Viral Hepatitis
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Hepatitis A

The incubation period is 2-6 weeks. Children have relatively mild attack. Patients are significantly more infectious before malaise and jaundice set in. One attack of hepatitis A provides life long immunity and no hepatitis A vaccination is required. There is no long term sequelae with Hepatitis A, but as an adult life can be miserable during the course of the disease.

 
Hepatitis E

This form of hepatitis in Nepal is transmitted in a fecal-oral manner just like hepatitis A. No vaccination is available for this illness although trials are in progress in Nepal. This is uncommon in travellers, unless the traveller has totally "gone native" e.g. regularly drinking tap water.

 
Hepatitis B

Transmitted by blood or body fluids, not fecal-oral transmission

 

 

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