How is viral hepatitis transmitted?

Written by Xiong Hong Hai
Infectious Disease
Updated on March 04, 2025
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Different types of viral hepatitis have different routes and methods of transmission. Hepatitis A and E are mainly transmitted through the fecal-oral route via the digestive tract. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child. Generally, transmission through casual contact is rare. Most cases of hepatitis B are transmitted from mother to child. Hepatitis C is more commonly transmitted through needle stick injuries and blood transfusions. In terms of prevention, hepatitis A can be prevented by vaccination, and hepatitis B can be prevented through vaccination as well.

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Typing of Viral Hepatitis

Viral hepatitis mainly includes Hepatitis A, B, C, D, E, etc., among which Hepatitis A and E are acute infections. Generally, there is no long-term damage to the human body after infection; recovery of liver function suffices. Hepatitis B and C infections are prone to becoming chronic, leading to chronic hepatitis B and chronic hepatitis C, respectively. These chronic infections can easily lead to cirrhosis and liver cancer. Among them, the carrier rate of HBsAg in hepatitis B is about 7%, and there are approximately 9.6 million people with hepatitis C in China. Therefore, the incidence rates of hepatitis B and C are relatively high, and if there are abnormalities in liver function, it is crucial to check for these diseases.

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Written by Zhang Jian Kang
Infectious Disease
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Is viral hepatitis serious?

The onset of viral hepatitis is fast or sudden, and it depends on the type of hepatitis. Viral hepatitis can be categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhotic hepatitis. Acute hepatitis and liver failure typically have a rapid onset, with common pathogens like Hepatitis A and Hepatitis E, which can cause acute hepatitis and may lead to symptoms such as significant fatigue, poor appetite, and dark urine in a short period. However, chronic hepatitis caused by Hepatitis B and Hepatitis C, which can even lead to cirrhosis, tends to progress slowly. After infection with the virus, the body may carry the virus for a long time without any symptoms. It may take 10-20 years or even longer for symptoms like fatigue and poor appetite to appear.

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Is viral hepatitis airborne?

Viral hepatitis cannot be transmitted through the air, and different types of viral hepatitis are transmitted through different routes and have different clinical symptoms. The characteristics of the disease vary; for example, hepatitis A and hepatitis E are primarily transmitted through the digestive tract, via the fecal-oral route. This typically occurs after consuming food or water contaminated with hepatitis A or E virus. Hepatitis B and hepatitis C viruses are mainly transmitted through blood, sexual contact, and from mother to child, with mother-to-child transmission being the most significant route.

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The cause of ascites in viral hepatitis

Generally, viral hepatitis does not lead to ascites, but if viral hepatitis progresses to liver failure, severe hepatitis, or cirrhosis, ascites can occur. The main causes of ascites are related to portal hypertension and sodium and water retention. Additionally, patients with chronic liver diseases often have low albumin levels, leading to hypoalbuminemia, which can also contribute to the development of ascites. Therefore, the presence of ascites in viral hepatitis generally indicates a severe condition, and the outcome after treatment might be poor as ascites can recur. If ascites occurs in viral hepatitis, it is crucial to rule out the presence of cirrhosis. For some patients in the decompensated stage of cirrhosis, the initial symptom might be ascites. Therefore, prompt diagnosis and treatment are necessary once ascites appears in viral hepatitis, requiring further attention.

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Can viral hepatitis be cured?

Viral hepatitis is currently divided into five main types: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis E, and Hepatitis D. Hepatitis A and E generally present as acute hepatitis; sometimes, the course of these diseases is relatively short, and recovery is common. Many patients with Hepatitis A and E recover without seeking hospital treatment, as they may not even realize they are infected before they get better. However, Hepatitis B and Hepatitis C are less likely to resolve on their own and tend to develop into chronic hepatitis more often. But with advancements in treatment methods, the cure rates for Hepatitis B and C have significantly improved. Therefore, it can be said that viral hepatitis is treatable.