Cases of hepatitis A—some of them fatal—continue to spread across the country, confounding local and federal health officials. Fourteen states (Arizona, California, Hawaii, Idaho, Indiana, Kentucky, Maryland, Michigan, New York, Rhode Island, Utah, Washington, West Virginia, and Wisconsin) are the latest to report higher-than-average hep A activity. At least 1,200 cases have been reported nationwide since March 2017, when the Centers for Disease Control and Prevention declared the outbreak; 40 of those patients died as …
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