Interventions for Hepatitis A

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to mothers and families on Hepatitis A including risk factors Families and community education on proper hygiene measuresSensitize communities on use of clean, safe waterEducation families on proper human waste disposal -including for children Community health workers training/sensitization on Hepatitis A including prevention measure	Observation of personal hygiene practices such as; Regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Supportive Home remedie ; Plenty of rest Plenty of fluids/hydration Referral to a health facility if symptoms worsen
Primary Care
Create awareness to mothers on Hepatitis A including risk factors Mothers education on proper hygiene measures Sensitize mothers and families on use of clean, safe water Education families on proper human waste disposal -including for children Health workers training/sensitization on Hepatitis A ,including prevention measures and management	Advice on Observation of personal hygiene practices such as regular hand-washing before meals and after going to the bathroom Advice on proper disposal of human waste within communities Advice mothers on Proper food hygiene including - proper cooking/heatingAdvice mothers on Use clean safe water for drinking Advice mothers on Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Advice mothers on Proper cleaning of Contaminated surfaces/with disinfectant		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Advice on home remedies ; Plenty of rest Plenty of fluids/hydration Monitor for any worsening of the condition/any complications Referral to a hospital
Referral Facility: General
Advice to mothers on Hepatitis A including risk factors Mothers education on proper hygiene measures Sensitize mothers and families on use of clean, safe water Advice mothers on proper human waste disposal -including for children Health workers training/sensitization on Hepatitis A , including prevention measures and management	Observation of personal hygiene practices such as; regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including - proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Physical and clinical examinationRelieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Investigations Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failures
Referral Facility: Specialist
Advice to mothers on Hepatitis A including risk factors Mothers education on proper hygiene measures Sensitize mothers and families on use of clean, safe water Advice mothers proper human waste disposal -including for children Health workers training/sensitization on Hepatitis A , including prevention measures and management	Observation of personal hygiene practices such as regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including proper cooking / heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces /with disinfectant		Physical and clinical examinationRelieve any symptom -fever; dehydration i.e.(no specific medicines except to relive symptoms ) Relieve any symptom -fever; dehydration i.e.(no specific medicines except to relive symptoms ) Investigations Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness to mothers and families/communities on Hepatitis A including risk factors Families and community education on proper hygiene measuresSensitize communities on use of clean, safe waterEducation families on proper human waste disposal -including for children Community health workers training/sensitization on Hepatitis A including prevention measure	Reduce chances of infections and transmission to others through advice and sensitization on Observation of personal hygiene practices such as; Regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Recognition of features of Hepatitis A in children under 5 years of age including yellowing of the skin and whites of the eyes N/B Most children under 6 don’t usually experience noticeable symptoms, and only 10% develop jaundice. Supportive Home remedies; Plenty of rest Plenty of fluids/hydration Breastfeeding for the infants Referral to a health facility if symptoms worsen
Primary Care
Create awareness to mothers and families/communities on Hepatitis A including risk factors Families and community education on proper hygiene measures Sensitize communities on use of clean, safe waterEducation to families on proper human waste disposal -including for children Health workers training/sensitization on Hepatitis A ,including prevention measures and management	Education/sensitization to families on Strict personal and hand hygiene Hepatitis A Vaccine for children older than 1 year especially children who live in communities where the number of HAV infections is unusually high or where there are periodic outbreaks of hepatitis A.		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes. Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Advice on home remedies; Plenty of rest Plenty of fluids/hydration Monitor for any worsening of the condition/any complications Referral to a hospital if symptoms worsen
Referral Facility: General
Create awareness to mothers and families/communities on Hepatitis A including risk factors Families and community education on proper hygiene measures. Including for children Sensitize communities on use of clean, safe water Education to families on proper human waste disposal -including for children Health workers training/sensitization on Hepatitis A , including prevention measures and management	Education/sensitization to families on Strict personal and hand hygiene Hepatitis A Vaccine for children older than 1 year especially children who live in communities where the number of HAV infections is unusually high or where there are periodic outbreaks of hepatitis A.		History taking & Clinical examination Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Investigations :- Blood test - To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood * Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA - Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)
Referral Facility: Specialist
Create awareness to mothers and families /communities on Hepatitis A including risk factors Families and community education on proper hygiene measures. Including for children Sensitize communities on use of clean, safe waterEducation to families on proper human waste disposal -including for children Health workers training /sensitization on Hepatitis A , including prevention measures and management	Education/sensitization to families on Strict personal and hand hygiene Hepatitis A Vaccine for children older than 1 year especially children who live in communities where the number of HAV infections is unusually high or where there are periodic outbreaks of hepatitis A.		Relieve any symptom -fever; dehydration i.e.(no specific medicines except to relive symptoms ) Investigations - Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness through schools and communities on Hepatitis A including risk factors;- Individuals education on the need for strict enteric precautions especially for individuals with HAV Schools and community education on proper hygiene measures; Advice on Improved sanitation. Sensitize through schools and families on use of clean, safe water Community health workers training/sensitization on Hepatitis A including prevention measure Sensitization of teachers and school communities on Hepatitis A and prevention measures	School health programs Reduce chances of infections and transmission to others through advice and sensitization on;- Proper hand hygiene Proper food hygiene including; proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant .		Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Supportive Home remedies; Plenty of rest Plenty of fluids/hydration Referral to a health facility if symptoms worsen
