Clinical resources for hepatitis A vaccine

What providers need to know about hepatitis A prevention and vaccine clinical guidance.

Table of Contents


  • Vaccinate clients/patients at high risk of infection including persons experiencing homelessness, who use drugs, who have chronic liver disease, and men who have sex with men.
  • Test clients/patients with symptoms of hepatitis A: fever, tiredness, loss of appetite, stomach pain, nausea, diarrhea, jaundice, and clay or grey colored stools. Massachusetts law requires doctors to report cases of hepatitis A to the local board of health where the patient lives. 
  • Educate clients/patients about handwashing hygiene and provide handwashing facilities (including portable handwashing units) for clients and staff.
  • Clean high touch surfaces with a diluted bleach solution (1:100) or disinfectant labeled by the EPA as active against feline calicivirus, norovirus or hepatitis A virus, or as sporicidal.
  • Connect clients/patients to sterile injection and other drug consumption equipment provided by local harm reduction programs

Clinical guidance

Holding a vaccination clinic

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