Hepatitis A - Los Angeles County Department of Public Health 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Part 1A, which requires patient information such as first name, last name, birthdate, and address. Ensure all details are accurate for proper reporting.
  3. Next, complete Part 1B with your information as the reporting physician. Include your name, license number, and contact details. Don’t forget to sign and date the form.
  4. Proceed to Part 2 where you will provide additional patient information required for DMV reporting. Double-check that all fields are filled correctly.
  5. Once completed, keep a copy for your records and fax both sheets to the Los Angeles County Health Officer at the provided fax numbers.

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Acute hepatitis A is a reportable disease in all states, the District of Columbia (DC), and New York City (CSTE query) and nationally notifiable (CDC NNDSS List of Notifiable Conditions, historically by year).
The hepatitis A vaccine is recommended for all children between 12 months and 18 years of age living in the United States. It is also recommended for others who are considered to be at increased risk of infection, including: Those traveling to countries with moderate or high rates of hepatitis A.
Despite HEV not being on the forefront of viral hepatitis elimination plans, it is still highly infectious and poses a public health threat, especially among at-risk individuals.
What to report. Hepatitis (all primary viral types including A, B, C, D, and E) must be reported to MDH within one working day. All laboratories are required to report the results of all hepatitis B and hepatitis C viral detection laboratory tests.
Those persons should watch for symptoms of hepatitis A and practice good hygiene, including frequent hand washing with soap and water. They should see their healthcare provider and notify public health if symptoms develop.

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If you have hepatitis A, you can help prevent its spread by: Letting close contacts know youre contagious. Disinfecting your home with bleach-based cleaning products. Not preparing and serving food to others.

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