Are persons with developmental disabilities at risk of HAV infection?
Historically, HAV infection was highly endemic in institutions for persons with developmental disabilities. As fewer children have been institutionalized and as conditions in institutions have improved, the incidence and prevalence of HAV infection have decreased, although outbreaks can occur in these settings. Children with developmental disabilities should receive hepatitis A vaccine according to U.S. routine vaccine recommendations. Employees in these institutional settings are not recommended to receive routine hepatitis A vaccination; however, employees and residents in these settings should receive hepatitis B vaccination routinely.
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