Hepatitis A Virus (HAV) Infections in the United States

On June 15, 2018, NH DHHS issued a health alert regarding Hepatitis A Virus infections in the United States among persons who use drugs and persons experiencing homelessness.

NH DPHS Health Alert Network Key Points and Recommendations:

  • Health care providers should review the attached CDC HAN and provider recommendations related to HAV infections among persons who use drugs and persons experiencing homelessness.
  • New Hampshire is not currently experiencing an outbreak or increases in HAV infections; however, increases in other infections in these populations have been observed. See health alert issued May 15th related to HIV and hepatitis C virus: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/hiv-hcv.pdf
  • Administer one dose of single-antigen hepatitis A vaccine or immune globulin within 2 weeks after exposure to people who have been exposed recently to HAV and who have not been vaccinated. Guidelines vary by age and health status: https://www.cdc.gov/hepatitis/outbreaks/InterimOutbreakGuidance-HAVVaccineAdmin.htm
  • Encourage hepatitis A vaccination for persons who report drug use, homelessness, or other risk factors for HAV infection.
  • Consider hepatitis A as a diagnosis in anyone with jaundice and clinically compatible symptoms. Report suspected or confirmed cases of hepatitis A virus immediately to the New Hampshire Division of Public Health Services at 603-271-4496 (after hours 1-800-852-3345, x5300).

Read the full DHHS alert