FRANKFORT, Ky. (WSAZ) – UPDATE 4/21/18 @ 21:45
As the number of reports of hepatitis A in Kentucky continues to rise, a neighboring state is forcing residents to feel vaccinated when they use the bluegrass Want to visit the state.
The Indiana Department of Health Issues a Statement Inviting Residents Get the vaccine if they have immediate plans to visit Kentucky or Michigan, another condition that sees a hepatitis A outbreak.
Now with Indiana health officials making their recommendation and the Kentucky derby just two weeks away, officials with the Kentucky Department of Public Health are easing tempers, claiming that it's safe to travel to Kentucky.
"Some misleading information has raised concerns about travel to Kentucky and even Derby," said the acting commissioner of the public health department. Jeffrey Howard. "Let me say it's safe to travel to Kentucky, and it's safe to visit the Kentucky Derby."
In a video of the department, Howard says the state has worked closely with the CDC during the outbreak and there. Currently, there are no restrictions or recommendations for Out of Towner and Kentucky.
"The CDC, the country's premier expert committee on disease outbreaks, has not imposed travel restrictions or recommended that people vaccinate before traveling to a state with an active outbreak of hepatitis."
No signs For officials to level and drop numbers, state officials say they will continue working to get vaccinations in areas that see the most cases, including Boyd, Greenup, and Carter Counties. 1
UPDATE 04/20/18 @ 10 pm  According to health authorities, three people are deadlocked from hepatitis A in Kentucky.
Here's a countrywide outbreak of hepatitis A cases in our region: Greenup has 16, Carter has 6, and Boyd has 31.
These three districts are under six in Kentucky, where the State Department recommends for public health vaccines all residents
In West Virginia, there are now 31 confirmed cases of hepatitis A in Kanawha and Putnam counties, according to health authorities there.
The increase in cases has a lot of confusion to get the vaccine.
Several pharmacies in East Kentucky were eliminated from the vaccine on Friday due to high demand.
On Friday, CVS announced that they had the vaccine in all of Kentucky's 79 stores, including 9 at the target locations. It is also available in CVS stores across the Kentucky border in places like Kenova and Ironton.
Stultz Pharmacy in Flatwoods ran out of vaccine earlier this week. They received a delivery of 300 shots on Friday morning and said by the afternoon that they had already gone through half.
Griffith & Feil in Kenova told WSAZ Friday afternoon that they had a little more than 20 vaccinations with Heptatis A vaccines available. They said they saw a lot of marathon workers from Catlettsburg who wanted to get the vaccine.
According to a press release from the State Department for Public Health, three deaths are attributed to the hepatitis A outbreak in Kentucky.
These statistics show 352 cases and 246 hospital stays by 14 April. The statistics show no county breakdown by the place where the deaths occurred.
Here's a country break of actual cases of hepatitis A in our region:
Boyd: 31  Boyd, Carter and Greenup are among six Kentucky counties, in The State Department of Public Health recommends vaccinations for all residents
Hepatitis A spreads mainly from stool to mouth and is often associated with improper hand washing and intravenous drug use. It has affected some residents in eastern Kentucky, including in the Ashland area of Boyd County, where some restaurants are affected.