The legal framework
Ireland introduced hepatitis B into the routine infant schedule in 2008, in the combined vaccine. Antenatal screening is universal, and infants born to carriers receive vaccine at birth with immunoglobulin where indicated. Treatment of chronic infection is provided through the public hepatology services.
Ireland introduced universal infant hepatitis B vaccination in 2008 as part of the combined vaccine, so younger cohorts are protected while adults born earlier generally are not. Antenatal screening is offered universally, and infants born to positive mothers receive a birth dose and immunoglobulin where indicated.
Key points
| Infant vaccination | Universal since 2008, in the combined vaccine |
|---|---|
| Adults | Those born before 2008 are largely unvaccinated unless offered it occupationally |
| Antenatal screening | Universal |
| Babies of carriers | Vaccine at birth, with immunoglobulin where indicated |
| Testing | Free at public STI clinics and through GPs |
| Treatment | Through public hepatology services |
| Migrant health | Testing recommended for people from higher prevalence countries |
In practice
- Check whether you were vaccinated: anyone born before 2008 probably was not.
- Ask for the full serology rather than a single marker.
- Have household contacts of a carrier tested and vaccinated.
- After an exposure, attend an emergency department within 48 hours.
Cost and coverage
Testing and treatment are free through the public system.
Where to go
- Public STI clinics and GP practices.
- Hepatology services of the public hospitals.
- Migrant health services and community organisations.
Worth knowing
Vaccinating the household of a carrier is simple, cheap and highly effective. It protects more people for less effort than anything else in this area.
Frequently asked questions
Who should consider catch-up vaccination in Ireland?
Anyone born before 2008 who is in a risk group — partners and household contacts of someone with hepatitis B, people from countries with high prevalence, healthcare workers, people who inject drugs. Vaccination is free for defined groups through public health services.
What does a positive result mean for a partner?
The partner should be tested and, if neither immune nor already vaccinated, vaccinated — the vaccine is highly effective and settles the question permanently. Condoms protect in the meantime. Chronic hepatitis B is not a reason to end a relationship: effective treatment suppresses the virus to very low levels, and a vaccinated partner is protected.
Official sources and links
- HSE Sexual Wellbeing — free testing, including home test kits
- Citizens Information — official plain-language guide to rights and entitlements
- Irish Statute Book — legislation as enacted