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Public Health Fact Sheet

  Hepatitis A

 Overview 


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 Frequently Asked Questions

What is hepatitis A?
"Hepatitis" means inflammation or disease of the liver. Hepatitis A is a liver disease caused by the hepatitis A virus.  In  children the disease is usually mild, but many adults who develop hepatitis A are ill enough to miss 4 to 6 weeks of work.  Anyone who has not had hepatitis A before can get hepatitis A, if exposed to the virus.

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What are the symptoms of hepatitis A?
The first symptoms would include fever, loss of appetite, nausea, vomiting, tiredness, diarrhea or constipation, abdominal pain, and just "not feeling well".  Theses symptoms may be followed in a few days by dark (brown or "tea-colored") urine and jaundice (yellowing of the skin and the whites of the eyes).  Infected persons usually feel better after 1-2 weeks, although they may continue to feel tired for a few more weeks.

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How is the hepatitis A virus spread?
The hepatitis A virus is in the feces (stool) of infected persons.  For the disease to be spread to another person, the hepatitis A virus must enter the mouth of a person that has not had hepatitis A before. Poor personal hygiene after using the rest room or changing diapers will contaminate the hands with feces and the hepatitis A virus. The virus can then be easily placed on foods or toys that will be placed in the mouth of other people.

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How soon do symptoms appear?
The first symptoms usually appear about 1 month after a person is exposed to the hepatitis A virus. However, the disease can develop anytime between 2 to 6 weeks after infection.

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How long can an infected person spread the virus?
An infected person can spread the virus for 1-2 weeks before the symptoms begin, and for about 2 weeks after dark urine, jaundice or other "classic" hepatitis symptoms occur.

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Who is at risk of getting hepatitis A?
The persons at greatest risk of getting hepatitis A are the household members, close friends/contacts, and sexual contacts of a person with hepatitis A. People at school, work, or who have brief, casual visits to the home of a infected person have little risk of getting the disease.  Persons that have had hepatitis A in the past cannot get it again. Persons that are vaccinated against hepatitis A cannot get the disease.

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What is the treatment for hepatitis A?
There are no special medicines that will help a person to recover faster. Bed rest, drinking a lot of water, and eating a good diet are important for recovery. Since hepatitis A affects the liver, people with this disease should not drink alcohol or take any drugs (including aspirin and Tylenol) without first asking their doctor.

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What can be done to protect a person that has been exposed to hepatitis A?
Immune globulin (IG) can be given to a person that has already been exposed to the virus to prevent hepatitis A. IG is a "shot". IG is recommended for all household members and close (including sexual) contacts of a person with hepatitis A. IG should be given as soon as possible and must be given within 14 days after exposure the hepatitis A virus.

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Are there other ways to prevent the spread of hepatitis A?
The hepatitis A vaccine is safe and effective in preventing hepatitis A. Contact the local county health department or a physician for information about this vaccine.  The spread of hepatitis A can also be stopped by always washing hands thoroughly with soap and warm water after using the toilet or changing diapers. Children should be taught to always wash their hands with soap after using the toilet. Washing hands before preparing any food is very important.

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Arkansas Hepatitis Surveillance and Prevention Program
Phone: 501-280-4149 Fax: 501-280-4090 
Toll free: 1-800-554-5738, ext. 4149

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