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An outbreak of hepatitis A has been reported from the city of Ostrava; the third largest city in the country.
The outbreak began in July 2011, in a Romani community in the Privoz quarter of the city. A total of 35 cases have been recorded, most of which are Romani children. The outbreak is said to be contained, however the 50 day incubation period has not yet been reached since the last reported case.
During investigation into the source of the infection, a faulty sewage pipe running below the houses of the community was discovered and it is thought to be the cause of the outbreak.
An immunisation campaign against hepatitis A has been running since 17 October 2011; a total of 300 pupils and teachers have been immunised at one local school and one nursery. Pregnant women are also being targeted for immunisation as this region has the highest incidence rate of hepatitis A in the country.
Advice for Travellers
Hepatitis A vaccination is not usually recommended for the Czech Republic but is recommended selectively for travellers considered to be at highest risk (see country record). Vaccination is advised if visiting the outbreak area. A good standard of personal hygiene should be maintained and care taken with food and water.