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Colorado Department of Public Health and Environment

You are here: Health > Press Releases > Hepatitis A vaccination


For Immediate Release Monday, May 1, 2006

Hepatitis A Vaccination Recommended for People With Chronic Liver Disease and International Travelers

May 1, 2006, DENVER — Dr. Ned Calonge, Colorado’s chief medical officer who is based at the Colorado Department of Public Health and Environment, Monday said that getting two doses of Hepatitis A vaccination is a good idea for individuals with chronic liver diseases, such as hepatitis B or hepatitis C, because the vaccine can prevent additional liver damage.

Between 80,000 to 100,000 Coloradans are estimated to have chronic liver disease.

In addition, Calonge encouraged individuals, who plan to travel to countries with poor sanitation systems and high rates of hepatitis A infection, to consider the vaccinations.

Calonge explained, “Cases of hepatitis A infection in Colorado have dramatically decreased from more than 500 cases per year in the mid-1990s to 49 cases in 2005. Much of the decline is due to a hepatitis A vaccine that became available in 1995. However, 55 percent of the cases identified in Colorado in 2005 were among individuals who traveled to parts of the world with high rates of hepatitis A infection, including Mexico, South America and Asia.”

He advised international travelers to consult with a local travel clinic six months before departure to ensure a healthy trip.

Statewide Travel Clinics

Boulder County Travel Clinics

Calonge explained that hepatitis A is a viral infection. The virus is excreted in feces and may be carried on the hands of an infected person who spreads it to others. This occurs when the infected person performs inadequate hand washing after a bowel movement or after changing an infected baby’s diapers and then spreads the virus to others through close contact or through other activities such as food preparation, especially food that is served cold or handled after cooking.

“Always practicing good hand washing, in addition to immunizations, is a key to stopping the spread of the virus,” he said.

Hepatitis A is usually not life threatening and does not result in a chronic infection, said Calonge. Symptoms tend to be milder for children and more severe among adults. Infected adults lose an average of 27 days of work. Hepatitis A infection may cause fatigue, fever, poor appetite and vomiting. Urine may become darker in color, and then jaundice, a yellowing of the skin and whites of the eyes, may appear.

“For individuals who already have chronic liver disease, a hepatitis A infection can be very serious. These individuals should discuss vaccination with their health care providers,” he said.

State health officials provided the following information on the three types of hepatitis and encouraged individuals with any concerns to call the Department of Public Health and Environment’s Viral Hepatitis Program at (303) 692-2700.

THE ABCS OF HEPATITIS

Hepatitis A

Hepatitis A is a liver disease caused by the hepatitis A virus. It usually is not life threatening. Symptoms can include fever, nausea, diarrhea, tiredness and jaundice. Symptoms usually appear 20 to 30 days after exposure. Older people are more likely to have symptoms than children. The hepatitis A virus is found in the stools of people with the virus and is spread by close contact and sometimes by eating or drinking contaminated food. Good personal hygiene and proper sanitation can help prevent hepatitis A. A vaccine against this infection was licensed in 1995. The Centers for Disease Control and Prevention is now recommending the hepatitis A vaccination for all children at 1 year of age.

Hepatitis B

Hepatitis B is a life-threatening viral disease of the liver. It is spread primarily by sexual contact, or when injection drug users share contaminated needles, or when there is exposure to an infected person’s blood. All children in Colorado entering kindergarten are required to be immunized for hepatitis B. The vaccine is normally administered in infancy.

Hepatitis C

Hepatitis C is a chronic viral infection of the liver. The hepatitis C virus is spread by blood, primarily by receipt of blood transfusions prior to 1992, by receipt of clotting factors produced prior to 1987, or when injection drug users share contaminated needles. About 8,000 to 10,000 people die annually in the United States from hepatitis C, and an estimated 83,000 Coloradoans have been infected with hepatitis C. There is no vaccine available to prevent infection by this virus.
 

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