rather, it indicates that you may have been exposed to the virus through other means, such as vertical transmission at birth.
Living with Hepatitis B:
As a carrier of Hepatitis B, there are several lifestyle considerations to keep in mind:
1. Regular Monitoring: It is essential to have regular check-ups with a healthcare provider to monitor liver function and the status of the virus. Blood tests can help assess liver health and the level of viral activity.

2. Avoid Alcohol and Certain Medications: Alcohol can exacerbate liver damage, so it is advisable to avoid it. Additionally, some medications can be harmful to the liver, so always consult with a healthcare provider before taking new medications.

3. Healthy Lifestyle Choices: Maintaining a balanced diet, exercising regularly, and managing stress can support overall liver health.

Preventing Transmission to Others:
To prevent the transmission of Hepatitis B to your boyfriend or anyone else, consider the following:
1. Vaccination: The Hepatitis B vaccine is highly effective in preventing infection. If your boyfriend has not been vaccinated, encourage him to get vaccinated. If he has received the vaccine, he should have immunity against the virus.

2. Safe Practices: Use protection during sexual activities to reduce the risk of transmission. Avoid sharing personal items that may have come into contact with blood.

3. Testing: It may be beneficial for your boyfriend to get tested for Hepatitis B to determine his status regarding the virus. If he is found to be a carrier, both of you can discuss management strategies with a healthcare provider.

Summary in English:
Hepatitis B is a viral infection that can be transmitted through blood and bodily fluids, not inherited genetically. If your father is a carrier, it does not mean you inherited the virus, but you may have been exposed. To prevent transmission to your boyfriend, vaccination is key, along with safe practices. Regular monitoring and a healthy lifestyle are crucial for managing your health as a carrier.
Understanding these aspects of Hepatitis B can help you manage your condition and protect those around you effectively. Always consult with healthcare professionals for personalized advice and treatment options.

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