ACIP review of the hepatitis B birth dose vaccination remains a grave concern - Please read more here.

Site Search

You searched for "hepatitis D"

  • May is Hepatitis Awareness Month

    Hepatitis Awareness Month is dedicated to increasing awareness of hepatitis in the United States and to encourage high risk populations to get tested. If you’re not sure how you can get involved in the hepatitis B community this month, here are some ways you can! Share and spread hepatitis B knowledge. CDC’s Know Hepatitis B Campaign is a great resource to learn more about hepatitis B and to promote testing in your area! They also have great posters, handouts, and videos available in different languages including Spanish, Mandarin, Vietnamese, Korean, French, and more! You can also look for some of the Hepatitis B Foundation’s fact sheets and #justB storytelling campaign videos. Join or organize a screening event. May 19th is National Hepatitis Testing Day! Organizations around the country will provide viral hepatitis screenings – both hep B and C! Be sure to look for some Hep B United partners’ websites for screenings in your local area, especially if you’re interested in volunteering. Organize or join a flash mob to increase awareness! With our local hepatitis B campaign in Philadelphia, Hep B United Philadelphia, we held a “B A Hero Flash Mob” in the past. It is a great way to open the discussion about hepatitis B in an engaging and fun way! Become an HBV advocate! You can join our Hep B United Action Center to get all the updates on our advocacy efforts. You can also share your hepatitis B knowledge on social media too! Check out and share Hepatitis Victoria’s Little Hep B Hero book and animation. Hepatitis Victoria created an engaging book to explain hepatitis B to six to twelve-year-old children. Their book is available to order and in English, Simplified Chinese, and Vietnamese. Join the #HepAware Thunderclap. You can easily share and show your support for CDC Hepatitis’s efforts by joining their Thunderclap by May 19th, Hepatitis Testing Day. You can use Facebook, a Facebook page you manage, Twitter, and Tumblr. Join our international

    http://www.hepb.org/blog/may-hepatitis-awareness-month/
  • Journey to the Cure: What Programs are Available for People Living with Hepatitis B?

    … overcome those challenges. Every time we do a public health program, we are also doing research, so we are collecting a lot of data. And then, we use the data to develop new programs, and we share it with others as well. We also collect information and data on prevalence, so looking at where some of the high risk and highly impacted communities are in the U.S. We will do testing ourselves. We’ll go into communities in Philadelphia, and we’ll do hepatitis B testing. Through that, we know which communities need more care. Kristine Alarcon, MPH: What types of public health programs are you carrying out right now? Chari Cohen, DrPH, MPH: We have a number of different programs right now. One is our Hep B United Philadelphia program, where we like to train the trainers. In Philadelphia, we’re training people who do health education; we’re training community leaders; and we’re helping them to learn about hep B, so that that they can go into high risk communities and teach other people about hep B. We’re also screening a lot of people. This year, we screened a little over 200 people for hepatitis B. When we find people to be infected, we link them into care. We’re also working on a new project, looking at the challenges that African immigrants face in the US in terms of hepatitis B testing. We’re trying to figure out what are the best ways to overcome those challenges and what are the best ways to get people tested and into care. And then, we have our #justB program, which is our national patient storytelling program, where people who have hep B or with family members who have hep B tell their stories and make videos, and they share how hep B has impacted their lives. Kristine Alarcon, MPH: Thank you so much for joining us in this episode! Chari Cohen, DrPH, MPH: Thank you!

    http://www.hepb.org/blog/journey-cure-programs-available-people-living-hepatitis-b/
  • Hepatitis B Foundation Hep BeLIeVER Social Media Contest

    … also win prizes! These can include our #justB tshirt, travel mugs, liver stress balls, a liver plushie, and/or a $5 Amazon gift card. The finalists will be notified via direct message and the grand prize-winning photo will be revealed to the public on National Hepatitis Testing Day (May 19) via social media. Award Categories  Grand prize: Most liked/shared Honorable mentions : Most creative photo Most creative caption Lottery/lucky pick International pick Submission Period: Post on social media with #HepBeLIeVER between April 23 and May 16, 2018 (contest closes at 11:59 PM EST on 5/16) Download the guidelines here.  Questions? Please contact Kristine Alarcon at kristine.alarcon@hepb.org.

    http://www.hepb.org/blog/hepatitis-b-foundation-hep-believer-social-media-contest/
  • The Woodchuck Colony Legacy

