People are very anxious about the possible infection of family members, friends, and school mates. I would rather see the family in a position of comfort and control knowing that with a completed hepatitis B vaccine series, they are essentially safe. Usually people do not know the infection status of children or adults in any environment since this is confidential information. When someone is bleeding, gloves should be available so that a family member, teacher, or friend can safely assist the bleeding patient. Blood on surfaces should be cleaned up with a simple bleach solution.
Most schools have requirements for gloves and bleach for handling blood exposure.
Handwashing is also essential to the prevention of infection. People with hepatitis B carriage should not be sharing tooth brushes or razor blades. What concerns me is that the majority of families do not complete their hepatitis B vaccine series before the adoption is complete. We have so little control during the adoption process and here is an opportunity for control. For other children at home, there is usually no issue, because hepatitis B vaccine has become a universal vaccine in the U.S. since 1991.