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2. Identification:
8. Specific Treatment: None.
a. Symptoms: Onset is usually abrupt,
with fever, malaise, anorexia, nausea,
and abdominal discomfort, followed by
jaundice.
Recovery
is
usually
complete, without sequelae. Many
cases, especially in children, are mild
or asymptomatic and diagnosed only
by serological tests.
b. Differential Diagnosis: Other causes
of viral and non-viral hepatitis.
c.
3. Incubation: 15-50
about 28-30 days.
days;
commonly
4. Reservoir: Human.
5. Source: Feces, rarely blood.
6. Transmission: Fecal-oral; person to person or through vehicles such as food.
Sexual and household contacts are at
increased risk. Transfusion-associated
cases have occurred but are extremely
rare.
7. Communicability: Maximum infectivity
occurs during the latter half of
incubation period, particularly during the
week prior to the onset of jaundice.
There is no carrier state. Considered
9. Immunity: Lifelong.
REPORTING PROCEDURES
1. Report within 1 working day of
identification of case or suspected case
(Title 17, Section 2500, California Code
of Regulations). Laboratory reports are
to be faxed along with the Confidential
Morbidity Report (CMR).
If a prepared commercial food item is
the likely source of this infection, report
immediately by phone.
2. Epidemiologic Data:
a. Ensure case has met both the clinical
and laboratory criteria for diagnosis of
acute hepatitis A (see Diagnosis 2c).
b. Contact with diagnosed or suspect
case of hepatitis or jaundice within the
incubation period.
c.
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i.
CONTROL OF
CARRIERS
CASE,
CONTACTS
&
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DIAGNOSTIC PROCEDURES
San Joaquin County Public Health
Laboratory services are available. Refer
to the Laboratory Services Manual in
Section 2, Disease Reporting.
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