{"id":13532,"date":"2020-09-24T09:00:04","date_gmt":"2020-09-24T13:00:04","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=13532"},"modified":"2020-09-09T15:16:16","modified_gmt":"2020-09-09T19:16:16","slug":"hepatitis-b-vaccine","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/hepatitis-b-vaccine\/","title":{"rendered":"Should you get the hepatitis B vaccine?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Hepatitis B is an infection that can cause serious damage to the liver, including permanent scarring (cirrhosis), <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-prevent-cancer\/\"><span style=\"font-weight: 400;\">liver cancer<\/span><\/a><span style=\"font-weight: 400;\">, liver failure, chronic liver disease, and even death. It\u2019s caused by the hepatitis B virus (HBV), which can be found in blood, semen, and other body fluids.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.cdc.gov\/hepatitis\/hbv\/bfaq.htm#overview\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Centers for Disease Control and Prevention (CDC)<\/span><\/a><span style=\"font-weight: 400;\">, about 22,000 people in this country are living with an acute HBV infection (a short-term illness), while close to 1 million have chronic hepatitis B. Infection\u2014which can produce vague symptoms like fatigue, fever, and stomach upset\u2014can be prevented with a vaccine, but not everyone gets immunized. The hepatitis B vaccine is generally recommended for babies\/children and adults in certain high-risk groups. But since hepatitis B is an infection that\u2019s <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/safety-prevention\/immunizations\/Pages\/Hepatitis-B-Vaccine-What-Parents-Need-to-Know.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">asymptomatic in up to one third of cases<\/span><\/a><span style=\"font-weight: 400;\"> and spread via fluids that can be hard to completely avoid, you might wonder whether everyone should get immunized. Here, what you need to know.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Who needs a hepatitis B vaccine?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.hepb.org\/what-is-hepatitis-b\/what-is-hepb\/facts-and-figures\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Hepatitis B Foundation<\/span><\/a><span style=\"font-weight: 400;\">, 80,000 Americans develop hepatitis B each year. Worldwide, two people die from the infection every minute.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Since <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5730a3.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">1991<\/span><\/a><span style=\"font-weight: 400;\">, it\u2019s been recommended that all healthy newborns receive a hepatitis B vaccination starting shortly after birth. The American Academy of Pediatrics (AAP) says healthy newborns should receive their first dose of the vaccine within 24 hours of birth, with the second dose at 1 to 2 months of age, and the third and final dose between 6 and 18 months. If a birth mothera mom tests positive for hepatitis B during pregnancy (and pregnant women are routinely tested), those timetables may be moved up, as hepatitis B can be transmitted during the birth process.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Why do babies need a hep B vaccine, especially if they\u2019re living among adults who aren\u2019t in a high-risk group? Because many people with hepatitis B virus infection are asymptomatic, and the infection can be spread via something as innocuous as the toothbrush or shaving razor of an infected person. According to Children\u2019s Hospital of Philadelphia (CHOP), <\/span><a href=\"https:\/\/www.chop.edu\/centers-programs\/vaccine-education-center\/vaccine-details\/vaccine-hepatitis-b-vaccine\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">hepatitis B is 100 times more infectious than HIV<\/span><\/a><span style=\"font-weight: 400;\">. Ninety-five percent of children receiving all three doses of hep B vaccine will be protected from the complications the infection causes, says the AAP.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another reason to vaccinate young? The AAP also notes that more than half of the 5,000 adults who die from hepatitis B in this country each year acquired the infection as children. If you\u2019re an adult who\u2019s not sure whether or not you were ever immunized, you can get a blood test that will check for immunity\u2014but it\u2019s not right for everyone; you should check with your provider to determine if testing is appropriate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\">If you\u2019re already immune, you can avoid getting extra shots and making unneeded clinic visits, especially in this era of COVID,\u201d notes <\/span><a href=\"https:\/\/www.mountsinai.org\/profiles\/amon-asgharpour\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Amon Asgharpour<\/span><\/a><span style=\"font-weight: 400;\">, MD, an assistant professor in the Division of Liver Diseases at Icahn School of Medicine at Mount Sinai in New York City. However, administering extra doses of single-antigen hepatitis B vaccine is not harmful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Others who should be vaccinated, say the <\/span><a href=\"https:\/\/www.cdc.gov\/vaccines\/hcp\/vis\/vis-statements\/hep-b.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><span style=\"font-weight: 400;\">, include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Men who have sex or sexual contact with other men.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People who are not in a mutually monogamous sexual relationship.