What is hepatitis A?
Hepatitis A is an infection caused by a virus. People usually get
hepatitis A from eating or drinking contaminated food or water.
The hepatitis A virus (HAV) may not cause any symptoms or it may
cause fever, tiredness, loss of appetite, nausea, abdominal pain,
and jaundice. This disease can cause adults and children to miss a
lot of work and school and it can damage the liver. Hepatitis A
can be rapid and severe, but it is rarely a fatal illness.
Most cases of hepatitis A in the United States occur in community
outbreaks of the disease. The southwestern part of the US has more
cases of hepatitis A than the midwestern or eastern US. People who
travel to countries that have high rates of this disease may get
the virus and bring it back to the US.
What is the HAV vaccine?
The HAV vaccine is very effective in preventing hepatitis A. The
vaccine is given in 2 doses with at least 6 months between each
dose. The vaccine should protect your child for many years,
perhaps for life. The risk for hepatitis A is higher if:
- Travel or work in a developing country is planned.
- You live in an area that has outbreaks of hepatitis A.
- Your child has chronic liver disease.
- Your child receives clotting factor concentrates for a
clotting disorder such as hemophilia.
Does the HAV vaccine cause any side effects?
The vaccine is not known to cause serious side effects. After
being vaccinated, your child may have some soreness at the shot
site, headache, or fatigue.
Who should get the HAV vaccine?
The HAV vaccine is recommended for all children over one year of
age. If you are traveling outside of the US, the HAV vaccine is
very important. It is best to be completely vaccinated against
hepatitis A before you or your child travels. This means getting
the first shot at least 7 months before traveling. If you don't
have that much time before you leave, it is still important for
you and your child to get at least one shot 2 weeks or more before
your trip.
Is the HAV vaccine required for my child to get into school?
The HAV vaccine is not a requirement for entry into school in most
states. However, some states and counties now require proof of HAV
immunization for school or preschool entry. Ask your healthcare
provider if your area requires the HAV vaccine.
Are there other ways to prevent hepatitis A?
Always wash hands after using the restroom or changing a diaper.
Also wash hands before preparing meals or eating. When you travel,
avoid uncooked shellfish, raw fruits and vegetables that have not
been peeled, tap water, and drinks with ice.
Immune globulin has been used to try to prevent hepatitis A when a
person is exposed to someone with hepatitis A. However this
protection does not last very long, is not very effective in
preventing the spread of the disease, and is expensive.
Written by Robert Brayden, MD, Associate Professor of Pediatrics, University of Colorado School of Medicine.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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