    Bud Christopher Tennant, DVM (1933-2016) Did you know that the hepatitis B virus doesn’t just infect humans? It also infects chimpanzees1, tree shrews1, Peking ducks1, horses2, and woodchucks2. The hepatitis B virus that infects woodchucks is closely related to the human hepatitis B virus.2 Because of this, woodchucks have been a prominent animal model in studying the hepatitis B virus and testing drugs for the disease.2,3 Behind every legacy, there is a man who started it all. In the case of the woodchucks and hepatitis B, there was Bud Tennant, DVM. Dr. Tennant was a California native, born in the San Joaquin Valley.2 He studied veterinary medicine, earning his Doctor of Veterinary Medicine from the University of California at Davis in 1959. 2 As a veterinarian, Dr. Tennant conducted research in comparative medicine focusing on hepatocarcinogenesis (development of liver cancer), hepatic injury mechanisms, viral hepatitis, and gastrointestinal and liver diseases of domestic animals.2 His work in hepatitis started during his tenure as the James Law Professor of Comparative Medicine at Cornell University, where he studied the pathogenesis of serum hepatitis in horses.2 He would not work with woodchucks until Dr. Norman Javitt, Chief of Gastroenterology at Weill-Cornell Medical College at the time, approached him, urging the need for an animal model for studying hepatitis B virus to understand pathogenesis, treatment, and prevention of hepatitis B. Dr. Javitt introduced him to Drs. Jesse Summer and William Mason’s research on a new virus infecting woodchucks, its close relation to human hepatitis B virus, and its association with chronic hepatitis B and liver cancer. Dr. Tennant spent over thirty years on the study of Woodchuck Hepatitis Virus infection,  working with a colony of woodchucks in Ithaca, New York. 2 He developed the woodchuck as a successful animal model to learn how hepatitis B effects the liver, including the development of liver cancer. His work

    http://www.hepb.org/blog/woodchuck-colony-legacy/
  • Hepatitis B Foundation Mini-Grantees 2016

    … such as developing key partnerships in local communities, providing linkage to care, and conducting provider training. One coalition partner also screened the “Be About It” documentary. For 2017-2018 mini-grants, six Hep B United coalition partners (listed below) were recently awarded mini-grants. We are excited to kick off these projects and look forward to their future endeavors and results. ·     Asian American Community Services (Columbus, OH) -AACS' Live Healthy - Hep Free project will use the H+EAL model to increase HBV education and awareness and encourage testing by targeting high school students and their parents. ·       Asian Pacific Community in Action (Phoenix, AZ) - APCA will be organizing community town hall events in collaboration with the #justB campaign across Maricopa County to collect and share stories that promote increased awareness and proactive approaches to treatment for hepatitis B. ·       Asian Pacific Health Foundation (San Diego, CA) - APHF will be working to increase community knowledge and awareness of hepatitis B, determine gaps in knowledge, develop in-language education materials, and provide hepatitis B screening within high-risk communities throughout San Diego. ·       Asian Services in Action (Cleveland, OH) - ASIA will be using community health outreach workers to increase HBV education and screening, including outreach to AAPI businesses in Akron and Cleveland, OH. ·       Center for Pan Asian Community Services (Atlanta, GA) - CPACS' project focuses on expanding their Atlanta-based hepatitis B coalition, increasing the number of Georgia AAPI community members who know their HBV status through community and provider education, and improving testing and linkage to care services throughout the city. ·       Philadelphia Department of Public Health (Philadelphia, PA) -The Perinatal Hepatitis B Prevention Program auxiliary project will create new education modules

    http://www.hepb.org/blog/hepatitis-b-foundation-mini-grantees-2016/
  • If the currently approved hepatitis B drugs do not provide a cure, then how are they helping?

    Unmanaged hepatitis B infection causes, in the long run, liver damage and significantly increases the risk of liver cancer. The use of antivirals decreases the progression of liver disease and significantly reduces the risk of liver cancer due to the hepatitis B virus. Antivirals work by slowing down or stopping the virus from reproducing. The less virus in the blood and the liver, the less damage being done to the liver. Once the virus is suppressed, inflammation of liver tissue decreases, which is noted by a lowering of liver enzymes (SGPT/ALT and SGOT/AST). With time, the liver may be able to heal, and some damage may be reversed. Antivirals such as tenofovir alafenamide (TAF), tenofovir disoproxil (TDF) and entecavir are effective and safe. However, they work only as long as they are taken. Stopping and starting antivirals should be avoided if possible. Most people take one pill every day for years (just like drugs for hypertension, high cholesterol and high blood sugar). Taking doctor-prescribed antivirals can be lifesaving by keeping the liver in the best health possible until a functional cure is available.

