What to know
In 2016, hepatitis A outbreaks began spreading across the United States through person-to-person transmission. The outbreaks peaked in 2019.
Fast Facts
- Confirmed cases: 44,937
- Hospitalizations: 27,461
- Deaths: 424
- States: 37 states (Active in IN, MD, and PA; declared over in AL, AZ, AR, CA, CO, DE, FL, GA, ID, IL, KS, KY, LA, ME, MA, MI, MN, MS, MO, NV, NH, NJ, NM, NY, NC, OH, SC, TN, TX, UT, VT, VA, WA, and WV)
Situation summary
Many people think hepatitis A is only connected to contaminated food and water. However, in the US, hepatitis A is more commonly spread from person to person. Since outbreak cases were first identified in 2016, 37 states have publicly reported 44,937 cases. More than half of the people who got sick were hospitalized. See where people got sick.

Source of the outbreak
The hepatitis A virus (HAV) is found in the stool and blood of a person who is infected. In these outbreaks, HAV spread from person to person, especially among people who use drugs and people experiencing homelessness.
What you should do
If you think you’ve been exposed to hepatitis A, contact a health professional as soon as possible.
About hepatitis A
Hepatitis A is a liver infection caused by HAV. It is very contagious, and people can spread the virus even before they start showing symptoms.
The virus is found in the stool and blood of people who are infected. It can also live on surfaces for several months. You can also get sick by ingesting the virus. This usually happens through close personal contact with a person who is infected.
Most people who get hepatitis A don't get very sick. In some cases, the virus can cause severe illness that lasts several months. Although uncommon, hepatitis A can cause death. People who are older have a higher risk of dying from hepatitis A.
- 1. Ott JJ, Wiersma ST. Single-dose administration of inactivated hepatitis A vaccination in the context of hepatitis A vaccine recommendations. Int J Infect Dis. 2013 Nov;17(11):e939-44. doi: 10.1016/j.ijid.2013.04.012. Epub 2013 Jun 21. Review. PubMed PMID: 23791857.
- 2. McMahon BJ, Beller M, Williams J, Schloss M, Tanttila H, Bulkow L. A program to control an outbreak of hepatitis A in Alaska by using an inactivated hepatitis A vaccine. Arch Pediatr Adolesc Med. 1996 Jul;150(7):733-9. PubMed PMID: 8673200.