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Viral Hepatitis and Liver Disease

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Who to Vaccinate for Hepatitis B

for Health Care Providers

Who to Vaccinate - Hepatitis B

Vaccination is now recommended for all adults age 19 to 59 years and have not previously been vaccinated against hepatitis B virus. In addition, vaccination may be particularly important for those at increased risk for infection with hepatitis B virus including the following:

  • Anyone traveling to a region of intermediate to high HBV prevalence (>2%)
  • All infants and all unvaccinated children younger than 19 years old
  • Persons at risk for HBV infection by sexual exposure
    • Men who have sex with men
    • Persons with multiple sex partners
    • Persons seeking evaluation or treatment for an STD
    • Sex partners of HBSAg+ persons
  • Persons at risk for HBV infection by percutaneous or mucosal exposure to blood
    • Anyone who has ever injected drugs
    • Household and needle-sharing contacts of HBsAg-positive persons
    • Residents and staff of facilities for developmentally disabled persons
    • Health care and public safety workers at risk for occupational exposure to blood or blood-contaminated body fluids
    • Persons with end-stage renal disease, including pre-dialysis or any form of dialysis
    • Unvaccinated persons with diabetes who are aged 19 through 59 years (clinician's discretion for unvaccinated adults with diabetes who are 60 or older)
  • Others
    • Pregnant women should discuss with their provider
    • Persons with HIV
    • Persons with chronic liver disease including HCV, cirrhosis, fatty liver disease, alcoholic liver disease, and autoimmune hepatitis
    • Inmates of correctional facilities