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People being treated or evaluated for sexually transmitted diseases (STDs).<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Injection drug users or others who share or use needles.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Healthcare workers, public safety workers, incarcerated individuals, and those who work or live in facilities for intellectually disabled people.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People who are household contacts of those who test positive for hepatitis B.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Those traveling to areas of the world (for example, certain parts of Eastern and Central Europe, Africa, and South and Central America) with high hepatitis B rates.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People with certain chronic diseases, such as liver disease (including <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hepatitis-c-treatment-and-medications\"><span style=\"font-weight: 400;\">hepatitis C<\/span><\/a><span style=\"font-weight: 400;\">), diabetes, kidney disease, and HIV infection.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hemodialysis patients (hemodialysis is a procedure in which waste products from the blood are filtered; it\u2019s used by people whose kidneys don\u2019t function properly).<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pregnant women who have multiple sex partners, are intravenous drug users, have or are being evaluated for an STD, or have a hepatitis B positive partner. According to the CDC, <\/span><a href=\"https:\/\/www.cdc.gov\/vaccines\/pregnancy\/hcp-toolkit\/guidelines.html#hepb\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">pregnant women can safely receive the vaccine<\/span><\/a><span style=\"font-weight: 400;\"> without any harm to their unborn babies.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">What if you fall outside all these categories\u2014should you still get vaccinated? \u201cWhile the actual risk of getting the infection varies greatly across the population, the vaccine is so safe and easy to get that all adults should get it, regardless of their personal risk,\u201d says Christine Traxler, MD, retired family practice physician, author of <em>I&#8217;m having a baby: What now?<\/em><\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Vaccine safety and efficacy<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Thanks to the widespread immunization of infants since the early 1990s, the overall spread of hepatitis B has significantly declined in this country. However, infection with HBV has been on the rise in the past few years among certain groups, particularly those 30 to 49 years of age, reports the <\/span><a href=\"https:\/\/www.hhs.gov\/hepatitis\/blog\/2018\/02\/21\/the-rise-in-acute-hepatitis-b-infection-in-the-us.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">United States Department of Health and Human Services (HHS)<\/span><\/a><span style=\"font-weight: 400;\">. The agency points to incomplete vaccination coverage (the hepatitis B vaccine is generally given in a vaccine series of shots) among this age group as well as an increase in drug use, especially opioid drugs. In 2015, acute hepatitis B infection rates increased <\/span><a href=\"https:\/\/www.hhs.gov\/hepatitis\/blog\/2018\/02\/21\/the-rise-in-acute-hepatitis-b-infection-in-the-us.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">20.7%<\/span><\/a><span style=\"font-weight: 400;\">, the first increase in nearly 10 years says the HHS.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many hep B vaccines are given on a vaccination schedule that includes three doses, spaced a few months apart. In 2017, the Food and Drug Administration (FDA) approved a two-dose vaccine (called <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/heplisav-b\"><span style=\"font-weight: 400;\">Heplisav-B<\/span><\/a><span style=\"font-weight: 400;\">) given 30 days apart for use in adults. \u201cYou get high immune system response and better compliance with a two-dose program,\u201d notes <\/span><a href=\"https:\/\/www.robertgish.com\/about\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Robert G. Gish<\/span><\/a><span style=\"font-weight: 400;\">, MD, medical director of the Hepatitis B Foundation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The hep B vaccine (in addition to Heplisav-B, other brand names include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/engerix-b\"><span style=\"font-weight: 400;\">Engerix-B<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/recombivax-hb\"><span style=\"font-weight: 400;\">Recombivax HB<\/span><\/a><span style=\"font-weight: 400;\">) has been around for decades. While no one knows for sure exactly how long the vaccine provides immunity, at least <\/span><a href=\"https:\/\/academic.oup.com\/jid\/article\/214\/1\/1\/2469743\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">one study<\/span><\/a><span style=\"font-weight: 400;\"> from 2016 shows that it can be at least 30 years. Booster shots are generally not recommended for healthy people who\u2019ve been vaccinated.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Hep B vaccine is not a live vaccine, so it is safe for newborns, infants, pregnant or lactating women, and immunocompromised individuals.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hep B <\/span><a href=\"https:\/\/www.cdc.gov\/vaccines\/hcp\/vis\/vis-statements\/hep-b.