first of all of family must check for hbv infection and if not present or cleared already get vaccine immediately
to know the state of infection and the level of liver damage the following is necessary, i see you are from UK one of the worst healthcare systems with US for hbv so pobably you will have a hard time to find tests and machines that in other countries are available in every hospital liver unit, we have seen they have them also in china and today we saw hbsag quantification in ghana
hbsag quantification by abbbot architect machine will tell you the quantity of hbsag, in case of cronic hbv a value <500iu/ml is 100% inactive carrier in immune clearance phase
hbcab igm, possibly quantitative, if negative infection is cronic, if quantitative is less than 0.08s/co immune system is inactive at the moment the test is done, so inactive disease
hbvdna pcr sensitivity 10-20iu/ml, tells you hbv replication level, gives an idea of liver damage and liver cancer/cirrhosis risk if continuatively high
ultrasound, to check for liver cancer, this exam must be made every 6 months.it can detect only very advanced cirrhosis with nodules it cannot detect fibrosis or liver damage
fibroscan, it detects liver damage, fibrosis of the liver
precore and bcp mutants, if present hbv is very aggressive, these mutants are considered liver cancer markers, in case positive hbvdna must be kept undetactable to prevent liver cancer
alt/ast and liver pannel tests, but these say almost nothing about general disease, they only tell you damage at the moment but not damage accumulated, they can all be normal even with cirrhosis and usually get abnormal in end stage cirrhosis or very acute hbv
more info on healthpages
http://www.medhelp.org/health_pages/Hepatitis/HepB-Introduction--Welcome-Page/show/34?cid=153