Interventions for Hepatitis E

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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 E including risk factors Families and community education on proper hygiene measures Sensitize communities on consumption of clean, safe waterEducation families on proper human waste disposal -including for children. Community health workers education/sensitization on Hepatitis E including prevention measures	Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools - proper nutrition - Adequate rest - relieving fever through use of pain killers Supportive treatment including Referral to a health facility for further management if symptoms worsen
Primary Care
Create awareness to mothers and families on Hepatitis E including risk factors Families and community education on proper hygiene measuresSensitize communities on consumption of clean, safe waterEducation families on proper human waste disposal -including for children Health workers education/sensitization on Hepatitis E including prevention measures and management	Guidance/education on proper hygiene practices including: - Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Referral Facility: General
Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the pregnant mothers Guidance on good hygiene practices for mothers Guidance on use of clean and safe drinking water Awareness on good sanitation/including safe human waste disposal in communities Health workers education on Hepatitis E transmission, prevention and management	Guidance on; - Proper disposal of human faeces - Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products consumption of uncooked meat and meat products accounts for a small number of clinical cases) Monitoring and Proper record keeping/reporting especially in out breaks situation		N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including; - proper nutrition,Adequate rest Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) Relieving fever through use of pain killers Admission/hospitalization for symptomatic pregnant women. Physical and clinical examination,Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the pregnant mothers Guidance on good hygiene practices for mothersGuidance on use of clean and safe drinking waterAwareness on good sanitation /including safe human waste disposal in communities Health workers education on Hepatitis E transmission, prevention and management	Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: ** proper nutrition, Adequate rest relieving fever through use of pain killers* Admission/hospitalization for symptomatic pregnant women. Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.

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 education/sensitization on Hepatitis E including prevention measures	Monitoring and Proper record keeping/reporting especially in out breaks situation Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers/tepid sponging Referral to a health facility in case symptoms worsens
Primary Care
Create awareness to mothers and families/communities on Hepatitis A including risk factors Families and community education on proper hygiene measures Education families on proper human waste disposal -including for children Sensitize communities on use of clean,safe water Health workers education/sensitization on Hepatitis E including prevention measures and management	Guidance/education to parents/families on proper hygiene practices including: - Consumption of clean safe water - Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Referral Facility: General
Create awareness on Hepatitis E disease,the transmission mode and preventive measures to the parents Guidance on good hygiene practices for the childrenGuidance on use of clean and safe drinking water Awareness on good sanitation/including safe human waste disposal in communities. Health workers education on Hepatitis E transmission, prevention and management	Guidance/education on proper hygiene practices including; - Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination Supportive treatment including: proper nutrition, Adequate rest Admissions for children who may develop severe Hepatitis E (usually due to co-infection with Hep.A) Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Relieving fever through use of pain killers Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Create awareness on Hepatitis E disease,the transmission mode and preventive measures to the parents Guidance on good hygiene practices for the childrenGuidance on use of clean and safe drinking waterAwareness on good sanitation /including safe human waste disposal in communities. Health workers education on Hepatitis E transmission, prevention and management	Guidance /education on proper hygiene practices including: Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: ** proper nutrition, Adequate rest relieving fever through use of pain killers* Admissions for children who may develop severe Hepatitis E (usually due to co-infection with Hep.A) Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness on Hepatitis E disease the transmission mode and preventive measures Education on good hygiene practices Improve access to clean and safe drinking water - Water sources protection e g. protection of wells Strategies to address poverty especially for resource poor areasImprove access to good sanitation/including safe human waste disposal in communities including in congregate populations Improve access to health servicesStrategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Community health workers education/sensitization on Hepatitis E including prevention measures	Monitoring and Proper record keeping/reporting especially in out breaks situation Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools Relieving fever through use of pain killers/tepid sponging Supportive treatment including, - proper nutrition - Adequate rest Referral to a health facility in case symptoms worsens
Primary Care
Create awareness on Hepatitis E disease,the transmission mode and preventive measures Education on good hygiene practicesImprove access to clean and safe drinking water Water sources protection e.g protection of wells Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations Strategies to address poverty especially for resource poor areasImprove access to health services Strategies to reduce overcrowding such as in refugee camps where Health workers education/sensitization on Hepatitis E including prevention measures and management	Maintaining individual hygiene practices Guidance/education on proper hygiene practices including: - Proper disposal of human waste/feaces - Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Referral Facility: General
Guidance on Proper disposal of human faeces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products consumption of uncooked meat and meat products accounts for a small number of clinical cases) Monitoring and Proper record keeping/reporting especially in out breaks situation			N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Guidance onProper disposal of human faecesMaintaining individual hygiene practicesConsumption of clean safe waterConsumption of properly cooked meat and meat products consumption of uncooked meat and meat products accounts for a small number of clinical cases) Monitoring and Proper record keeping/reporting especially in out breaks situation			N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness on Hepatitis E disease, the transmission mode and preventive measures Education on good hygiene practices Improve access to clean and safe drinking water Strategies to address poverty especially for resource poor areas Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations Improve access to health services Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Community health workers education/sensitization on Hepatitis E including prevention measures	Monitoring and Proper record keeping/reporting especially in out breaks situation. Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow color of the skin and whiteness of the eyes, with dark urine and pale stools ( Hepatitis E—Most common in this age group) Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens (hepatitis E—Most common in this age group)
Primary Care
