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Counseling
The hepatitis A vaccine is recommended for children greater
than 2 years of age in geographic areas where the average annual
incidence of hepatitis A was 20 cases per 100,000 population
or higher during 1987 1997.
Persons traveling or working in geographic areas with high or
intermediate risk of hepatitis A should be vaccinated. Even though
vaccinated persons are protected 4 weeks after receiving the
first dose they need to return for a second dose 6 to 12 months
later for long-term protection. The vaccination is not approved
for children less than 2 years of age. These children should
receive immune globulin (Ig) prior to travel to high-risk areas.
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