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Drugs in spoon being heated by flameInjection drug users (IDUs) are at risk for hepatitis B virus (HBV) and hepatitis C virus (HCV) infection through the sharing of needles and drug-preparation equipment. In addition, outbreaks of hepatitis A infection have been reported among IDUs; such outbreaks are believed to occur through both percutaneous and fecal-oral routes. The Advisory Committee on Immunization Practices recommends that IDUs get vaccinated against hepatitis A and hepatitis B. Because of higher rates of infection among this population, CDC also recommends testing IDUs for chronic HBV infection.

Guidelines and Recommendations

NEW :
 Recommendations for Identification and Public Health Management of Persons with Chronic Hepatitis B Virus Infection
MMWR 2008;57(RR-8)


Prevention of Hepatitis A Through Active or Passive Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR 2006;55(RR-7)

Hepatitis B Vaccination Recommendations for Adults; Appendix A, B, C
PDF version (with appendices) PDF file link - see Legend on left side of page
MMWR 2006;55(RR-16)

Recommended HIV/AIDS, Sexually Transmitted Disease (STD), and Viral Hepatitis Prevention Services, by Risk Population PDF file link - see Legend on left side of page

Related Pages


Page last reviewed: June 24, 2008
Page last modified: September 18, 2008
Content source:
  Division of Viral Hepatitis
  National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention