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Immunization, Vaccines and Biologicals

  WHO > Programmes and projects > Immunization, Vaccines and Biologicals > IVB topics
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Hepatitis B: Previous page | 1,2,3,4

Key Points and Vaccine summary

  Table of contents for Hepatitis B

Key Points

  • There are about 350 million carriers of hepatitis B virus worldwide. Most of them are unaware they are carriers.
  • People who carry the virus often have no symptoms.
  • The hepatitis B virus is spread through unsafe injection practices and needle stick injuries.
  • The younger a person is when infected, the less likely it is that symptoms will occur. But it is more likely that he or she will become a carrier of the disease.
  • Most infants born to mothers who are carriers are at risk of being infected.
  • All children should receive hepatitis B vaccine starting at birth or at the age of four to six weeks, when the first visit to a clinic takes place.
  • A chronic carrier is more likely to develop severe chronic liver disease or liver cancer in later life.

Vaccine summary

  • Type of vaccine: Recombinant DNA or plasma-derived
  • Number of doses: Three doses
  • Schedule: Several options (see previous)
  • Booster: None
  • Contraindications: Anaphylactic reaction to a previous dose
  • Adverse reactions: Local soreness and redness, rarely anaphylactic reaction
  • Special precautions: Birth dose must be given if there is a risk of perinatal transmission
  • Dosage: 0.5ml
  • Injection site: Outer mid-thigh (infants)/outer upper arm (children and adults)
  • Injection type: Intramuscular
  • Storage: Store between 2°C–8°C. Never freeze

Hepatitis B: 1,2,3,4