Kentucky, the health authorities, said more than 3,000 cases of hepatitis A were reported when the outbreak reached its second year. Half of the country's 3,122 reported cases from August 2017 to the first week of December 2018. At the outbreak 19 deaths have been reported.
Jefferson County, Kentucky's most populous district, has 642 most reported cases. Carter County has the highest accident rate per capita disease at 126. Previous vaccination efforts have targeted people at high risk for hepatitis A, including those who consume illegal drugs and homeless people.
Hepatitis A is transmitted through oral contact with feces. It attacks the liver and causes symptoms such as abdominal pain, nausea, diarrhea, fever and jaundice.