Hepatitis A

05/22/2024
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Key Information

  • Hepatitis A (HA): An infection that often causes clinical hepatitis in adults and older children. Younger children may experience a febrile illness without jaundice or be asymptomatic.
  • Vaccine Effectiveness: Pre-exposure HA immunization is 90%-97% effective.
  • Adverse Reactions: Generally mild and transient, including soreness and redness at the injection site.

Recommendations for Use

  • Pre-Exposure Immunization: Recommended for individuals at increased risk of infection or severe HA, including:
    • Travellers to HA-endemic countries
    • Individuals with chronic liver disease
    • Men who have sex with men (MSM)
    • Individuals who use injectable/non-injectable substances
    • Certain workers (military, humanitarian, researchers handling HA virus)
    • Household contacts of adopted children from HA-endemic countries
    • Zoo-keepers, veterinarians handling non-human primates
  • Post-Exposure Prophylaxis: Should be offered to susceptible household and close contacts of infected individuals, including contacts in child care centers and co-workers/clients of infected food handlers.

Vaccination Schedule

  • Primary Immunization: One dose of monovalent HA vaccine, followed by a booster dose 6-36 months later, depending on the product.
  • Combined HA and HB Vaccine (HAHB): Preferable for those needing protection against both hepatitis A and B.

Authorized Vaccines in Canada

  • Monovalent HA Vaccines:
  • Combined HA and HB Vaccine (HAHB):
  • Human Immunoglobulin:

Special Considerations

  • Pregnancy and Breastfeeding: HA vaccine can be considered if benefits outweigh risks. Safe for breastfeeding women.
  • Immunocompromised Individuals: May require both vaccine and immunoglobulin for effective protection.

Safety and Adverse Events

  • Common Adverse Reactions: Soreness and redness at the injection site, headache, irritability, malaise, fever, fatigue, gastrointestinal symptoms.
  • Severe Reactions: Rare and may include anaphylaxis or severe allergic reactions.
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Written By Paul Kim

Medical Director - APN, NSWOC, RNP

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