Hepatitis B Surveillance

Highlights

  • There were 2,126 new cases of acute hepatitis B reported during 2022.
  • There were 13,800 estimated acute HBV infections during 2022.
  • There were 16,729 cases of newly reported chronic hepatitis B during 2022.
  • There were 1,797 hepatitis B-related deaths reported during 2022.
2022 Hepatitis B Surveillance

What is hepatitis B?

Hepatitis B is a vaccine-preventable disease caused by infection of the liver with the hepatitis B virus (HBV). HBV is transmitted when blood, semen, or another body fluid from a person infected with the virus enters the body of someone who is uninfected.

This can happen through sexual contact; sharing needles, syringes, or other drug-injection equipment; or from the gestational parent to baby during pregnancy or at birth.

For some persons, hepatitis B is an acute, or short-term, illness; for others, it can become a long-term, chronic infection. Chronic hepatitis B can lead to serious health problems, including cirrhosis, liver cancer, and death.

Keep in mind

Treatments are available, but no cure exists for hepatitis B. The best way to prevent hepatitis B is by being vaccinated.

Quick facts

Acute hepatitis B

2,126

There were 2,126 new cases of acute hepatitis B reported during 2022

13,800

There were 13,800 estimated acute HBV infections during 2022

During 2022, 47 states and the District of Columbia reported 2,126 acute hepatitis B cases, resulting in an estimated 13,800 infections. After a decade of stable rates, the rate of acute hepatitis B decreased in 2020 and remained stable in 2021 and 2022. Although changes in health care-seeking behavior and testing during the COVID-19 pandemic could have affected recent trends, the stability of the rate through 2022 suggests some reduction in HBV transmission, which may be unrelated to disruptions during the COVID-19 pandemic.

Hepatitis B prevention

Hepatitis B vaccination prevents hepatitis B. To further decrease hepatitis B incidence, CDC published the 2022 universal hepatitis B adult vaccination recommendation calling for all people aged 19–59 years to receive hepatitis B vaccine whether they have risk factors or not. In addition, CDC updated hepatitis B screening recommendations, advising hepatitis B screening for all adults at least once in their lifetime.

Fast facts about acute hepatitis B in 2022

Case rates

0.6

The rate of acute hepatitis B was 0.6 reported cases per 100,000 people, remaining stable during 2021–2022.

Cases rates by age

52%

52% of all acute hepatitis B cases were persons aged 40–59 years.

Cases rates by jurisdiction

14

14 jurisdictions had rates of acute hepatitis B higher than the United States average.

Case rates by demographics

1.7x

The rate of acute hepatitis B among non-Hispanic Black persons was 1.7 times as high as the rate among non-Hispanic White persons.

Chronic hepatitis B

16,729

There were 16,729 cases of newly reported chronic hepatitis B during 2022

1,797

There were 1,797 hepatitis B-related deaths reported during 2022

During 2022, 16,729 cases of chronic hepatitis B were newly reported by 43 states and the District of Columbia, corresponding to a rate of 5.8 cases per 100,000 people.

The rate of newly reported chronic hepatitis B cases among non-Hispanic Asian/Pacific Islander (A/PI) persons (20.1 cases per 100,000 population) was 11.2 times as high as the rate among non-Hispanic White persons (1.8 cases per 100,000 population).

Fast facts about chronic hepatitis B in 2022

Case rates by demographics

11.2x

In 2022, the rate of newly reported chronic hepatitis B cases among non-Hispanic A/PI persons was 11.2 times as high as among non-Hispanic White persons.

Case rates by age

89%

89% of newly reported chronic hepatitis B cases occurred in persons 30 years and older.

Acute vs. chronic rates

Although the rate of reported acute hepatitis B was the lowest among non-Hispanic A/PI persons, the rate of newly reported chronic hepatitis B was highest among this group.