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San Francisco Marin Medical Society Blog

Hepatitis A Outbreaks in California Immunization recommended for Californians who are homeless or using drugs

On July 13, 2017, the California Department of Public Health (CDPH) issued a health advisory regarding outbreaks of hepatitis A among persons who are homeless or using illicit drugs and individuals working with these persons. The advisory is posted at:

This advisory is directed at healthcare providers and settings that provide services for homeless people or persons using drugs. Increasing the level of hepatitis A immunity in these risk groups will help prevent and control hepatitis A outbreaks.

Californians hospitalized or dying from hepatitis A infections have also had chronic liver disease or other co-morbidity. As a reminder to all providers, hepatitis A vaccine also continues to be routinely recommended for all:

  • Persons with chronic liver disease, including those with hepatitis B or C virus (HBV or HCV) infection
  • Users of injection and noninjection illicit drugs
  • Men who have sex with men
  • Persons traveling to or working in countries that have high or intermediate levels of HAV transmission
  • Children, starting at age 1 year
  • Any person wishing to obtain immunity to HAV
Thank you for your efforts to protect Californians from hepatitis A infection.

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