    https://www.hepb.org/what-is-hepatitis-b/faqs/if-the-currently-approved-hepatitis-b-drugs-do-not-provide-a-cure-then-how-are-they-helping/
  • What People Want: The Most Important Outcomes of Future Hepatitis B Treatments

    Future treatment for hepatitis B: Participants were asked to share what they want new potential treatments to achieve, and share their perspectives on how the new hepatitis B medications under development may impact their lives. Findings: Respondents listed the most important outcomes of future hepatitis B treatments: 28% - loss of hepatitis B surface antigen (HBsAg). 25% - having finite treatment (6-12 months). 20% - reducing the risk of liver cancer. 14% - improving quality of daily life (reducing physical, emotional symptoms and stigma). One participant said “So it's my dream someday to be kind of like a business owner too. So, I want to have some kind of treatment that enables me to not really be too cautious in my life.” Take action: Learn about new hepatitis B treatments under development (Drug Watch). Help us advocate for hepatitis B curative research. Engage with scientists at HepBCommunity to share what you want in future hepatitis B treatment.

    https://www.hepb.org/resources-and-support/patient-facing-infographics/what-people-want-the-most-important-outcomes-of-future-hepatitis-b-treatments/
  • Pediatric Hepatitis Outbreaks

    Pediatric hepatitis outbreaks in the U.S, and several European countries over the past few weeks and months have raised new concerns as a number of children have suffered liver damage after becoming ill. These children did not have hepatitis B, but another form of hepatitis, which means another type of the disease that causes liver inflammation.  The U.S. Centers for Disease Control & Prevention (CDC) recently released a useful document, "Proactive Statement: MMWR on children with acute hepatitis and adenovirus infection in Alabama," posted here. The Hepatitis B Foundation suggests a very recent article in Hepatitis magazine, posted here, as a useful summary, with valuable links, though we cannot validate or verify the information it contains. If you have concerns about your child's health, please contact your physician or other health care provider. If it is an emergency, dial 911.

    https://www.hepb.org/news-and-events/news-2/pediatric-hepatitis-outbreaks/
  • B Informed Conference Videos and Information

    The Hepatitis B Foundation was proud to partner with the St. Barnabas Medical Center's Center for Asian Health to offer a free half-day conference on June 8, 2019 for people living with hepatitis B. The conference included an update on current hepatitis B research from Hepatitis B Foundation President, Dr. Timothy Block, and breakout sessions on topics including Advocacy & Storytelling; Finding Affordable Medications; Living with Hepatitis B; and Participating in Clinical Trials.  View Presentation Slides: Hepatitis B: Are We on the Road to Elimination?Su Wang, MD, MPH, Saint Barnabas Medical Center and President-Elect, World Hepatitis Alliance Research Update- What's New in HBV Cure Development Tim Block, PhD, President, Hepatitis B Foundation Patients Driving Change: Storytelling and AdvocacyJason Crum; Rhea Racho, MPAff; and Kate Moraras, MPH, Hepatitis B Foundation Navigating Prescriptions, Pharmacies and Insurance: Tips for Affordable HBV MedicationsAlyssa Gallipani, Pharm D, BCAP, RWJBarnabas HealthMichaela Jackson, MS, Hepatitis B Foundation HBV Therapeutic Development: The Ins and Outs of Clinical TrialsSean Cunningham, MBA, Janssen The Importance of Asian American Engagement with Clinical TrialsChristine Lee, PharmD, PhD, FDA View Videos:

    https://www.hepb.org/resources-and-support/b-informed-conference-videos-and-information/

