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The challenge, however, is enormous. Experts estimate that India carries one of the world’s largest hepatitis B burdens, with millions of people living with chronic infection. Many never realise they are infected because symptoms often do not appear until significant liver damage has already occurred. This makes routine screening especially important for people with risk factors, including healthcare workers, dialysis patients, pregnant women, people who have received blood transfusions in the past, and family members of infected individuals.