Hepatitis B: Prevention

Hepatitis B vaccination is the most important and effective preventive measure.

Furthermore, to prevent hepatitis B, attention must be paid to reducing risk factors.

Behavioral risk factors

  • Consumption of stimulants
    • Alcohol (woman: > 40 g/day; man: > 60 g/day).
  • Drug use (intravenous, i.e., through the vein).
  • Shared use of everyday objects such as nail scissors or razor.
  • Pierce ear hole
  • Piercings
  • Tattoos
  • Sexual transmission
    • Promiscuity (sexual contact with relatively frequently changing different partners or with parallel multiple partners).
    • Prostitution
    • Men who have sex with men (MSM).
    • Sexual contacts in the vacation country
    • Unprotected coitus (sexual intercourse)

Medication

  • Blood products

Other risk factors

  • Horizontal infection (non-sexual) – pathogen transmission from host to host of the same generation:
    • Health care workers
    • Residents and employees of care facilities
    • Inmates
  • Vertical infection – pathogen transmission from a host (here. the mother) to its offspring (here: the child):
    • Transmission of infection during birth from mother to child (perinatal) [risk of transmission: 90%].
    • Transmission through breast milk (postnatal infection).
  • Iatrogenic (“physician-generated”) transmission.

Post-exposure prophylaxis (PEP)

Post-exposure prophylaxis is the provision of medication to prevent disease in individuals who are not protected against a particular disease by vaccination but have been exposed to it. For more information, see “Drug therapy.”