Return to Index
Hepatitis A in Childcare Settings
What Is Hepatitis A?
- Loss of appetite
- Nausea and vomiting
- Abdominal pain
- Dark urine
- Clay-colored bowel movements
- Joint pain
- Yellowing of skin and/or eyes
How Is Hepatitis A Spread?
How Is Hepatitis A Treated?
How Can I Keep My Child Free From Hepatitis A?
- Always wash your hands with soap and water after using the bathroom or changing a child’s diaper.
- If your child is potty-trained, teach handwashing practices, especially after using the bathroom.
- Talk to the staff at the daycare. Ask about their policies for hand washing, food preparation, and diaper changes.
- Carefully dispose of soiled diapers.
What If There is an Outbreak at My Child’s Daycare?
- If recommended by the doctor, have your child receive an injection of immune globulin. This must be given within two weeks of exposure. It can provide temporary immunity for your child.
- If your child is over one year of age and has not been vaccinated, talk to your child’s doctor about the hepatitis A vaccine. Since your child could expose you to infection even without showing signs of illness, consider immunization for yourself and other family members, as well.
- Do not transfer your child to another daycare. This could spread the disease to others.
American Academy of Pediatrics http://www.healthychildren.org
Hepatitis Foundation International http://www.hepfi.org
Canadian Paediatric Society http://www.cps.ca
Health Canada http://www.hc-sc.gc.ca
Hepatitis A. American Academy of Pediatrics Healthy Children website. Available at: http://www.healthychildren.org/English/health-issues/vaccine-preventable-diseases/Pages/Hepatitis-A.aspx. Updated May 11, 2013. Accessed October 30, 2013.
Hepatitis A in daycare. Utah Bureau of Epidemiology website. Available at: http://health.utah.gov/epi/fact%5Fsheets/hepadcc.html. Published August 2001. Accessed October 30, 2013.
Hepatitis A FAQs for the public. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hepatitis/A/aFAQ.htm. Updated May 13, 2013. Accessed October 30, 2013.
Klevens RM, Miller JT, Iqbal K, et al. The evolving epidemiology of hepatitis a in the United States: incidence and molecular epidemiology from population-based surveillance, 2005-2007. Arch Intern Med. 2010;170(20):1811-1818.
Van Herck K, Jacquet JM, Van Damme P. Antibody persistence and immune memory in healthy adults following vaccination with a two-dose inactivated hepatitis A vaccine: long-term follow-up at 15 years. J Med Virol. 2011;83(11):1885-1891.
Viral hepatitis: A through E and beyond. National Digestive Disease Information Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/viralhepatitis/. Updated April 23, 2012. Accessed October 30, 2013.
What you can do to stop disease in your child’s day care center. New York City Department of Health and Mental Hygiene website. Available at: http://www.nyc.gov/html/doh/html/living/childcare-what-you-can-do.shtml. Updated February 5, 2013. Accessed October 30, 2013.
- Reviewer: Michael Woods, MD
- Review Date: 10/2013
- Update Date: 11/19/2013