Primary Care
Create awareness through schools and communities on Hepatitis A including risk factors Schools and community education on proper hygiene measuresAdvice on Improved sanitationSensitize through schools and families on use of clean, safe water Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers education/sensitization on Hepatitis A , including prevention measures and management Sensitization of teachers and school communities.	School health programs Reduce chances of infections and transmission to others through advice and sensitization. Proper hand hygiene Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infection Proper cleaning of Contaminated surfaces/with disinfectant		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Advice on home remedies; Plenty of rest Plenty of fluids/hydration Relieve any symptom -fever, dehydration i.e. (no specific medicines except to relive symptoms) Monitor for any worsening of the condition/any complications Referral to a hospital if symptoms worsen
Referral Facility: General
Create awareness through schools and communities on Hepatitis A including risk factors Schools and community education on proper hygiene measures Advice on Improved sanitation Individuals education on the need for strict enteric precautions especially for individuals with HAV Sensitize through schools and families on use of clean, safe water Sensitization of teachers and school communities Health workers training/sensitization on Hepatitis A , including prevention measures and management	Reduce chances of infections and transmission to others through advice and sensitization. Proper hand hygiene Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant.		Physical and Clinical examination Relieve any symptom -fever, dehydration i.e. (no specific medicines except to relive symptoms) Investigations;- Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)
Referral Facility: Specialist
Create awareness through schools and communities on Hepatitis A including risk factors Sensitization of teachers and school communities Schools and community education on proper hygiene measuresAdvice on Improved sanitation Sensitize through schools and families on use of clean, safe water Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers training /sensitization on Hepatitis A , including prevention measures and management	Reduce chances of infections and transmission to others through advice and sensitization. Proper hand hygiene Proper food hygiene including proper cooking / heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces /with disinfectant.		Physical and Clinical examination Investigations - Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create community awareness on Hepatitis A including risk factors: Individuals and families education on the need for strict enteric precautions especially for individuals with HAV Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals, families and community education on proper hygiene measures Advice on Improved sanitation Sensitize communities on use of clean, safe water Community health workers education/sensitization on Hepatitis A including prevention measure	Reduce chances of infections and transmission to others through Observation of personal hygiene practices such as; Regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Referral to a health facility if symptoms worsen Supportive Home remedies; Plenty of rest Plenty of fluids/hydration Advise on avoidance of alcohol as these can worsen the effects of HAV on the liver Referral to a health facility if symptoms worsen
Primary Care
Create community awareness on Hepatitis A including risk factors Create awareness on the benefits of immunization, particularly in high-risk individuals Sensitize communities on use of clean, safe water Individuals education on the need for strict enteric precautions especially for individuals with HAD Individuals, families and community education on proper hygiene measuresAdvice on Improved sanitation Health workers training/sensitization on Hepatitis A , including prevention measures and management	Advice on on the following to Reduce chances of infections and transmission to others Proper hand hygiene Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant Hepatitis A Vaccine before exposure to targeted at risk groups;- Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Advice on home remedies; Plenty of rest Plenty of fluids/hydration Monitor for any worsening of the condition/any complications Referral to a hospital if symptoms worsen
Referral Facility: General
Create awareness on Hepatitis A including risk factors among the adolescents Provide Education on proper hygiene measures Advice on Improved sanitation Sensitize communities on use of clean, safe water Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers training/sensitization on Hepatitis A , including prevention measures and management	Advice on personal hygiene, hand hygiene and proper food cooking Hepatitis A Vaccine before exposure to targeted at risk grow ; Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors.		Physical and Clinical examination Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Investigations Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)
Referral Facility: Specialist
Create awareness on Hepatitis A including risk factors among the adolescents Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Provide Education on proper hygiene measuresAdvice on Improved sanitationSensitize communities on use of clean, safe water Health workers training/sensitization on Hepatitis A , including prevention measures and management	Advice on personal hygiene; hand hygiene; proper food cooking Hepatitis A Vaccine before exposure to targeted at risk grow Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors.		Physical and Clinical examination Relieve any symptom -fever; dehydration i.e.(no specific medicines except to relive symptoms ) Investigations - Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals and families education on the need for strict enteric precautions especially for individuals with HAV Individuals, families and community education on proper hygiene measuresAdvice on Improved sanitation Sensitize communities on use of clean, safe water Community health workers training/sensitization on Hepatitis A including prevention measure	Reduce chances of infections and transmission to others through Observation of personal hygiene practices such as, Regular hand-washing before meals and after going to the bathroom Proper disposal of human waste within communities Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Recognition of possible features of Hepatitis A including fever, malaise,loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Referral to a health facility if symptoms worsen Supportive Home remedies; Plenty of rest Plenty of fluids/hydration Advice on avoidance of alcohol as these can worsen the effects of HAV on the liver
