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Hepatitis A - Management
Who should be offered vaccination for hepatitis A?

  • Pre-exposure vaccination is recommended for:
    • Travellers 1 year of age and older travelling to areas where hepatitis A is moderately or highly endemic, particularly if standards of sanitation and food hygiene are likely to be poor, or if visiting friends and relatives.
      • For country-by-country recommendations for hepatitis A and other travel vaccines, see www.nathnac.org.
    • People with chronic liver disease, including those with chronic hepatitis B or C (vaccination against hepatitis B is also recommended for non-immune people with hepatitis C).
    • People with clotting factor disorders (vaccination against hepatitis B is also recommended).
    • Men who have sex with men and people whose sexual behaviour is likely to put them at increased risk (vaccination against hepatitis B is also recommended).
    • Injecting drug users (vaccination against hepatitis B is also recommended).
    • Individuals at occupational risk
      • Laboratory workers who may be exposed to hepatitis A in the course of their work (such as in microbiology laboratories and clinical infectious disease units).
      • Staff of large residential institutions (where standards of personal hygiene among residents may be poor).
      • Sewage workers at risk of repeated exposure to raw sewage.
      • People who work with primates that are susceptible to hepatitis A infection.
    • People infected with HIV that belong to a group at risk of the infection or its complications.
  • For information on how to vaccinate, see Prescribing information.

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