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Hepatitis A

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Hepatitis A Virus is one of a family of related DNA viruses that affect the liver. It is transmitted through ingestion of fecal matter, even in microscopic amounts, from close person-to-person contact or ingestion of contaminated food or drinks. It can also be transmitted through needle sharing.

People at risk include:

  • Household contact with infected persons
  • Sexual contact with infected persons
  • People traveling to countries where HAV is common
  • Men who have sex with men
  • Injection and non-injecting drug users

Signs & Symptoms:

  • Low grade fever
  • Body weakness / discomfort
  • Headaches
  • Muscle pains
  • Poor appetite
  • Nausea and vomiting
  • Diarrhea, especially in children
  • Dark urine
  • Jaundice

Complications & Consequences:

  • No Chronic (long-term) infection
  • You are immune after your first infection
  • About 15% of those infected will have prolonged or relapsing symptoms over a 6 to 9 month period
  • May trigger the onset of chronic autoimmune liver disease
  • Accounts for fewer than 10% of all severe hepatitis
  • Mortality (likelihood of death is about 0.3% in people; In people over 40 mortality rate rises to 2%

Prevention:

  • Hepatitis A vaccine
  • Immune globulin (IG) offers short term protection against HAV if given before and within 2 weeks of exposure
  • Always wash your hands with soap and water after using the restroom, changing a diaper, and before preparing and eating food.

It is recommended that the following people receive Hepatitis A vaccine:

  • Travelers to areas with high Hepatitis A rates
  • Men who have sex with men
  • Injection and non-injection drug users
  • Persons with chronic liver disease
  • Children living in area with increased rates of Hepatitis A