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Hepatitis B virus (HBV) infection is a major public health problem, with an estimated 296 million people chronically infected and 820 000 deaths worldwide in 2019. Diagnosis of HBV infection requires serological testing for HBsAg and for acute infection additional testing for IgM hepatitis B core antibody (IgM anti-HBc, for the window period when neither HBsAg nor anti-HBs is detected). Assessment of HBV replication status to guide treatment decisions involves testing for HBV DNA, whereas assessment of liver disease activity and staging is mainly based on aminotransferases, platelet count, and elastography.

United statesUnited kingdomSouth koreaClin gastroenterolJ gastroenterol hepatolClin gastroenterol hepatolNatn englAnn gastroenterolJ antimicrob chemotherVan dammeGastroenterol hepatolCenters for diseaseDynavax technologies corporationStudy groupWorld health organizationVaccines inc