Why isn hepatitis A vaccine recommended for sewage and solid waste disposal workers?
Existing data do not support the use of hepatitis A vaccine routinely in this setting. In published reports of three serologic surveys conducted among United States wastewater workers and appropriate comparison populations, no substantial or consistent increase in the prevalence of anti-HAV was identified among wastewater workers. No work-related instances of HAV transmission have been reported among wastewater workers in the United States.