  • Pag-iwas at Bakuna  Paano ako mahahawahan ng hepatitis B?Ang hepatitis B ay isang nakakahawang sakit na sanhi ng isang virus na kumakalat sa pamamagitan ng dugo. Nakalista sa ibaba ang pinakakaraniwang mga paraan kung paano naipapasa ang hepatitis B sa iba: Direktang pagkalapat sa nahawahang dugo o nahawahang mga likido ng katawan  Mula sa isang impektadong ina sa kanyang bagong silang na sanggol sa panahon ng pagbubuntis o pagkapanganak  Hindi protektadong pakikipagtalik sa isang impektadong katalik  Pinagbahaginan o muling paggamit na mga karayom (halimbawa, pinagbaha-bahaginan ang mga karayom para sa ilegal na droga o muling paggamit ng mga karayom na hindi isterilisado nang mabuti, acupuncture, mga tatu, o pagbutas sa tainga o katawan  Mga hindi isterilisadong medikal na kagamitan o karayom na maaaring ginamit ng mga doktor, dentista o barbero sa tabing kalsada. Napapasa ba ang hepatitis B nang hindi sinasadya?Hindi, ang hepatitis B ay hindi naipapasa sa pamamagitan ng simpleng pagkakadikit. Hindi mo makukuha ang hepatitis B mula sa hangin, pagyakap, paghawak, pagsinga, pag-ubo, mga upuan sa kubeta, o busol. Hindi mo makukuha ang hepatitis B mula sa pagkain o pag-inom kasama ng isang taong nahawahan o mula sa pagkain ng pagkaing inihanda ng isang taong may hepatitis B. Sino ang malamang na mahawa ng hepatitis B?Bagama’t lahat ay nasa ilang panganib na magkaroon ng hepatitis B, mayroong ilang mga tao na mas malamang mahawa. Ang iyong trabaho, pamumuhay, o sa pamamagitan ng maipanganak lamang sa pamilyang may hepatits B maaaring tumaas ang iyong pagkakaton na mahawa. Narito ang ilang mga pinakakaraniwang “mataas na panganib” na mga grupo -- ngunit mangyaring tandaan na ang listahang ito ay hindi kumpleto: Mga taong kasal sa isang may may hepatitis B o namumuhay nang may malapitang kontak sa isang kasambahay na may hepatitis B. Kasama rito ang mga nasa hustong gulang at mga bata. Mga taong ipinanganak sa mga bansa kung saan karaniwan ang hepatitis B, o may mga magulang na ipinanganak sa mga bansa kung saan karaniwan ang hepatitis B (Asya, mga bahagi ng Aprika at Timog Amerika, Silangang Europa, at Gitnang Silangan). Mga taong nakatira sa o bumibyahe sa mga bansa kung saan napakakaraniwan ang hepatitis B (Asya, mga bahagi ng Aprika at Timog Amerika, Silangang Europa, at Gitnang Silangan). Mga nasa hustong gulang at teenager na aktibo sa pakikipagtalik  Mga lalaking nakikipagtalik sa mga lalaki  Mga sanggol na ipinanganak ng mga impketadong ina  Mga manggagawa sa pangangalagang pangkalusugan at iba pang mga nalalantad sa dugo sa kanilang mga trabaho. Mga nagtatrabaho sa emergency  Mga pasyenteng sumasailalim sa dayalisis sa kidney  Mga residente at kawani ng mga grupong pang-tahanan, mga institusyon, o mga pang-koreksyonal na pasilidad. Mga sinalinan ng dugo bago ang 1992, o mga mas maaga pang nasalinan ng dugong hindi nasuri nang mabuti Mga gumagamit ng droga sa pamamagitan ng iniksyon, sa nakaraan at kasalukuyan  Mga taong nagpapatatu o nagpapabutas sa katawan  Mga taong pumupunta sa mga doktor, dentista o barbero sa tabing kalsada   Ano ang mga rekomendasyon para sa bakuna sa hepatitis B?Ang bakuna sa hepatitis B ay inirerekomenda para sa lahat ng mga sanggol at bata hanggang edad 18 taon ng World Health Organization (WHO) at ng Centers for Disease Control and Prevention (CDC) ng U.S. Inirerekomenda rin ng CDC na magpabakuna ang mga nasa wastong gulang na nasa mga grupong may mataas na panganib. Ang bakuna sa hepatitis B ay ligtas at epektibong bakuna na inirerekomenda para sa lahat ng mga sanggol pagkapanganak at para sa mga bata hanggang 18 taong gulang. Inirerekomenda rin ang bakuna sa hepatitis B para sa mga nasa hustong gulang na may diyabetis at mga may mataas na panganib sa impeksyon dulot ng kanilang mga trabaho, pamumuhay, kalagayan sa paninirahan, o bansa kung saan ipinanganak. Dahil lahat ay nasa ilang panganib, lahat ng mga nasa hustong gulang ay dapat seryosong isaalang-alang ang pagkuha ng bakuna sa hepatitis B para sa pang-habang buhay na proteksyon laban sa isang maiiwasang talamak na sakit sa atay. Ligtas ba ang bakuna sa hepatitis B? Oo, ang bakuna sa hepatitis B ay napakaligtas at epektibo. Sa katotohanan, ito ang unang “bakuna laban sa kanser” dahil maaari nitong protektahan ka mula sa hepatitis B, na sanhi ng 80% ng lahat ng kanser sa atay sa mundo. Nang may higit sa isang bilyong dosis na naibigay sa buong mundo, ipinapakita ng