Hepatitis A
Hepatitis A is a vaccine-preventable, acute liver disease caused by the Hepatitis A virus (HAV). It is one of the most common types of viral hepatitis and is very contagious.
Find a free or low-cost test or vaccine (CDC)
Your local health department also offers testing and vaccines. Children 18 or younger can get no-cost vaccines through Vaccines for Children.
Not everyone develops symptoms. Adults are more likely than children to develop symptoms.
Symptoms can appear two weeks to seven weeks after exposure. Symptoms range from mild to severe and can include sudden onset of:
- Fever
- Fatigue
- Loss of appetite
- Nausea
- Stomach pain
- Dark-colored urine
- Jaundice (yellowing of the skin or white of the eyes)
A person is contagious about two weeks before and one week after symptoms appear.
Hepatitis A is usually spread from person to person. Fecal-oral transmission is most common. This happens if your mouth comes in contact with something contaminated with the stool of a person who has hepatitis A.
You can get hepatitis A from:
- Close contact with someone, often with a household member or sex partner, who has hepatitis A
- Eating or drinking after a person who has hepatitis A
You're unlikely to get hepatitis A from casual contact with others at work, school or community events.
Poor sanitary conditions or personal hygiene make it easier for the virus to spread.
Some people are at higher risk for infection or more severe outcomes if they get hepatitis A. This includes:
- People who are sexually active
- Men who have sexual contact with other men
- People who use or inject drugs
- People experiencing unstable housing or homelessness
- People who live with someone who has Hepatitis A
- Travelers to countries where hepatitis A is common
- International adoptees and their caregivers
- People living with chronic liver disease, such as fatty liver disease, cirrhosis, Hepatitis B or Hepatitis C
- People living with HIV
- People who provide services to adults who are at higher risk for hepatitis A
- People with occupational risk for exposure, including healthcare providers
Get Vaccinated
The best way to prevent hepatitis A is to get the hepatitis A vaccine. If you've been vaccinated, you do not need to get vaccinated again.
You should get the hepatitis A vaccine if:
- You have not already gotten the vaccine
- You're at high risk for infection or severe outcomes if you get hepatitis A
- You're pregnant and at high risk for infection or severe outcomes
Wash Your Hands
Washing your hands can help prevent infection, especially:
- After using the bathroom or changing a diaper
- Before preparing and eating food
There are no special medications or antibiotics for treatment of hepatitis A. The best treatment includes rest, good nutrition and fluid intake.
Most people recover in a few weeks. Some people may feel sick for as long as six months, but most symptoms are gone within two months. Hepatitis A infection is rarely fatal.
A person who recovers from hepatitis A is immune to re-infection for life and cannot spread it to others.
Get more information: Hepatitis A Fact Sheets (U.S. Centers for Disease Control and Prevention)
Outbreaks in North Carolina
North Carolina experienced two major outbreaks of hepatitis A between 2018 and 2022:
- An outbreak in 2018 occurred among men who have sexual contact with other men. The outbreak was concentrated in Mecklenburg County.
- A second, much larger outbreak in 2018 lasted until 2022. The outbreak occurred primarily among people who use or inject drugs and people experiencing homelessness. The outbreak occurred in many counties, with cases concentrated in western North Carolina.
Total cases reported in N.C. from 2018-2022: 1,194
Other states also experienced outbreaks among high-risk populations during this time.