Many people are wary and fearful of hepatitis B virus carriers, mistakenly assuming them to be chronic hepatitis B patients, fearing transmission. These concerns are unnecessary and extremely wrong. The transmission routes of the hepatitis B virus are blood, mother-to-child, and sexual contact, while contact without blood exposure such as handshakes and eating together at the same table generally does not transmit the hepatitis B virus.
After the hepatitis B virus infects the human body, if the body's resistance is strong, immune function is normal, and treatment is timely, then the hepatitis B virus will soon be cleared, and acute hepatitis B can be cured. However, once the hepatitis B virus is not promptly cleared, hepatitis B will become chronic, and the virus will be carried long-term. Tests will show a positive result for hepatitis B antigen, which is what we refer to as a hepatitis B virus carrier.
Hepatitis B virus carriers exist widely in all aspects of society. They themselves do not have obvious discomfort, often being found to have a positive hepatitis B surface antigen during accidental physical examinations (such as entering daycare, schooling, employment, military service, etc.). If they do not undergo a physical examination, they may unknowingly pass their entire lives, or after carrying the virus for many years, suddenly fall ill, becoming active hepatitis, or even cirrhosis of the liver.
Once confirmed as a hepatitis B virus carrier, surrounding people often have wariness and fear, mistaking hepatitis B virus carriers for chronic hepatitis B patients, fearing the transmission of the hepatitis B virus. These concerns are unnecessary and extremely wrong. Moreover, the transmission routes of the hepatitis B virus are blood, mother-to-child, medical infections, sexual contact, intravenous drug use, etc. Daily work or life contacts, such as sharing an office, shaking hands, hugging, living in the same room, eating together, using the same toilet, etc., without blood exposure, generally do not transmit the hepatitis B virus. In China, hepatitis B virus carriers are not treated as current hepatitis patients. Except for not being able to donate blood, unsuitability for military service, and unsuitability for working as nursery attendants, cooks, or salespeople in the food industry, they can normally work and study.
Hepatitis B virus carriers may transmit the virus to others, but most people can rely on their own body's resistance to clear the virus after being infected with the hepatitis B virus. Among China's 130 million chronic hepatitis B virus carriers, most are in a state of "peaceful coexistence" with the virus. That is to say, infection does not necessarily mean one will get sick. Adults have numerous opportunities to be infected with the hepatitis B virus, but very few actually develop hepatitis B. Long-term couples where one party has hepatitis B and the other does not (often revealed by lab tests showing the formation of hepatitis B antibodies) indicate that the harm caused by hepatitis B transmission among adults is already very small. Therefore, colleagues or friends of hepatitis B patients need not avoid or shun them. In fact, hepatitis B virus carriers are not as scary as imagined.
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