Can a hepatitis B virus carrier work as a childcare worker?

Generally, individuals who are hepatitis B virus carriers but have normal liver function and no evidence of viral replication may work as childcare workers. Those with abnormal liver function or active viral replication are temporarily not eligible. If in doubt, it is recommended to consult a healthcare professional in advance. Detailed analysis is as follows:

If a hepatitis B virus carrier has normal liver function tests, negative hepatitis B virus DNA test results, and no significant signs of liver inflammation or damage, they meet the relevant health requirements and may engage in childcare work. They should maintain good personal hygiene in daily work and avoid exposing others to blood or bodily fluids, as the virus cannot be transmitted through normal social or work interactions.

If a hepatitis B virus carrier has abnormal liver function indicators—such as elevated transaminase levels or abnormal bilirubin—or a positive hepatitis B virus DNA test indicating active viral replication, they currently do not meet the health standards for childcare positions. They should first undergo medical treatment and, once liver function returns to normal and viral replication is under control, be re-evaluated for suitability for such work.

Prior to starting work as a childcare worker, individuals must complete a health examination as required and proactively provide hepatitis B-related test reports. During employment, they must strictly follow hygiene protocols and undergo regular follow-up testing of liver function and viral status to ensure the health and safety of both themselves and the children in their care.