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Immunization against the hepatitis A virus (HAV) is
recommended for anyone traveling to any country or area except:1
Talk to your doctor before visiting any other areas.
If you plan to travel to a part of the world where sanitation is poor or
hepatitis A is a known problem, see your doctor about
receiving the hepatitis A vaccine(What is a PDF document?),
immunoglobulin (IG), or the combination hepatitis A
and B vaccine. (Risk of
hepatitis B increases if you go to a high-risk country
frequently or stay for a long time.)
When traveling in an area where hepatitis A is a known
problem or where water quality is questionable:
Sharapov UM (2012).
Infectious diseases related to travel: Hepatitis A.
The Yellow Book: CDC Health Information for International Travel 2012. New York: Oxford University Press. Also available online:
Centers for Disease Control and Prevention (2008). Hepatitis A FAQs for health professionals. Available online: http://www.cdc.gov/hepatitis/HAV/HAVfaq.
Centers for Disease Control and Prevention (2007).
Update: Prevention of hepatitis A after exposure to hepatitis A virus and in
international travelers. Updated recommendations of the Advisory Committee on
Immunization Practices (ACIP). MMWR, 56(RR-41):
1080–1084. Also available online:
August 30, 2012
E. Gregory Thompson, MD - Internal Medicine & W. Thomas London, MD - Hepatology
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