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...Invited article food safety david acheson section editor hepatitis a transmitted by anthony e fiore division of viral centers for disease control and prevention atlanta is caused virus hav transmission occurs the fecal oral route either direct contact with an infected person or ingestion contaminated water foodborne waterborne outbreaks are relatively uncommon in united states however handlers frequently identied evaluation need immunoprophylaxis implementation measures considerable burden on public health resources addition may be source unknown proportion persons whose infection not features jaundiced children occasionally classied as picornavirus primates young adults can also have inapparent which only natural host there serotype symptoms elevation alt levels absent but serocon immunity after lifelong version uptake gastrointestinal tract subsequent replication begins such fever anorexia liver excreted bile high concentrations nausea vomiting diarrhea myalgia malaise jaundice found...