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Hepatitis A can be spread from close, personal contact with an infected person, such as through certain types of sexual contact (like oral-anal sex), caring for someone who is ill, or using drugs with others. Hepatitis A is very contagious, and people can even spread the virus before they feel sick.
You eat or drink food or water that has been contaminated by stools (feces) containing the hepatitis A virus. Unpeeled and uncooked fruits and vegetables, shellfish, ice, and water are common sources of the disease. You come in contact with the stool or blood of a person who currently has the disease.
You're most likely to get hepatitis A from contaminated food or water or from close contact with a person or object that's infected. Mild cases of hepatitis A don't require treatment.
Transmission. The hepatitis A virus is transmitted primarily by the faecal-oral route; that is when an uninfected person ingests food or water that has been contaminated with the faeces of an infected person. In families, this may happen though dirty hands when an infected person prepares food for family members.
There are five known strains of hepatitis which are classified as Hepatitis A, B, C, D, and E.
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About 3,000 cases of hepatitis A are estimated to occur in the United States each year; a smaller number of cases are actually reported to public health each year because many infected people have no symptoms or mild symptoms and do not go to see a doctor.
Hepatitis A is most widespread in parts of the world where standards of sanitation and food hygiene are generally poor, such as parts of Africa, the Indian subcontinent, the Far East, the Middle East, and Central and South America.
Diseases resembling hepatitis A, both in individuals and in outbreaks involving groups, were reported in China as early as 5000 years ago.
Although foodborne illnesses caused by hepatitis A are not common in the U.S., water, shellfish, raw vegetables and fruit (berries), and salads are most frequently cited as potential foodborne sources.
Hepatitis A is caused by a virus that infects liver cells and causes inflammation. The inflammation can affect how your liver works and cause other symptoms of hepatitis A. The virus spreads when infected stool, even just tiny amounts, enters the mouth of another person (fecal-oral transmission).

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