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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