Hepatitis B can be passed through vaginal, oral, and anal sexual contact. This includes both penetrative sex and sexual activities where there is an exchange of body fluids. You can also get hepatitis B by sharing sex toys.
Hepatitis B can also be passed when sharing drug equipment, such as needles. You can get hepatitis B if you share toothbrushes, razors, nail clippers, or other items that have blood on them. Hepatitis B can also be passed through getting tattoos, body-piercing, acupuncture or electrolysis with equipment that is not properly sterilized.
You cannot get hepatitis B from casual contact such as hugging, kissing, sneezing, coughing, or sharing food or drinks.
If you have hepatitis B, you can pass it to others even if you don’t have symptoms.