How can Hepatitis B virus be transmitted?

Hepatitis B virus (HBV) can be transmitted through several routes, making the comprehensive choice the correct answer. The virus is primarily spread through blood and body fluids, which means any activity that involves exposure to these fluids poses a risk of transmission.

Acupuncture, when performed with unsterilized needles, can lead to the transmission of Hepatitis B if the needles are contaminated with blood from an infected individual. Likewise, getting tattoos can also be a risk factor if the equipment used is not properly sterilized, as the needles and ink can come into contact with infected blood.

Sexual contact is another well-established route for HBV transmission. Since the virus can be found in various bodily fluids, engaging in sexual activities without protection can facilitate the exchange of infected fluids, leading to potential transmission.

Since all these activities present a pathway for the virus to be spread, the most accurate response incorporates all of them, confirming that Hepatitis B can indeed be transmitted through acupuncture, tattoos, sexual contact, or any combination thereof.