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Fact Sheet

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Description Hepatitis A is a liver disease caused by the hepatitis A virus. Hepatitis A can affect anyone. In the United States, hepatitis A can occur in situations ranging from isolated cases of disease to widespread epidemics.

Good personal hygiene and proper sanitation can help prevent hepatitis A. Vaccines are also available for long-term prevention of hepatitis A virus infection in persons 12 months of age and older. Immune globulin is available for short-term prevention of hepatitis A virus infection in individuals of all ages.
SIGNS & SYMPTOMS Adults will have signs and symptoms more often than children.
  • jaundice
  • fatigue
  • abdominal pain
  • loss of appetite
  • nausea
  • diarrhea
  • fever

 

CAUSE
  • Hepatitis A virus (HAV)
LONG-TERM EFFECTS
  • There is no chronic (long-term) infection.
  • Once you have had hepatitis A, you cannot get it again.
  • About 15% of people infected with HAV will have prolonged or relapsing symptoms over a 6-9 month period.
TRANSMISSION
  • HAV is found in the stool (feces) of persons with hepatitis A. 
  • HAV is usually spread from person to person by putting something in the mouth (even though it might look clean) that has been contaminated with the stool of a person with hepatitis A. 
PERSONS AT RISK for INFECTION
  • Household contacts of infected persons
  • Sex contacts of infected persons
  • Persons, especially children, living in areas with increased rates of hepatitis A during the baseline period of 1987-1997
  • Travelers to countries where hepatitis A is common
  • Men who have sex with men
  • Users of injection and non-injection drugs
PREVENTION
  • Hepatitis A vaccine is the best protection.
  • Short-term protection against hepatitis A is available from immune globulin. It can be given before and within 2 weeks of coming in contact with HAV. 
  • Always wash your hands with soap and water after using the bathroom, changing a diaper, and before preparing and eating food.
VACCINE RECOMMENDATIONS Vaccine is recommended for the following persons from 12 months of age and older:
  • All children at age 1 year (i.e., 12–23 months)
  • Travelers to countries where hepatitis A is common
  • Men who have sex with men
  • Users of injection and non-injection drugs
  • Persons with clotting-factor disorders (e.g., hemophilia)
  • Persons with chronic liver disease
  • Children living in areas with increased rates of hepatitis A during the baseline period of 1987-1997 (view map)
  • Persons who work with HAV in a laboratory setting

 

TRENDS & STATISTICS 

 

  • Hepatitis A occurs in epidemics both nationwide and in communities.
  • Before hepatitis A vaccine became available, the number of reported cases reached 35,000 per year.
  • In the late 1990s, hepatitis A vaccine was more widely used and the number of cases reached historic lows.
  • One-third of Americans have evidence of past infection (immunity).

 

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Page last modified: August 9, 2007
Page last reviewed: August 9, 2007
Content source: Division of Viral Hepatitis

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