How serious is Hep B? Pls help me.

This may sound stupid, but how serious is Hepatitis B?
I thought when someone get Hep B, that person is dying?
My husband's test result says 'Hepatitis B Ag reactive raised ALT advice to see Hepatologist'.
But the doctor who performed the test & delivered the result seemed unconcerned.
He calmly said my husband blood is 'dirty' and advice him not to donate blood.
My husband is not given any medication.

I am 5 months pregnant, my blood test result says 'Hep B non-reactive'. I took the test 3 months ago.
My husband took the test 1 month ago.
Can my baby get Hep B?

[bram44]

Your husband needs further tests (such as viral load, eAg/eAb status).

It all depends on the test results and how serious the liver damage is (if any).

There are millions of people who are infected and yet live long healthy years. This virus needs to be taken seriously and monitored on a regular basis (if the person does not have any symptoms). If the person has symptoms and viral load is increasing to a level then it needs to be treated.

With reference to yourself - you most likely may have antibodies (cleared the virus naturally or due to vaccination). So your baby will be fine. Ensure the baby is vaccinated properly.

Get your husband tested further and see if he needs to be treated.

[jiza]

thank you so much for the answer

[Rockerforlife]

Why vaccine a infant?..what are the odds babies will get hepatitis if they its mostlly spead my sexual contact(B) or dirty needles(C)

[stevenNYer]

"hepatitis if they its mostlly spead my sexual contact(B) or dirty needles(C)"

I respectfully disagree.  Unfortuately, these are misconceptions that only adds to the stigma of the disease.  Many of those infected are not due to a person's actions.  Many with Hep C got it be simply because they received a blood product (when there were no tools for screening HCV in blood banks).

As for HepB, the majority of the transmission is vertical, meaning from a mother (HepB carrier) to baby during delivery.  So why vaccine the baby?  Because if you don't, it is almost certain that the baby will have chronic HepB as well.