Pediatric Corner: Get hip to Hep A

By Daniel R. Brennan, MD, FAAP, CLC, Special to the Voice

Hepatitis A is not exactly something to cheer about, but being able to prevent this infection surely is.

Signs and symptoms

Similar to all hepatitis viruses, hepatitis A likes to attack the liver. Infection may cause nausea, vomiting, diarrhea, fatigue, fever, abdominal pain, loss of appetite and jaundice (a yellowing of the skin and eyes). Some individuals will have no symptoms, while others may feel sick for up to nine months. Adults are more likely to show symptoms, while many children may spread the virus without showing signs of the illness.


How is it spread?

Unlike hepatitis viruses B and C, which are primarily spread through blood and intimate contact, hepatitis A is found in feces and can be easily contracted by consuming contaminated food or water. It’s something to think about the next time you sample an unwashed piece of fruit at a farmer’s market.


Who is at risk?

Certain regions of the country, such as the west coast, have higher rates of infection. Anyone who may potentially ingest contaminated food or water is at risk. Traveling, living in a coastal community, eating out, swimming in a lake or the ocean are just a few activities that may increase your chances.


Long-term effects

Each year, tens of thousands of Americans will contract the hepatitis A infection. Unlike hepatitis B and C, which may cause lifelong infection, hepatitis A generally does not cause long-term infection. It is estimated, however, that about 100 people will die each year from it.

Is there a way to prevent infection?

The hepatitis A vaccine is the best way for children and adults to prevent infection. The vaccine is a two part series, given six months apart. Vaccination is safe, effective and well tolerated. It is now recommended and available to all children over the age of one year.

Short-term protection against hepatitis A is available from an injection of immune globulin. A person exposed to hepatitis A may receive immune globulin to reduce the chances of contracting the virus.

Good hand washing with soap and water before eating and preparing food, after using the bathroom and after changing a diaper is always a good idea.


Hop in now for Hep A

Now is a good time to talk to your doctor about the hepatitis A vaccine. Summer weather is around the corner and you may be planning to travel, swim or surf. Your friends will be less likely to hang out with you if your eyes are glowing yellow, and it’s always more fun to go to the beach and run than it is to sit on the beach with the runs.

Daniel R. Brennan, MD, CLC, FAAP, is a board-certified pediatrician at the Sansum Clinic. Contact him at 563-1995 or visit www.SBPediatrics.com.

 

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