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The outbreak of hepatitis A in Estonia that began in August 2011, is ongoing. Between 4 August and 3 October 2011, a total of 71 confirmed cases of hepatitis A were notified in Estonia, most cases (51) were recorded in September. Of those, 66 cases were linked to Viljandi county, 54 were reported from Viljandi county, eight from Tallinn, and one from Tartu, Pärnu, Harju and Rapla counties, respectively. The 12 cases who were not from Viljandi county had either visited Viljandi county or had been in contact with a Viljandi city resident.
(Via Eurosurveillance Edition 2011: Volume 16/ Issue 42 - accessed 25/10/11)
Advice for Travellers
Hepatitis A vaccine is recommended selectively for travellers to Estonia. Those visiting affected areas should be immunised. A good standard of food, water and personal hygiene is also recommeded.
