What is Hepatitis?

Hepatitis means inflammation of the liver. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis but a virus often causes Hepatitis. In the United States, the most common Hepatitis viruses are Hepatitis A virus, Hepatitis B virus, and Hepatitis C virus.

What is Hepatitis A?

Hepatitis A is a highly contagious liver infection caused by the Hepatitis A virus. It can range from a mild illness lasting a few weeks to a severe illness lasting several months. Although rare, Hepatitis A can cause death in some people. Hepatitis A usually spreads when a person unknowingly ingests the virus from objects, food, or drinks contaminated by small, undetected amounts of stool from an infected person.

Most people who get Hepatitis A feel sick for several weeks, but they usually recover completely and do not have lasting liver damage. In rare cases, Hepatitis A can cause liver failure and death; this is more common in people older than 50 and in people with other liver diseases.

How is Hepatitis A spread?

Hepatitis A usually spreads when a person unknowingly ingests the virus from objects, food, or drinks contaminated by small, undetected amounts of stool from an infected person. Hepatitis A can also spread from close personal contact with an infected person such as through sex or caring for someone who is ill.

Contamination of food (this can include frozen and undercooked food) by hepatitis A can happen at any point: growing, harvesting, processing, handling, and even after cooking. Contamination of food or water is more likely to occur in countries where hepatitis A is common and in areas where there are poor sanitary conditions or poor personal hygiene. In the United States, chlorination of water kills hepatitis A virus that enters the water supply. The Food and Drug Administration (FDA) routinely monitors natural bodies of water used for recreation for fecal contamination so there is no need for monitoring for hepatitis A virus specifically.

Who is at risk for Hepatitis A?

Although anyone can get Hepatitis A, in the United States, certain groups of people are at higher risk, such as:

  • People with direct contact with someone who has Hepatitis A
  • Travelers to countries where Hepatitis A is common
  • Men who have sexual contact with men
  • People who use drugs, both injection and non-injection drugs
  • Household members or caregivers of a recent adoptee from countries where Hepatitis A is common
  • People with clotting factor disorders, such as hemophilia
  • People working with nonhuman primates

If you have any questions about potential exposure to Hepatitis A, call Decatur County Memorial Hospital Infection Control at 812.663.1310. If you were recently exposed to Hepatitis A virus and have not been vaccinated against Hepatitis A, you might benefit from an injection of either immune globulin(https://www.cdc.gov/hepatitis/hav/afaq.htm#vacIG) or Hepatitis A vaccine. However, the vaccine or Immune Globulin are only effective if given within the first 2 weeks after exposure. For more information or to receive a Hepatitis vaccine, call your Primary Care provider or the DCMH Immunization Clinic at 812-222-0422.