The spread of hepatitis A is mainly by the faecal-oral route but also by person-to-person contact (although food and drink contamination may be involved). The infection can be silent, especially in children, and the hepatitis can be with or without jaundice. Fulminant hepatitis occurs in less than 0.4% of people and usually manifests during the first four weeks of illness.1
This is a companion discussion topic for the original article at https://patient.info/doctor/hepatitis-a-vaccination