
Hepatitis B is a liver disease caused by the hepatitis B virus (HBV). The hepatitis B vaccine is safe and effective and can provide long-term or lifelong immunity. The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for all infants at birth, unvaccinated children younger than 19 years of age, adults aged 19–59, and adults 60 and older with risk factors for hepatitis B. Adults 60 and older without known risk factors for hepatitis B may also receive the vaccine if they desire it. The hepatitis B vaccine is available at doctors' offices, local health departments, or clinics, and it is typically given in a series of two or three shots.
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What You'll Learn
- The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for adults 60+ with risk factors
- Vaccination is also acceptable for those 60+ without risk factors who desire it
- Hepatitis B vaccination is recommended for adults living with diabetes
- The hepatitis B vaccine is also recommended for adults at high risk of infection due to their jobs, lifestyle, living situations, or country of birth
- The hepatitis B vaccine is safe for pregnant women

The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for adults 60+ with risk factors
The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for all unvaccinated children younger than 19 years of age, adults aged 19–59, and adults 60 and older with risk factors for hepatitis B.
Hepatitis B is a liver disease caused by the hepatitis B virus (HBV). It is one of the primary causes of liver cancer, one of the deadliest cancers, and it is a completely preventable disease. The hepatitis B vaccine is safe and effective and can be administered to infants, children, and adults.
The ACIP's recommendation for universal adult hepatitis B vaccination is a significant step toward lowering the rate of adult infection of hepatitis B. The vaccine is available at doctors' offices, local health departments, and clinics. It typically requires two or three shots, depending on the brand, to be fully protected against hepatitis B.
Those aged 60 and older with risk factors for hepatitis B are advised to receive the hepatitis B vaccine. Risk factors for hepatitis B include having diabetes, kidney disease, and being born before the guidelines for universal infant vaccination in 1991. Additionally, adults with reasonably anticipated exposure to blood or blood-contaminated body fluids, those with certain lifestyle factors, and international travellers to countries with high or intermediate levels of endemic hepatitis B virus infection are also considered at risk.
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Vaccination is also acceptable for those 60+ without risk factors who desire it
Vaccination is recommended for all adults, especially those at high risk of contracting hepatitis B. The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for adults aged 19–59 and adults 60 and older with risk factors for hepatitis B or without identified risk factors but seeking protection.
The hepatitis B vaccine is available at doctors' offices, local health departments, and clinics. The vaccination is safe and effective, and it is recommended for all infants at birth and for children up to 18 years of age. The World Health Organization (WHO) recommends that infants receive the first dose of the hepatitis B vaccine within 24 hours of birth, and this is often referred to as the "birth dose." The vaccine series can then be completed with additional shots at 1 month and 6 months of age.
For adults, the hepatitis B vaccine is typically given in two or three shots, depending on the brand. The Heplisav-B vaccine, approved by the FDA in 2017 for adults aged 18 and older, is a two-dose vaccine administered one month apart. Other vaccines, such as Engerix-B and Recombivax HB, are approved for vaccination starting at birth and are available in both pediatric and adult formulations.
It is important to note that individuals with documentation of complete vaccination or previous HBV infection generally do not need to be revaccinated. However, there is no evidence that receiving additional doses is harmful. Vaccination is a safe and effective way to prevent hepatitis B infection, and it is recommended for those at high risk, including adults living with diabetes and those at high risk due to their jobs, lifestyle, living situations, or country of birth.
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Hepatitis B vaccination is recommended for adults living with diabetes
Hepatitis B is a liver disease caused by the hepatitis B virus (HBV). The best way to prevent hepatitis B is by getting vaccinated. The hepatitis B vaccine is safe and effective and can be administered to infants, children, and adults.
The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for all infants at birth, unvaccinated children younger than 19 years of age, adults aged 19-59, and adults 60 and older with risk factors for hepatitis B. Adults 60 and older without known risk factors for hepatitis B may also receive the vaccine if they seek protection.
People aged 19 and younger should receive three doses of the vaccine, while those aged 20 and older should receive three to four doses depending on their health condition and the brand of the vaccine. It is important to note that all doses of the vaccine are required for full protection against hepatitis B.
