Sexual transmission of hepatitis B.
OBJECTIVE
Hepatitis B virus infection is prevalent worldwide and is a significant cause of morbidity and mortality particularly in Asia. Adults chronically infected with hepatitis B virus remain a significant potential source of sexually transmitted hepatitis B. The purpose of this article is to review the recent literature relating to hepatitis B virus transmission with particular emphasis on sexual transmission and efforts to prevent spread.


RESULTS
The introduction of hepatitis B virus vaccine and the implementation of universal childhood vaccination for hepatitis B in some countries have led to a dramatic reduction in the number of children with chronic hepatitis B. However, recent reports suggest that we are not as successful in preventing infection by sexual transmission. It is clear that sexual transmission of hepatitis B virus is still widespread and is a major problem in certain high-risk groups such as men who have sex with men, intravenous drug users, prisoners and sex workers. Significant problems remain with respect to education and vaccination within these groups.


CONCLUSIONS
Hepatitis B virus remains a major health burden but it is preventable by education and vaccination. Greater resources are required to expand vaccination to the at-risk, sexually active adult populations if the World Health Organization ideal of hepatitis B virus eradication is to be realized and the burden of hepatitis B virus-related morbidity and mortality contained.
Atkins
Mark
M
Department of Microbiology, Chelsea and Westminster Hospital, Fulham Road, London, UK. m.atkins@imperial.ac.uk
Nolan
Marianne
M
D015658:HIV Infections / Q000150:complications; D006509:Hepatitis B / Q000517:prevention & control / Q000635:transmission*; D017325:Hepatitis B Vaccines; D006801:Humans; D011330:Prisons; D012306:Risk; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control / Q000635:transmission*
D017325:Hepatitis B Vaccines