mga medikal at siyentipikong mga pag-aaral na ang bakuna sa hepatitis B ay isa sa mga pinakaligtas na mga bakuna na nagawa na. Makukuha ko ba ang hepatitis B mula sa bakuna?Hindi, ang hepatitis B ay hindi nakukuha mula sa bakuna. Ang bakuna ay ginawa mula sa isang produkto ng sintetikong yeast sa laboratoryo. Ang pinakakaraniwang mga pangalawang epekto ay pamumula at pananakit sa braso kung saan itinurok ang bakuna. Ano ang iskedyul ng bakuna sa hepatitis B?Ang bakuna sa hepatitis B ay makukuha sa tanggapan ng iyong doktor at lokal na kagawaran ng kalusugan o klinika. Tatlong dosis ang pangkaraniwang kinakailangan upang makumpleto ang serye ng bakuna sa hepatitis B, bagama’t mayroong pinabilis na serye ng dalawang dosis para sa mga kabataang edad 11 hanggang 15 taon, at mayroong bagong dalawang-dosis na bakuna na aprubado ng U.S. Food and Drug Administration (FDA) para gamitin sa mga nasa wastong gulang nang 2017. Mahalagang tandaan na ang mga sanggol na ipinanganak ng mga impektadong ina ay dapat na tumanggap ng unang dosis ng bakuna sa hepatitis B sa silid ng panganganak o sa loob ng unang 12 oras ng buhay. Unang Dosis – Sa anumang oras, ngunit ang mga bagong silang ay dapat na tumanggap ng dosis na ito sa silid ng panganganak Pangalawang Dosis – Hindi bababa sa isang buwan (o 28 araw) pagkatapos ng unang dosis Ikatlong Dosis – Anim na buwan pagkatapos ng unang dosis (o hindi bababa sa 2 buwan pagkatapos ng pangalawang dosis) Hindi dapat bababa sa 16 na buwan sa pagitan ng una at pangatlong dosis. Kung ang iyong iskedyul ng bakuna ay naantala, hindi mo kailangang simulan muli ang serye, maaari mong ituloy mula sa kung saan ka tumigil – kahit na may ilang taon nang pagitan sa mga dosis. Upang matiyak na ikaw ay protektado laban sa hepatitis B, humingi ng simpleng pagsusuri sa dugo upang matingnan ang iyong mga “hepatitis B antibody titer” (HBsAb) na magkukumpirma kung ang pagbabakuna ay matagumpay. Ano ang maaari kong gawin upang protektahan ang aking sarili mula sa hepatitis B?Dahil ang hepatitis B ay kumakalat sa pamamagitan ng nahawahang dugo at nahawahang likido ng katawan, mayroong ilang simpleng bagay na iyong magagawa upang protektahan ang iyong sarili mula sa posibleng impeksyon hanggang ang iyong pagbabakuna ay makumpleto: Iwasang humawak ng dugo o anumang mga likido ng katawan nang direkta  Gumamit ng mga condom sa mga katalik  Iwasan ang mga ilegal na droga at maling paggamit ng iniresetang gamot, kasama ang iniksyon ng nasabing mga droga  Iwasan ang paghiram at pagpapahiram ng matutulis na mga gamit katulad ng mga pang-ahit, sipilyo, hikaw, at mga pamputol ng kuko  Siguraduhing gumamit ng isterilisadong mga karayom at kagamitan para sa gamot, dentista, acupuncture, tatu, pagbutas sa tainga at katawan  Magsuot ng guwantes at gumamit ng sariwang solusyon ng bleach at tubig upang linisin ang mga natapong dugo  Masinsinang hugasan ang mga kamay gamit ang sabon at tubig pagkatapos hawakan o linisin ang dugo  Pinakamahalaga, siguruhin na tumanggap ka ng bakuna sa hepatitis B! Prevention and Vaccination  How can I get hepatitis B?Hepatitis B is an infectious disease caused by a virus that is spread through blood. Listed below are the most common ways hepatitis B is passed to others: Direct contact with infected blood or infected bodily fluids  From an infected mother to her newborn baby during pregnancy or delivery  Unprotected sex with an infected partner  Shared or re-used needles (for example, sharing needles for illegal drugs or re-using needles that are not properly sterilized for medicine, acupuncture, tattoos, or ear/body piercing)  Unsterilized medical equipment or needles that may be used by roadside doctors, dentists or barbers   Is hepatitis B transmitted casually?No, hepatitis B is not spread through casual contact. You cannot get hepatitis B from the air, hugging, touching, sneezing, coughing, toilet seats or doorknobs. You cannot get hepatitis B from eating or drinking with someone who is infected or from eating food prepared by someone who has hepatitis B. Who is most likely to become infected with hepatitis B? Although everyone is at some risk for getting hepatitis B, there are some people who are more likely to get infected. Your job, lifestyle, or just being born into a family with hepatitis B can increase your chances of being infected. Here are some of the most common "high risk" groups -- but please remember that this is not a complete list: People who are married to or live in close household contact with someone who has hepatitis B. This includes adults and children. People who were born countries where hepatitis B is common, or whose parents were born in countries where hepatitis B is common (Asia, parts of Africa and South America, Eastern Europe, and the Middle East).  