Immunization against the hepatitis A virus (HAV) is recommended for anyone Travelling to any country or area except:footnote 1
The United States.
Western Europe and the Scandinavian countries (Norway, Sweden, and Finland).
Talk to your doctor before visiting any other areas.
If you plan to travel to a part of the world where sanitation is poor or where hepatitis A is a known problem, see your doctor about receiving the hepatitis A vaccine, or the combination hepatitis A and B vaccine. (Risk of hepatitis B increases if you go to a high-risk country frequently or stay for a long time.)
When travelling in an area where hepatitis A is a known problem or where water quality is questionable:
Boil water before you drink it. Bring the water to a rolling boil for 1 minute. If you are at an elevation of 2000 m (6562 ft) or higher, boil the water for 3 minutes. Do not drink tap water or well water or beverages containing ice cubes.
Do not brush your teeth with tap water or well water.
Make sure all foods are cooked well, especially shellfish.
Eat only raw fruits and vegetables that you have washed in uncontaminated water and peeled yourself.
Don't swim in water that has not been treated with chlorine.
Medical Review:E. Gregory Thompson MD - Internal Medicine & Brian D. O'Brien MD - Internal Medicine & Adam Husney MD - Family Medicine & W. Thomas London MD - Hepatology
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