The state of Indiana in USA has reported significant outbreaks of hepatitis A, a highly contagious viral infection of the liver.

The disease has broken out in mostly Kentucky and Michigan Areas. Kentucky has more than 300 cases, the majority of which have occurred in the Louisville area, and Michigan has more than 800 cases, including 25 deaths.

Health officials in Indiana are urging residents to get vaccinated and take other steps to protect themselves from hepatitis A if they plan to travel to states that are experiencing outbreaks of the disease.

“With popular tourist events coming up in other states, we know many Hoosiers will be traveling to areas impacted by hepatitis A, and we want them to be safe,” said Deputy State Health Commissioner and State Epidemiologist Pam Pontones. “Getting vaccinated and thoroughly washing your hands before and after preparing food and eating and after using the restroom are simple, safe and effective ways to prevent the spread of hepatitis A.”

Symptoms of hepatitis A vary and may include loss of appetite, nausea, fatigue, fever, stomachache, dark (cola) colored urine and light colored stools. Jaundice (yellowing of the eyes or skin) may appear a few days after the onset of these symptoms. Individuals can become ill 15 to 50 days after being exposed to the virus.Most people who get hepatitis A feel sick for several weeks, but they usually recover completely and do not have lasting liver damage. However, hospitalization and, in rare cases, death can occur. Anyone who is exhibiting symptoms of hepatitis A should contact a healthcare provider immediately and refrain from preparing food for others. Hepatitis A virus is usually spread through feces (stool) of infected people but may also be spread through injection drug use.

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