Hepatitis A Rx for Prevention article with CME

View the Rx for Prevention Article:

Clinical Recognition and Management of Hepatitis A in the Context of an Ongoing Outbreak in LA County

This enduring material has been approved for 1 AMA PRA Category 1 Credit™.

Original release date: November 9, 2017.  Revised on June 13, 2018.  Termination date: November 8, 2020.

Continuing Medical Education Credit(s)

Physicians – to obtain a CME Certificate, read the article and click here.

Other Health Care Providers – to obtain a Certificate of Attendance, read the article and click here.

Article Summary

LA County is currently experiencing an outbreak of hepatitis A among homeless persons and illicit drug users as well as an increase in cases among men who have sex with men. This article will review actions clinicians can take to improve the recognition, reporting, and management of hepatitis A.

Target Audience

The target audience is all primary care health care providers in Los Angeles County.  

Learning Objectives

At the conclusion of the article, participants will be able to:

  1. Discuss the clinical presentation and natural history of hepatitis A.
  2. Interpret serological test results for hepatitis A.
  3. List what populations require immediate reporting to the Health Department if hepatitis A is suspected.
  4. List hepatitis A outbreak vaccine priority groups.
  5. Discuss possible modifications to vaccination protocols if vaccine supply is constrained.
  6. Discuss the challenges of and strategies to prevention and control of hepatitis A infections among persons who are homeless and/or IDUs.


Prabhu Gounder, MD  - Director

Benjamin Schwartz, MD  - Deputy Director

Sharon Balter, MD  - Director

Los Angeles County Department of Public Health, Acute Communicable Disease Control Program

Accreditation Statement
California Medical Association accredited CME provider logo The Los Angeles County Department of Public Health is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

The Los Angeles County Department of Public Health designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other learners may receive a Certificate of attendance. According to the California Board of Registered Nursing, Continuing Medical Education is acceptable for meeting RN continuing education requirements, as long as the course is Category 1, and has been taken within the appropriate time frames.


No relevant financial relationships were disclosed by the authors or the planners.

This activity is offered by an accredited CMA-CME provider and is not commercially supported.

Contact Information

For further information, please visit the DPH Acute Communicable Disease Control Program hepatitis A webpage.

If you have questions, please contact the Acute Communicable Disease Control Program at acdc2@ph.lacounty.gov or 213-240-7941.

For further information about DPH CME please email: dphcme@ph.lacounty.gov