“…Furthermore, a local case of HBV transmission by human bite had been reported by a research group in recent year [46] and suggested that human bite is another route of HBV transmission. Indeed, HBV infection from saliva contact through bites or other wounds on the skin and open mouth ulcer, and as through prechewing of food from infected persons, has been reported repeatedly [46–51]. As premastication of food by the mother or grandparents before the food is fed to the infant and the shared use of chopsticks, communal eating, and sharing of utensils are still common practices in Chinese families, transmission by infected saliva could be a serious yet overlooked means of transmission, especially when the exposure by the susceptible subject would be continuous and prolonged.…”