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">vaccine side effects<\/span><\/a><\/h3>\n<p><span style=\"font-weight: 400;\">The vaccine does not use blood or blood products and has been shown to be safe. The most common side effect is soreness at the injection site. \u201c<\/span><span style=\"font-weight: 400;\">Otherwise, 1 to 3% [of those being vaccinated] report headache, joint pain, low-grade fever, myalgia, or malaise,\u201d Dr. Asgharpour says. \u201cWith a low risk of side effects, it definitely makes vaccination more attractive to physicians and patients.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Severe allergic reactions are rare, but definitely get immediate medical help from a healthcare professional if you experience any of the following side effects:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hives<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Facial swelling<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Problems breathing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fast heartbeat<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">They could be signs of a dangerous reaction.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Insurance coverage and cost<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.cdc.gov\/vaccines\/adults\/pay-for-vaccines.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><span style=\"font-weight: 400;\">, all health insurance marketplace plans and most private insurers will cover the cost of a hepatitis B vaccine if you use an in-network provider. Medicare Part B will cover the hepB vaccine if you\u2019re in a high-risk group. Price will vary by a number of factors, including the brand of vaccine used and whether it is for pediatric or adult use, but in general the vaccine can range in price from less than <\/span><a href=\"https:\/\/www.cdc.gov\/vaccines\/programs\/vfc\/awardees\/vaccine-management\/price-list\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">$13 to upward of $150<\/span><\/a><span style=\"font-weight: 400;\">. You can <\/span><a href=\"https:\/\/www.vaccines.gov\/get-vaccinated\/where\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">receive the vaccine<\/span><\/a><span style=\"font-weight: 400;\"> at your healthcare provider\u2019s office or through some local health departments. Your area pharmacy may also be able to administer it. For greater <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/savings-vaccines-for-children-teens-seniors\/\"><span style=\"font-weight: 400;\">savings on the hepatitis B and other vaccines<\/span><\/a><span style=\"font-weight: 400;\"> available at your pharmacy, use your SingleCare card.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to protect yourself against hepatitis B<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While there are antiviral drugs that can help slow and limit the liver damage hepatitis B causes, there is no cure. Prevention is key. In addition to getting vaccinated, you can help protect yourself from the infection with these tips from the <\/span><a href=\"https:\/\/www.hepb.org\/prevention-and-diagnosis\/prevention-tips\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Hepatitis B Foundation<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wash your hands thoroughly with soap and water after coming into contact with blood or other body fluids.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Use barrier protection (condoms) when having sex.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Don\u2019t share toothbrushes, razors, earrings, or nail clippers.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid intravenous drug use.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Clean up blood droplets on surfaces after an injury with a solution of one part bleach to nine parts water.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Make sure new, sterile needles and inks are used whenever you get a piercing, tattoo, or acupuncture and receive these services only from licensed shops.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stay up to date on all vaccines, especially hepatitis A.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you are trying to become pregnant or are pregnant, talk with your healthcare provider about early hepatitis B testing and vaccination.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you are a healthcare provider or exposed worker, always use recommended universal precautions.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you think you have hepatitis B, are at risk for hepatitis B, or were exposed, contact your provider as soon as possible.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">When in doubt, talk to your healthcare provider for professional medical advice to find out more preventive measures.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hepatitis B is an infection that can cause serious damage to the liver, including permanent scarring (cirrhosis), liver cancer, liver failure, chronic liver disease, and even death. It\u2019s caused by the hepatitis B virus (HBV), which can be found in blood, semen, and other body fluids.\u00a0 According to the Centers for Disease Control and Prevention [&hellip;]<\/p>\n","protected":false},"author":93,"featured_media":12402,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[3381],"coauthors":[10462],"class_list":["post-13532","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-vaccines","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Should you get a hepatitis B vaccine?<\/title>\n<meta name=\"description\" content=\"The hep B vaccine is generally recommended in a 3-dose vaccine series for healthy babies and high-risk adults. 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