People recommended to receive pre-exposure vaccination

People who are at a high risk of exposure to the virus or of complications should be offered vaccination (1)

• people aged 1 year or over, traveling to or going to reside in countries of moderate or high endemicity
  • vaccination is not considered necessary for people who travel to Northern or Western Europe (including Spain, Portugal and Italy), or North America, Australia or New Zealand
  • country-by-country recommendations for hepatitis A vaccine can be found in Health information for overseas travel (www.nathnac.org)
• patients with chronic liver diseases including people with chronic hepatitis B & C infection
• patients with haemophilia
• men who have sex with men
• injecting drug users
• individuals at occupational risks
  • laboratory workers
  • staff of some large residential institution
  • sewage workers
  • people who handle primates
• under certain circumstances in
  • food packagers and handlers
  • staff in day care facilities
  • healthcare workers - most healthcare workers are not at increased risk of hepatitis A and routine immunisation is not indicated (1)

Reference:

• 1. Department of Health (DH) 2019. Immunisation against infectious disease - "The Green Book". Chapter 17 - hepatitis A