19 JUN 17
Hepatitis A is caused by the Hepatitis A virus (HAV). This highly contagious disease is spread through contaminated food and water including ice; breakdowns in sanitation due to natural disasters and floods; infected food handlers; ingestion of raw or undercooked shellfish harvested from sewage-contaminated waters; ingestion of uncooked and unpeeled fruits and vegetables. Adult travelers are urged to receive at least the first injection before departure and a follow-up booster at 6 months. Twinrix combines Hepatitis A and Hepatitis B into a 3 dose series.