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Hepatitis B: Causes and Risk Factors

Learn about the causes and major risk factors of hepatitis B, including transmission methods, vulnerable populations, and ways to reduce your risk of infection.

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Written by Dr. Mohammed Kamran

Reviewed by Dr. Md Yusuf Shareef MBBS

Last updated on 28th Jul, 2025

hepatitis b

Hepatitis B: Causes and Risk Factors

Hepatitis B is a liver infection caused by the Hepatitis B virus (HBV). It can range from a mild illness lasting a few weeks to a serious, long-term condition that may lead to liver damage, cirrhosis, or even liver cancer. Understanding the causes and risk factors can help you take steps to prevent infection and protect your health.

What Causes Hepatitis B?

Hepatitis B is caused by the Hepatitis B virus (HBV), which attacks the liver. The virus spreads through contact with infected blood or other body fluids. Unlike some other viruses, HBV can survive outside the body for up to 7 days, making it highly contagious.

How Does Hepatitis B Spread?

The virus spreads in several ways:

1. Mother to Child (Perinatal Transmission): An infected mother can pass HBV to her baby during childbirth.
2. Unprotected Sex: Having unprotected sex with an infected person can transmit the virus.
3. Sharing Needles or Syringes: Using contaminated needles (drug use, tattoos, or medical procedures) increases the risk.
4. Sharing Personal Items: Razors, toothbrushes, or nail clippers with traces of infected blood can spread HBV.
5. Healthcare Exposure: Accidental needle sticks or improper sterilisation of medical/dental tools can transmit the virus.
6. Blood Transfusions or Organ Transplants: Though rare today due to strict screening, it was a risk in the past.

Important Note: Hepatitis B does not spread through casual contact like hugging, kissing, sharing food, or coughing/sneezing.

Who Is at Risk?

Certain groups of people have a higher risk of getting infected with Hepatitis B:

  • Infants born to infected mothers: The virus can pass during delivery.
  • People with multiple sexual partners: Unprotected sex increases exposure.
  • Men who have sex with men (MSM): Higher risk due to sexual transmission.
  • Healthcare workers: Exposure to blood and needles raises the risk.
  • People who inject drugs: Sharing needles is a major cause of HBV spread.
  • People living with someone who has HBV: Close contact increases exposure risk.
  • Travellers to high-risk regions: Areas like Africa, Asia, and Eastern Europe have higher HBV rates.
  • People with chronic liver disease or HIV: Weakened immunity makes them more vulnerable.

Consult Top Specialists

Dr. Mohammed Huzef Ul Arifeen, General Practitioner

Dr. Mohammed Huzef Ul Arifeen

General Practitioner

3 Years • MBBS

Hyderabad

Apollo 24|7 Clinic - Telangana, Hyderabad

450

Dr. Indrajit Das, General Physician/ Internal Medicine Specialist

Dr. Indrajit Das

General Physician/ Internal Medicine Specialist

4 Years • "MD (Internal medicine) : Gauhati Medical College and Hospital, Guwahati (2018-2021) MD (Pathology) : Gauhati Medical College and Hospital, Guwahati (2012-2015) MBBS (Bachelor of Medicine, Bachelor of Surgery) : Silchar Medical College, Assam (2003-2008) "

Guwahati

Apollo Excelcare Hospital, Guwahati

700

No Booking Fees

Dr. Ajay K Sinha, General Physician/ Internal Medicine Specialist

Dr. Ajay K Sinha

General Physician/ Internal Medicine Specialist

30 Years • MD, Internal Medicine

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

87%

(200+ Patients)

1500

1500

No Booking Fees

Dr. Hariprasath J, General Physician/ Internal Medicine Specialist

Dr. Hariprasath J

General Physician/ Internal Medicine Specialist

19 Years • MD (Gen Med), FCCP, Dip (Diabetology, UK)

Chennai

Apollo First Med Hospitals P H Road, Chennai

recommendation

94%

(200+ Patients)

900

135 Cashback

900

No Booking Fees

How Does Hepatitis B Affect Your Health?

Hepatitis B can be acute (short-term) or chronic (long-term).

  • Acute Hepatitis B: Lasts a few weeks to months. Many people recover fully, but some develop chronic infection.
  • Chronic Hepatitis B: Lasts a lifetime and can lead to severe liver damage, cirrhosis, or liver cancer.

Symptoms may include:

  • Fatigue
  • Fever
  • Loss of appetite
  • Nausea/vomiting
  • Dark urine
  • Jaundice (yellowing of skin/eyes)
  • Abdominal pain

Some people, especially children, may have no symptoms but still carry the virus, unknowingly spreading it.