Now, coming to the specific topic of adults living with diabetes, the ACIP has recommended hepatitis B vaccination for this group. Diabetes increases the risk of chronic liver disease and hepatocellular carcinoma. Outbreaks of hepatitis B have occurred in elderly individuals with diabetes in long-term care facilities, often due to lapses in infection control during blood glucose monitoring.
The Hepatitis Vaccines Work Group of the ACIP evaluated the risk for HBV infection among adults with diagnosed diabetes and developed economic models to assess the cost-effectiveness of vaccinating this population. The estimated cost per quality-adjusted life-year (QALY) saved was highest for persons aged 20-59 years.
In summary, hepatitis B vaccination is indeed recommended for adults living with diabetes. This is because individuals with diabetes have an increased risk of HBV infection and its associated complications. The vaccination can help prevent outbreaks in this vulnerable population and reduce the burden of HBV-related morbidity and mortality.
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The hepatitis B vaccine is also recommended for adults at high risk of infection due to their jobs, lifestyle, living situations, or country of birth
The hepatitis B vaccine is recommended for adults aged 62 and above with risk factors for hepatitis B. The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for adults aged 60 and above with risk factors for hepatitis B or those without identified risk factors but seeking protection.
Healthcare and public safety personnel with reasonably anticipated exposure to blood or blood-contaminated body fluids are also at high risk of infection and should consider vaccination. Additionally, adults aged 62 and above who were born to mothers living with hepatitis B are recommended to get the vaccine.
The hepatitis B vaccine is safe and effective for adults of all ages and can provide lifetime protection against a preventable chronic liver disease. It is available at doctor's offices, local health departments, or clinics, and adults can discuss their specific circumstances with their doctors to determine if the vaccine is recommended for them.
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The hepatitis B vaccine is safe for pregnant women
The Hepatitis B vaccine is safe and effective for pregnant women. The Centers for Disease Control and Prevention (CDC) recommends that all pregnant women who are at risk for HBV infection and have not been vaccinated previously should be vaccinated. Developing foetuses are not at risk of adverse events when the hepatitis B vaccine is administered during pregnancy. The vaccine contains noninfectious HBsAg and should not cause any risk of infection to the foetus.
Pregnant women should be tested for HBsAg as soon as possible after admission for delivery. If the patient is found to be HBsAg-positive, the infant should receive HBIG as soon after birth as possible, and no later than seven days after birth. The hepatitis B vaccine can be administered to infants in the delivery room or within the first 12 hours of life. The second shot should be administered at least one month after the first, and the third shot at least four months after the first and two months after the second. Infants should be a minimum of 24 weeks old when they receive the third shot.
The hepatitis B vaccine is safe for people of all ages. The CDC recommends the hepatitis B vaccine for all newborns, children up to age 18, adults aged 19-59, and adults 60 and older who are at high risk for infection. People aged 19 and younger should receive three doses, while people aged 20 and older should receive three or four doses, depending on their health status.
The hepatitis B vaccine is highly effective in preventing infection, and immunity persists for at least 30 years for people who initiate vaccination at less than six months of age. The vaccine is safe, and most people do not experience any side effects. Soreness at the injection site is the most common side effect. The vaccine is also known as the first "anti-cancer" vaccine because it prevents hepatitis B, the leading cause of liver cancer worldwide.
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Frequently asked questions
The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B vaccination for adults 60 and older with risk factors for hepatitis B. For adults 60 and older without known risk factors for hepatitis B, vaccination is acceptable if the patient desires it.
Risk factors for hepatitis B include being born to a mother with hepatitis B, being sexually active and not in a long-term, mutually monogamous relationship, being on kidney dialysis, having HIV, and traveling to countries where hepatitis B is common.
Hepatitis B vaccines provide long-term or lifelong immunity and are safe and effective for people of all ages.
The hepatitis B vaccine is available at your doctor's office, local health department, or clinic.











































