In a follow-up on the Massachusetts hepatitis A outbreak, the Massachusetts Department of Public Health (MDPH) says since April 2018, 141 cases of acute hepatitis A virus (HAV) infection have been reported.

 Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin/CDC
Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin/CDC

Outbreak cases have been reported in individuals with recent experience of homelessness, unstable housing, and/or substance use disorder.

Three deaths have been attributed to this outbreak. 84 percent of the cases required hospitalization.

Four out of 10 cases has been reported from Suffolk County. percent of the cases have a co-infection with hepatitis C.

Hepatitis C in the US: 2.4 million Americans living with it