Hepatitis A infection spread mostly in children by fecal-oral route , most of the patients can be asymptomatic, some of them may manifest with malaise, anorexia, fever, nausea, vomiting and eventually, jaundice.
The treatment is supportive there is no specific treatment for hepatitis A.
Infected children when they are in pain or having fever, do not give them acetaminophen or paracetamol.
Prevention of hepatis a is very important than treatment, parents should schedule immunization for there children at one year of age for the first dose, the second dose is 6 months apart usually at 18 months of age.
For international travelers: children travel to high risk areas, if the child olden than 1 year recommended to give hepatitis A vaccine 4 weeks before travelling for best immunization, immunity active within 1 week after vaccination.
If the child less than one year, they cannot receive hepatitis A vaccination, but they can receive immunoglobulin(IG) in case of international traveling to high risk area, or in case of household contacts or in case if the child immunocompromised. IG is not indicated for short exposure e.g. school, hospital or working .
IG protection will last only for 3 months ,if are planning to stay longer than 3 months in an area where hepatitis A is a problem recommended to receive a higher dose of IG which will last for 3-5 months.
Hepatitis A vaccine protect the child for 20 years.
Watch what you are drinking and eating especially for those who travel to endemic areas, frequent hand washing is highly recommended.