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hepatitis B > screenings

Get FREE screenings if you are in Boston!

There are several types of hepatitis B screenings. They are all detected through a blood test. There are several tests used to detect the presence of hepatitis B antibodies or antigens. Antibodies are produced by the body to offer protection from antigens (foreign proteins).

Hepatitis B surface antigen (HBsAg) is a marker of infectivity. If you receive a "positive" result, it means you have either acute or chronic Hepatitis B Virus infection. If you receive a "negative" result, it means that you either have never been infected with hepatitis B and therefore need to get vaccinated or you have been infected with hepatitis B but developed your own immunity. For "negative" results, you will need one of the additional 2 screenings listed below.

Hepatitis B surface antibody (HbsAb) or Antibody to hepatitis B surface antigen (anti-HBs) is a marker of immunity. If you receive a "positive" result, it indicates an immune response to Hepatitis B Virus infection, an immune response to vaccination, or the presence of passively acquired antibody.

Hepatitis B core antibody (HBcAb) or Antibody to hepatitis B core antigen (anti-HBc) is a marker of acute, chronic, or resolved Hepatitis B Virus infection. It is not a marker of vaccine-induced immunity. It may be used in prevaccination testing to determine previous exposure to Hepatitis B Virus infection.

A full panel blood test means that all three of the above screenings are performed:

HBsAg HBsAb HBcAb Interpretation
negative negative negative Need to be vaccinated
negative positive positive Immune due to natural infection
negative positive negative Immune due to vaccination
positive negative positive Acutely infectious or you are a "carrier"
negative negative positive Ambigious: Four possible interpretations

For additional screenings, please see "Hepatitis B Facts: Testing and Vaccination" from Immunization Action Coalition.

We have often heard that some doctors may not agree to screen you for hepatitis B because it is not part of routine physical examinations. Prior to your exam, you should bring in one of our educational materials or here's a good one that the Immunization Action Coalition produced.

Hepatitis B Initiative of
Washington, D.C.
P.O. BOX 53447
Washington, DC 20009-3447


email: info@hepbinitiative.org
Hepatitis B Initiative-Boston
c/o The Albert Schweitzer Fellowship
330 Brookline Avenue, E/Rose-145
Boston, MA 02215