Primary Care
Create community awareness on Hepatitis A including risk factors Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Sensitize communities on use of clean, safe water,Individuals, families and community education on proper hygiene measures Advice on Improved sanitation Health workers education/sensitization on Hepatitis A , including prevention measures and management	Advice on the following to Reduce chances of infections and transmission to others;- Proper hand hygiene Proper food hygiene including proper cooking / heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces /with disinfectant Hepatitis A Vaccine before exposure to targeted at risk groups; Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Advice on home remedies; Plenty of rest Plenty of fluids/hydration Monitor for any complications Referal to a hospital
Referral Facility: General
Create awareness on Hepatitis A including risk factors Provide Education on proper hygiene measuresAdvice on Improved sanitationSensitize communities on use of clean, safe water. Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers training /sensitization on Hepatitis A , including prevention measures and management	Advice on personal hygiene, hand hygiene and proper food cooking Hepatitis A Vaccine before exposure to targeted at risk groups ; Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relive symptoms) Investigations Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)
Referral Facility: Specialist
Create awareness on Hepatitis A including risk factors Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Provide Education on proper hygiene measuresAdvice on Improved sanitationSensitize communities on use of clean, safe water. Health workers training /sensitization on Hepatitis A , including prevention measures and management	Advice on personal hygiene; hand hygiene; proper food cooking Hepatitis A Vaccine before exposure to targeted at risk groups Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination Relieve any symptom -fever; dehydration i.e.(no specific medicines except to relive symptoms ) Investigations - Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create community awareness on Hepatitis A including risk factors; Individuals and families education on the need for strict enteric precautions especially for individuals with HAV Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals, families and community education on proper hygiene measuresAdvice on Improved sanitation Sensitize communities on use of clean, safe water Community health workers education/sensitization on Hepatitis A including prevention measure	Reduce chances of infections and transmission to others through Observation of personal hygiene practices such as, - Regular hand-washing before meals and after going to the bathroom - Proper disposal of human waste within communities Proper food hygiene including proper cooking/heating - Use clean safe water for drinking Strict personal hygiene and hand washing to prevent faecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces/with disinfectant		Recognition of possible features of Hepatitis A including fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes. Supportive Home remedies; Plenty of rest Plenty of fluids/hydration Advice on avoidance of alcohol as these can worsen the effects of HAV on the liver Referral to a health facility if symptoms worsen
Primary Care
Create community awareness on Hepatitis A including risk factors Individuals, families and community education on proper hygiene measures Advice on Improved sanitation Sensitize communities on use of clean, safe water. Create awareness on the benefits of immunization, particularly in high-risk individuals Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers training/sensitization on Hepatitis A , including prevention measures and management	Advice on the following to Reduce chances of infections and transmission to others through; Proper hand hygiene Proper food hygiene including proper cooking/ heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected Proper cleaning of Contaminated surfaces /with disinfectant Hepatitis A Vaccine before exposure to targeted at risk groups; Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination,Diagnosis of Hepatitis A based on signs and symptoms fever, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine and yellowing of the skin and whites of the eyes Relieve any symptom -fever; dehydration i.e. (no specific medicines except to relive symptoms) Advice on home remedies; Plenty of rest Plenty of fluids/hydration Monitor for any worsening of the condition/any complications Referral to a hospital
Referral Facility: General
Create awareness on Hepatitis A including risk factors Provide Education on proper hygiene measuresAdvice on Improved sanitationSensitize communities on use of clean, safe water. Create awareness on the benefits of immunization, particularly in high-risk individual. Individuals education on the need for strict enteric precautions especially for individuals with HAV Health workers training/sensitization on Hepatitis A , including prevention measures and management	Reduce chances of infections and transmission to others through; Proper hand hygiene Proper food hygiene including proper cooking/heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected. Hepatitis A Vaccine before exposure to targeted at risk groups ; Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination Relieve any symptom -fever, dehydration i.e.(no specific medicines except to relieve symptoms Investigations ;- Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood * Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)
Referral Facility: Specialist
Create awareness on Hepatitis A including risk factors Create awareness on the benefits of immunization, particularly in high-risk individual. Individuals education on the need for strict enteric precautions especially for individuals with HAV Provide Education on proper hygiene measures Advice on Improved sanitationSensitize communities on use of clean, safe water. Health workers training /sensitization on Hepatitis A , including prevention measures and management	Reduce chances of infections and transmission to others through; Proper hand hygiene Proper food hygiene including proper cooking / heating Use clean safe water for drinking Strict personal hygiene and hand washing to prevent fecal -oral transmission to others for those already infected. Hepatitis A Vaccine before exposure to targeted at risk groups Men who have sex with men People who use illegal drugs People with impaired immune systems or chronic liver disease People with blood-clotting disorders who receive clotting factors		Physical and Clinical examination Relieve any symptom -fever; dehydration i.e.(no specific medicines except to relieve symptoms Investigations - Blood test -To detect HAV-specific immunoglobulin G (IgM) antibodies in the blood - Reverse transcriptase polymerase chain reaction (RT-PCR) to detect the hepatitis A virus RNA Liver function tests Test also for hepatitis B and C Monitor and management of complications the main one being fulminant hepatitis (acute liver failure)