Hepatitis B immune globulin

So giving that first dose within 24 hours by itself can prevent the infant from hepatitis B.

Now, if we know the mom is infected, we give HBIG, hepatitis B immune globulin, and the vaccine within 12 hours of birth.

But even that simple birth dose can prevent it.

Now, the other thing that a lot of people don't realize is that it's not just perinatally acquired, though, that we're preventing with that early hep B vaccination.

Pregnant patients need an immediate specialist review.

And the infant, they need the hep B vaccination and HBIG, the immunoglobulin, right at birth.

Got it.

OK, so we've done hep A's acute isolation, hep B's lifelong monitoring.

We don't have to be reliant on that DNA level, which was a big barrier in the beginning.

And also we've taken away HBIG.

So you start the tenofovir.

You then give that universal vaccination.