Create awareness on Hepatitis E disease,the transmission mode and preventive measures Education on good hygiene practices Improve access to clean and safe drinking waterImprove access to good sanitation/including safe human waste disposal in communities including in congregate populations Strategies to address poverty especially for resource poor areas through multi-sectoral approach Improve access to health servicesStrategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challengesIntersectoral collaboration to address social determinants of health e.g. Sanitation. Health workers education/sensitization on Hepatitis E including prevention measures and management	Guidance/education on - proper hygiene practices including - Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Consumption of clean safe water Monitoring and Proper record keeping/reporting especially in out breaks situation.		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Referral Facility: General
Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the adolescents. Guidance on good hygiene practices Guidance on use of clean and safe drinking water Awareness on good sanitation/including safe human waste disposal in communities. Health workers education on Hepatitis E transmission, prevention and management	Guidance/education on proper hygiene practices including: Proper disposal of human waste/feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Supportive treatment including: proper nutrition, * Adequate rest Relieving fever through use of pain killers Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the adolescents. Guidance on good hygiene practicesGuidance on use of clean and safe drinking waterAwareness on good sanitation/including safe human waste disposal in communities. Health workers education on Hepatitis E transmission, prevention and management	Guidance /education on proper hygiene practices including: Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness on Hepatitis E disease,the transmission mode and preventive measures Education on good hygiene practicesImprove access to clean and safe drinking waterStrategies to address poverty especially for resource poor areas Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations Improve access to health services Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Intersect oral collaboration to address social determinants of health e.g. Sanitation Community health workers education/sensitization on Hepatitis E including prevention measures	Maintaining quality standards for public water supplies Monitoring and Proper record keeping/reporting especially in out breaks situation. Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting, abdominal pain, itching (without skin lesions), yellow colour of the skin and whiteness of the eyes, with dark urine and pale stools Supportive treatment including - proper nutrition - Adequate rest - Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Primary Care
Create awareness on Hepatitis E disease,the transmission mode and preventive measure Education on good hygiene practices Improve access to clean and safe drinking waterStrategies to address poverty especially for resource poor areas Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations. Health workers education/sensitization on Hepatitis E including prevention measures and management Improve access to health servicesStrategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Intersectoral collaboration to address social determinants of health e.g. Sanitation Health workers education/sensitization on Hepatitis E including prevention measures and management	Guidance/education on proper hygiene practices including: Proper disposal of human waste/feaces Consumption of clean safe water Maintaining individual hygiene practices Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including;- proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens
Referral Facility: General
Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the adults Guidance on good hygiene practicesGuidance on use of clean and safe drinking water Awareness on good sanitation/including safe human waste disposal in communities Health workers education on Hepatitis E transmission, prevention and management	Guidance/education on proper hygiene practices including: Proper disposal of human waste/feaces Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Maintaining individual hygiene practices Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Awareness on good sanitation /including safe human waste disposal in communitiesGuidance on good hygiene practicesGuidance on use of clean and safe drinking water Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the adults Health workers education on Hepatitis E transmission, prevention and management	Guidance /education on proper hygiene practices including: Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness on Hepatitis E disease, the transmission mode and preventive measures Education on good hygiene practicesImprove access to clean and safe drinking water Strategies to address poverty especially for resource poor areas Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations Improve access to health services Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challengesIntersectoral collaboration to address social determinants of health e.g. Sanitation Community health workers education/sensitization on Hepatitis E including prevention measures	Maintaining quality standards for public water supplies Monitoring and Proper record keeping/reporting especially in out breaks situation. Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases		Recognition of features indicative of Hepatitis E including initial mild fever, reduced appetite nausea and vomiting,abdominal pain,itching (without skin lesions), yellow colour of the skin and whiteness of the eyes,with dark urine and pale stools Supportive treatment including; - proper nutrition - Adequate rest Relieving fever through use of pain killers/tepid sponging Referral to a health facility in case symptoms worsens
Primary Care
Create awareness on Hepatitis E disease, the transmission mode and preventive measures Education on good hygiene practices Improve access to clean and safe drinking water Improve access to good sanitation/including safe human waste disposal in communities including in congregate populations Improve access to health services Intersectoral collaboration to address social determinants of health e.g. Sanitation Strategies to reduce overcrowding such as in refugee camps where sanitation and safe water supply pose special challenges Health workers education /sensitization on Hepatitis E including prevention measures and management	Guidance/education; - Proper disposal of human waste/feaces - proper hygiene practices including: Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Physical and clinical examination,Diagnosis of Hepatitis E based on signs and symptoms including initial mild fever, reduced appetite nausea and vomiting,abdominal pain, itching (without skin lesions),jaundice,with dark urine and pale stools Supportive treatment including: - proper nutrition - Adequate rest Relieving fever through use of pain killers Referral to a health facility in case symptoms worsens.
Referral Facility: General
Awareness on good sanitation /including safe human waste disposal in communitiesGuidance on good hygiene practices Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the elderly Health workers education on Hepatitis E transmission, prevention and management	Guidance /education on proper hygiene practices including: Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.
Referral Facility: Specialist
Awareness on good sanitation /including safe human waste disposal in communitiesGuidance on good hygiene practices Create awareness on Hepatitis E disease, the transmission mode and preventive measures to the elderly Health workers education on Hepatitis E transmission, prevention and management	Guidance /education on proper hygiene practices including: Proper disposal of human waste /feaces Maintaining individual hygiene practices Consumption of clean safe water Consumption of properly cooked meat and meat products (consumption of uncooked meat and meat products accounts for a small number of clinical cases Monitoring and Proper record keeping/reporting especially in out breaks situation		Monitoring and management of any complications main one being fulminant hepatitis (acute liver failure) N/b There is no specific treatment capable of altering the course of acute hepatitis E.; usually self-limiting disease Supportive treatment including: proper nutrition, Adequate rest relieving fever through use of pain killers Physical and clinical examination Diagnosis based on Strong link in appropriate epidemiology settings, e.g. when several cases occur in localities in known disease-endemic areas, or in settings with risk of water contamination. Rule out hepatitis A Blood tests for detection of specific IgM antibodies to the virus for definitive diagnosis.