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Hepatitis A is an acute, usually
self-limiting, disease of the liver caused by the hepatitis A virus (HAV). HAV
is transmitted from person to person, primarily by the fecal-oral route, and is
closely associated with poor sanitary conditions. The most common modes of
transmission include close personal contact with an infected person and
ingestion of contaminated food and water.
The virus occurs worldwide and causes about 1.5 million cases of
clinical hepatitis each year. Humans are the only reservoir of HAV.
Millions of persons have now been vaccinated against HAV. The current
vaccines are well tolerated and no serious adverse events have been
statistically linked to their use. Contraindications to hepatitis A vaccination
include a known allergy to any of the vaccine components. Hepatitis A vaccine
may be administered with all other vaccines included in the Expanded Program on
Immunization and with vaccines commonly given for travel. None of the vaccines
are licensed for children aged < 1 year.
Planning for large-scale immunization programs against hepatitis A
should involve careful analyses of cost-benefit and sustainability of different
appropriate hepatitis A prevention strategies, as well as an assessment of the
possible long-term epidemiological implications of vaccination at different
levels of coverage.
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Last Updated ( Tuesday, 06 March 2012 )
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