People who live in or travel to countries where hepatitis B is very common (Asia, parts of Africa and South America, Eastern Europe, and the Middle East). Sexually active adults and teenagers  Men who have sex with men  Infants born to infected mothers  Healthcare workers and others who are exposed to blood in their jobs. Emergency personnel  Patients who are on kidney dialysis Residents and staff of group homes, institutions, or correctional facilities. Recipients of blood transfusions before 1992, or more recent recipients of improperly screened blood Injection drug users, past and present  People who get tattoos or body piercing  People who use roadside doctors, dentists or barbers   What are the recommendations for the hepatitis B vaccine? The hepatitis B vaccine is recommended for all infants and children up to age 18 years by the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC). The CDC also recommends that adults in high-risk groups be vaccinated. The hepatitis B vaccine is a safe and effective vaccine that is recommended for all infants at birth and for children up to 18 years. The hepatitis B vaccine is also recommended for adults living with diabetes and those at high risk for infection due to their jobs, lifestyle, living situations, or country of birth. Since everyone is at some risk, all adults should seriously consider getting the hepatitis B vaccine for a lifetime protection against a preventable chronic liver disease.   Is the hepatitis B vaccine safe? Yes, the hepatitis B vaccine is very safe and effective. In fact, it is the first “anti-cancer vaccine” because it can protect you from hepatitis B, which is the cause of 80% of all liver cancer in the world. With more than one billion doses given throughout the world, medical and scientific studies have shown the hepatitis B vaccine to be one of the safest vaccines ever made.   What is the hepatitis B vaccine schedule?The hepatitis B vaccine is available at your doctor's office and local health department or clinic. Three doses are generally required to complete the hepatitis B vaccine series, although there is an accelerated two-dose series for adolescents age 11 through 15 years, and there is a new 2-dose vaccine that was approved by the U.S. Food and Drug Administration (FDA) for use in adults in 2017. It is important to remember that babies born to infected mothers must receive the first dose of hepatitis B vaccine in the delivery room or within the first 12 hours of life. 1st Shot - At any given time, but newborns should receive this dose in the delivery room2nd Shot - At least one month (or 28 days) after the 1st shot3rd Shot - Six months after the 1st shot (or at least 2 months after the 2nd shot) There must be at least 16 weeks between the 1st and 3rd shot. If your vaccine schedule has been delayed, you do not need to start the series over, you can continue from where you have left off – even if there have been years between doses. To be certain that you are protected against hepatitis B, ask for a simple blood test to check your “hepatitis B antibody titers” (HBsAb) which will confirm whether the vaccination was successful.   What else can I do to protect myself from hepatitis B? Since hepatitis B is spread through infected blood and infected body fluids, there are several simple things that you can do to protect yourself from possible infection until your vaccination is complete: Avoid touching blood or any bodily fluids directly Use condoms with sexual partners Avoid illegal drugs and prescription drug misuse, including injection of such drugs Avoid sharing sharp objects such as razors, toothbrushes, earrings, and nail clippers Make sure that sterile needles and equipment are used for medicine, the dentist, acupuncture, tattoos, ear and body piercing Wear gloves and use a fresh solution of bleach and water to clean up blood spills  Wash your hands thoroughly with soap and water after touching or cleaning up blood Most importantly, make sure you receive the hepatitis B vaccine! 

    https://www.hepb.org/languages/tagalog/vaccination/