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The hepatitis A outbreak resulted in 592 cases and 20 deaths. San Diego County officials identified the outbreak in March 2017. They were also able to later trace some cases back to November 2016.
The virus is primarily spread when an uninfected (and unvaccinated) person ingests food or water that is contaminated with the faeces of an infected person. The disease is closely associated with unsafe water or food, inadequate sanitation, poor personal hygiene and oral-anal sex.
Hepatitis A is common in areas with inadequate sanitation and limited access to clean water. In highly endemic areas (e.g., parts of Africa and Asia), a large proportion of adults in the population are infected as children, are immune to HAV, and epidemics are uncommon.
Los Angeles County is experiencing an outbreak of hepatitis A. The majority of cases are occurring in individuals who are homeless and/or use illicit drugs. Outbreaks of hepatitis A in persons who are homeless and/or use illicit drugs are also occurring in San Diego and Santa Cruz counties.
Health Care Facility and Provider Reporting All states require health care facilities and providers to report hepatitis A diagnoses. Additional sources that will facilitate case ascertainment and case characterization include medical records, hospital discharge databases, and death certificates.

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An estimated 354 million people worldwide live with hepatitis B or C, and for most, testing and treatment remain beyond docHub. Some types of hepatitis are preventable through vaccination.
There are about 200 cases of Hepatitis A reported each year in California. The number of cases has been steadily declining throughout the United States due to the routine use of Hepatitis A vaccines for children and improved food safety measures and sanitation practices.
Occurrence. Hepatitis A occurs throughout the world. It is highly endemic in some areas, particularly Central and South America, Africa, the Middle East, Asia, and the Western Pacific.

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