Figure 1.3. Rates of reported hepatitis A virus infection, by state or jurisdiction — United States, 2019

Figure 1.3. Rates of reported hepatitis A virus infection, by state or jurisdiction — United States, 2019

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Source: CDC, National Notifiable Diseases Surveillance System

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The state-specific rates of hepatitis A varied throughout the country, ranging from a high of 31.6 cases per 100,000 population in Tennessee to a low of 0.1 cases per 100,000 population in Hawaii. Seven states heavily affected by person-to-person outbreaks were in the highest category and included Florida, Indiana, Kentucky, New Hampshire, Ohio, Tennessee, and West Virginia; 5 of these states are located in or near the Appalachian region. Lower incidence rates were observed in the central region and the West Coast.