How to Reduce Your Risk?

1. Get Vaccinated

  • The Hepatitis B vaccine is the best way to prevent infection. It is safe and highly effective, given in 3 doses over 6 months.

2. Practice Safe Sex

  • Use condoms to reduce the risk of sexual transmission.

3. Avoid Sharing Needles or Personal Items

  • Never share needles, razors, or toothbrushes. Ensure tattoos/piercings are done with sterilised equipment.

4. Get Tested if at Risk

  • If you fall into a high-risk group, get tested for HBV. Early detection helps in managing the infection.

5. Pregnant Women Should Get Screened

  • Testing during pregnancy can prevent transmission to the baby.

When to See a Doctor?

If you suspect exposure to HBV or experience symptoms, consult a doctor immediately. Blood tests can confirm the infection. You can book a Hepatitis B test or vaccination through Apollo 24|7 for quick and reliable results.

Conclusion

Hepatitis B is preventable and manageable with the right precautions. Knowing the causes and risks helps you take control of your health. If you’re at risk, get vaccinated, practice safe habits, and get tested to stay protected.

Consult Top Specialists

Dr. Mohammed Huzef Ul Arifeen, General Practitioner

Dr. Mohammed Huzef Ul Arifeen

General Practitioner

3 Years • MBBS

Hyderabad

Apollo 24|7 Clinic - Telangana, Hyderabad

450

Dr. Indrajit Das, General Physician/ Internal Medicine Specialist

Dr. Indrajit Das

General Physician/ Internal Medicine Specialist

4 Years • "MD (Internal medicine) : Gauhati Medical College and Hospital, Guwahati (2018-2021) MD (Pathology) : Gauhati Medical College and Hospital, Guwahati (2012-2015) MBBS (Bachelor of Medicine, Bachelor of Surgery) : Silchar Medical College, Assam (2003-2008) "

Guwahati

Apollo Excelcare Hospital, Guwahati

700

No Booking Fees

Dr. Ajay K Sinha, General Physician/ Internal Medicine Specialist

Dr. Ajay K Sinha

General Physician/ Internal Medicine Specialist

30 Years • MD, Internal Medicine

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

87%

(200+ Patients)

1500

1500

No Booking Fees

Dr. Hariprasath J, General Physician/ Internal Medicine Specialist

Dr. Hariprasath J

General Physician/ Internal Medicine Specialist

19 Years • MD (Gen Med), FCCP, Dip (Diabetology, UK)

Chennai

Apollo First Med Hospitals P H Road, Chennai

recommendation

94%

(200+ Patients)

900

135 Cashback

900

No Booking Fees

Consult Top Specialists

Dr. Mohammed Huzef Ul Arifeen, General Practitioner

Dr. Mohammed Huzef Ul Arifeen

General Practitioner

3 Years • MBBS

Hyderabad

Apollo 24|7 Clinic - Telangana, Hyderabad

450

Dr. Ramya Hari, General Practitioner

Dr. Ramya Hari

General Practitioner

18 Years • Medical Head & Family Physician, DG Shipping Approved Doctor, Panel Physician - UK Visa Medicals

Chennai

Apollo Medical Centre Kotturpuram, Chennai

1000

No Booking Fees

Dr. Indrajit Das, General Physician/ Internal Medicine Specialist

Dr. Indrajit Das

General Physician/ Internal Medicine Specialist

4 Years • "MD (Internal medicine) : Gauhati Medical College and Hospital, Guwahati (2018-2021) MD (Pathology) : Gauhati Medical College and Hospital, Guwahati (2012-2015) MBBS (Bachelor of Medicine, Bachelor of Surgery) : Silchar Medical College, Assam (2003-2008) "

Guwahati

Apollo Excelcare Hospital, Guwahati

700

No Booking Fees

Dr. Ajay K Sinha, General Physician/ Internal Medicine Specialist

Dr. Ajay K Sinha

General Physician/ Internal Medicine Specialist

30 Years • MD, Internal Medicine

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

87%

(200+ Patients)

1500

1500

No Booking Fees

Dr. Hariprasath J, General Physician/ Internal Medicine Specialist

Dr. Hariprasath J

General Physician/ Internal Medicine Specialist

19 Years • MD (Gen Med), FCCP, Dip (Diabetology, UK)

Chennai

Apollo First Med Hospitals P H Road, Chennai

recommendation

94%

(200+ Patients)

900

135 Cashback

900

No Booking Fees

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