What group is considered at risk and should receive the Hepatitis B vaccine?

Individuals with chronic kidney disease are considered at risk and should receive the Hepatitis B vaccine because they have an increased likelihood of developing severe complications from the virus. Chronic kidney disease can impair immune function, making it more difficult for the body to fight off infections, including Hepatitis B. Furthermore, individuals with end-stage renal disease often require dialysis, which can increase their exposure to Hepatitis B through blood contact during treatment. Vaccination helps protect this vulnerable population from potentially life-threatening liver diseases associated with the virus.

While the other groups listed may benefit from vaccination in certain contexts, their risk factors for Hepatitis B infection are not as pronounced. High school students may have varied risk levels depending on their behavior, but they are not universally considered at high risk. Pregnant women can be vaccinated, but the focus on them largely pertains to protecting the infant. International travelers may need vaccination depending on specific travel destinations where Hepatitis B is more common, but they are not categorized as a high-risk group universally like those with chronic kidney disease.