If the person travelling is also at risk of acquiring hepatitis B, they can receive a combination hepatitis A/hepatitis B vaccine. 7 A 2nd dose is recommended 6–12 months after the 1st dose, to increase the duration of protection. 6 This includes expatriates, and people who are visiting friends and relatives.ġ dose of a monovalent hepatitis A vaccine provides protective levels of antibodies against hepatitis A virus. People aged ≥1 year are recommended to receive hepatitis A vaccine if they travel to moderately to highly endemic areas for hepatitis A. Groups with special vaccination requirements.Recommended doses and schedules for combination hepatitis A and hepatitis B vaccines. People aged 1 to <16 years can receive a 2-dose schedule using Twinrix 720/20. If the person is also at risk of acquiring hepatitis B, they can receive a combination hepatitis A/hepatitis B vaccine. People with chronic hepatitis C or hepatitis B are recommended to receive hepatitis A vaccine because of the high case-fatality rate in this group if they acquire hepatitis A. liver transplant recipients may not respond at all 4,5.people with end-stage liver disease do not respond as well.people with chronic liver disease of mild to moderate severity usually mount a good immune response.Immune responses to vaccination in these people can vary - for example: People with chronic liver disease should receive the vaccine as early in the course of the disease as possible. Recommended doses and schedules for monovalent hepatitis A vaccines. people who have received a liver solid organ transplantĢ doses are required, with a recommended minimum interval between doses of 6 months.Hepatitis A vaccination is recommended for people with chronic liver disease of any aetiology, if they are not immune to hepatitis A. The prevalence of Hepatitis A disease has decreased significantly since the implementation of the Hepatitis A vaccination program. In Australia, before the introduction of the NIP funded Hepatitis A vaccination program in children, it was particularly prevalent in Aboriginal and Torres Strait Islander communities. Hepatitis A virus survives well in the environment outside its human host. Hepatitis A vaccination is recommended for all other risk groups (medical, occupational, travel, lifestyle) in a 2-dose schedule, with a minimum interval of 6 months between doses. Hepatitis A vaccination is recommended for Aboriginal and Torres Strait Islander children living in hepatitis A– endemic areas in a 2-dose schedule at 18 months and 4 years of age. people who have anal intercourse (including men who have sex with men, and sex industry workers).people whose lifestyle increases their risk of acquiring hepatitis A, including.people aged ≥1 year who travel to hepatitis A– endemic areas.carers of people with developmental disabilities.people who regularly provide care for Aboriginal and Torres Strait Islander children in the Northern Territory, Queensland, South Australia and Western Australia.people who live or work in rural and remote Aboriginal and Torres Strait Islander communities in the Northern Territory, Queensland, South Australia and Western Australia.people whose occupation increases their risk of acquiring hepatitis A, including.people with medical risk factors, including chronic liver disease and developmental disabilities.Aboriginal and Torres Strait Islander children living in the Northern Territory, Queensland, South Australia and Western Australia.Hepatitis A vaccination is recommended for: It is transmitted primarily by the faecal–oral route by ingesting contaminated food and water, or by direct contact with an infectious person. The illness is usually self-limiting and needs no treatment. Hepatitis A is an acute viral infection of the liver, which can cause mild to severe illness.
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