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In rare cases, hepatitis A can cause liver failure and death; this is more common in people older than 50 and in people with other liver diseases. To treat the symptoms of hepatitis A, doctors usually recommend rest, adequate nutrition, and fluids. Experts say that the first dose of hepatitis A vaccine can be given any time before departure. When symptoms are present, young children typically do not have jaundice but most older children and adults with hepatitis A have jaundice. You should get the first dose of hepatitis A vaccine as soon as you plan international travel to a country where hepatitis A is common. Also, the vaccine is not licensed for use in infants under age 1 year. If symptoms occur, they usually start appearing 4 weeks after exposure, but can occur as early as 2 and as late as 7 weeks after exposure. Although rare, hepatitis A can cause death in some people.

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