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Hepatitis A cases on the rise in three Maine counties, state says

The Maine CDC says there have been 39 cases reported so far this year. The most recent uptick was reported in Penobscot, Somerset, and York counties.

AUGUSTA, Maine — There has been a sharp increase in hepatitis A cases in three Maine counties since February, according to a release sent out by the Maine Center for Disease Control and Prevention (Maine CDC) Friday morning.

It says there were zero cases reported in the counties between January and February of this year, but in the last four months, there has since been an uptick to 26 cases total.

They are as follows:

  • Penobscot – 13
  • Somerset – 7
  • York – 6

According to the release, in 21 of the 26 cases, there were risk factors of injection drug use or housing insecurity.

Maine has had seven to ten cases of hepatitis A cases per year during the past decade, but last year that number more than tripled to 45 cases total.

“This increase was driven by a restaurant-associated outbreak and cases related to injection drug use or housing insecurity,” the release reads. “Since January 1, 2020, Maine CDC has identified 39 cases of Hepatitis A statewide -- recent case investigations, however, have not identified a source of the infections.”

New Hampshire, Vermont, and Massachusetts are also among states that have reported outbreaks of hepatitis A.

Hepatitis means inflammation of the liver. Toxins, certain drugs, some diseases, heavy alcohol use, and bacterial and viral infections can all cause hepatitis. Hepatitis is also the name of a family of viral infections that affect the liver; the most common types in the United States are hepatitis A, hepatitis B, and hepatitis C.

Hepatitis A infection is a liver infection caused by the hepatitis A virus and is usually spread through personal contact rather than contaminated food or water. Symptoms include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored bowel movements, joint pain, and jaundice – according to the release.

Symptoms usually go away on their own, however, they can lead to serious health problems, including death, in people with already poor health.

According to the release, the best way to prevent hepatitis A infection is through vaccination and practicing good hand hygiene.

"Maine CDC strongly recommends hepatitis A vaccination for the following individuals: people who use drugs (injection or non-injection), people experiencing homelessness, men who have sex with men, and people who are, or were recently, incarcerated," the release goes on to say. "Maine CDC encourages medical providers, especially in Penobscot, Somerset, and York counties, to vaccinate at-risk individuals and ensure that vaccine supplies on hand are adequate."

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