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Czech Republic - Hepatitis A outbreak 2025

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  • Czech Republic - Hepatitis A outbreak 2025

    Translation Google

    A mysterious hepatitis A epidemic hits the Czech Republic, and Prague in particular.

    10/15/2025

    One of the most significant hepatitis A epidemics in the last 35 years is currently raging in the Czech Republic, particularly in Prague, where more than 800 cases have already been recorded and ten people have died since the beginning of the year.

    According to data from the National Institute of Health (SZÚ), the current epidemic of viral hepatitis A is the second most serious since 1989. The number of cases recorded in 1996 (2,083 for the whole year) was even higher than that recorded this year: between the beginning of January and October 5, 1,842 cases were reported to the health authorities across the country, which is also about five times more than in 2024 during the first nine months of the year.

    Although the Czech Republic, like other industrialized countries, is a region of low endemicity, it is in Prague where the circulation of this acute infectious liver disease, which is also the most widespread viral hepatitis in the world, is greatest, as the mayor of the capital, Bohuslav Svoboda, explained at the end of September:

    "This is a local epidemic. Since the beginning of the year, nearly 700 cases have been reported. During the last week (of September), 75 people contracted the disease. By comparison, in 2024, only 47 cases were recorded for the entire year. The situation could stabilize if the vaccination rate increases and if preventive measures are strictly observed, namely regular handwashing with warm water and soap while using a disinfectant."

    Since this warning, the numbers have continued to rise. On Tuesday, October 14, the city's hygiene department reported on the social network X that ten people had died in Prague since the beginning of the year after contracting hepatitis A.

    A total of 826 cases have been reported in the capital (only six of them as recently as January, compared to 207 in September), including nearly 150 among children. Last year, two people died from this infectious disease, also sometimes called "dirty hands disease," across the Czech Republic, compared to twenty-one already this year, including nineteen men.

    Nearly half of these victims were aged 50 to 69. Among the various health complications already suffered by these deceased people, the SZÚ cites acute liver failure, chronic kidney disease, another type of chronic jaundice, inflammation of the pancreas, and liver cirrhosis. In several cases, they were also homeless and suffering from alcoholism.

    However, Petr Husa, head of the infectious diseases department at the University Hospital in Brno, the capital of Moravia, told Czech Radio on Tuesday that there was no need to be overly concerned about the outbreak:

    “The current situation is nothing extraordinary. From time to time, we face local outbreaks of hepatitis A. In Brno, for example, and throughout the region, we experienced an outbreak between 2016 and 2017 that required the hospitalization of more than 500 people. Our population is very vulnerable to this type of hepatitis. Almost no one has been infected, so no one has antibodies, and the vaccination rate against hepatitis A is low. This means that if a serious epidemiological focus develops, which is currently happening mainly among people with lower levels of hygiene, the infection can then spread to the majority population.”

    In any case, while the Prague 1 district town hall has announced that it wants to vaccinate teachers, administrative employees and social workers against hepatitis A and B free of charge, since the end of September, the Prague public transport company, which serves some three million passengers daily, has stepped up cleaning of its vehicles and its busiest metro stations.

    While the complete cleaning of, say, a tram - inside and out - requires about two hours of work for a team of three, as a Czech Radio report explained this Wednesday morning, the operation has now become very regular, with methods identical to those used during the Covid-19 pandemic. So if you're passing through Prague, don't be afraid to use public transport...

    Author:
    Guillaume Narguet​


    ------------------------------------------------------------

    Hepatitis A: 61 new cases in Prague in one week

    10/21/2025

    Over the past week, doctors reported 61 new cases of hepatitis A in Prague, the highest number reported in the past three years, according to the National Institute of Health. Since the beginning of the year, 887 cases have been recorded, including 157 children, according to the Czech capital's health department.

    The Ministry of Health acknowledged that due to a significant increase in interest in vaccination, there may be a local and temporary shortage of vaccines, particularly for children. According to the spokesperson, exceptional deliveries have already been made and more are expected.

    Author:
    Anna Kubišta​




    ​​

  • #2
    Translation Google

    The hepatitis A epidemic in Prague is not abating, there are 25 times more patients than last year

    October 27, 2025 3:22 PM

    There are twenty-five times more people with hepatitis A in the capital than last year for the whole year. This is the result of a comparison of information from the State Institute of Public Health and data currently published by the Hygiene Station of the Capital City of Prague. Doctors in the metropolis have already detected 939 infected people since the beginning of this year, 166 of them children.

    Eleven people in Prague have succumbed to hepatitis A. Every week, dozens of new infected people are added to the capital.

    According to hygienists, the course of the disease is serious. "With the growing number of cases of hepatitis A, we are increasingly encountering very serious complications in patients, especially in people with chronic liver disease, immune disorders or elderly patients," said Hynek Bartoš, head of the Department of Infectious Diseases at the Bulovka University Hospital and the 1st, 2nd and 3rd Faculty of Medicine at Charles University. Prague cases account for roughly 40 percent of the national number of patients.

    Symptoms of hepatitis A initially resemble the flu, with fever, loss of appetite, nausea, pain under the right rib cage, and abdominal pain. Later, the disease manifests itself with yellowing of the skin and whites of the eyes typical of liver inflammation, as well as dark urine, light-colored stools, and itching of the skin.

    Even in the case of a relatively mild course of the disease, the patient will spend at least a week in the hospital's infectious disease ward, weeks on sick leave, and months without sports or any major physical exertion, according to Bartoš. The disease often spreads in socially excluded localities or among the homeless and drug addicts.

    "We continue to work intensively and appeal to the public to practice hand hygiene and consider vaccination," the hygienists said. Due to the recent high interest in vaccination, in some places there are not enough vaccines for all interested parties. According to an earlier statement by the State Institute for Drug Control, deliveries of extraordinary doses of the vaccine are expected.

    People can ask their GP or visit vaccination centres for vaccination. Two doses of the hepatitis A vaccine are required. However, it is not covered by public health insurance and costs 1,700 crowns per dose. Most insurance companies contribute around a hundred crowns.

    According to hygienists, people should pay attention to increased hygiene, with emphasis on washing and disinfecting hands after using the toilet and before eating.

    Nemocných žloutenkou typu A je v hlavním městě pětadvacetkrát víc než loni za celý rok. Vyplývá to ze srovnání informací Státního zdravotního ústavu a údaje, který aktuálně zveřejnila Hygienická stanice Hlavního města Prahy. V metropoli lékaři zachytili od začátku letošního roku už 939 nakažených, z toho 166 dětí. Jedenáct lidí v Praze žloutence A podlehlo. Každý týden přibývají v hlavním městě desítky dalších nakažených.

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    • #3
      Translation Google

      An epidemic is looming. 28 people have already died from hepatitis A. Last year, two people died

      Health
      4. 11. 2025 12:22

      28 people have died of hepatitis A in the Czech Republic this year, seven of them since the beginning of October. The State Health Institute (SZÚ) announced this on Tuesday. Last year, there were two deaths in the entire year. The number of patients is roughly four times higher than last year, reaching 2,375 by November 2.

      Among the deceased are 25 men and three women. "Most of the deaths occurred in people with risky behavior and other chronic liver disease," the SZÚ said. It identifies drug users, the homeless or prisoners as risk groups. People often develop chronic liver disease, such as cirrhosis, due to excessive alcohol consumption.

      In Prague, where there are the most cases, the disease is spreading beyond these groups, and hygienists have also recorded numerous cases in schools.



      ----------------------------------------------------
      28 people in the Czech Republic have already died of jaundice this year. Last year there were only two

      This year, 28 people have died of hepatitis A in the Czech Republic, seven of whom have died since the beginning of October. The State Health Institute (SZÚ) told ČTK on Tuesday. Last year, there were two deaths for the whole year. The number of patients is roughly four times higher than last year, reaching 2,375 by November 2. 1,862 people ended up in hospital infectious disease departments, and another 136 in other healthcare facilities. Almost 300 people were not hospitalized, sometimes due to hospital capacity reasons, according to the SZÚ.

      Prague 11:40 4. 11. 2025 (Updated: 12:17 4/11/2025)

      Among the deceased are 25 men and three women. 11 of them are from Prague, but there were victims in most other regions as well. "Most of the deaths occurred in people with risky behavior and other chronic liver disease," said the SZÚ. It identifies drug users, the homeless or prisoners as risk groups. People often have chronic liver disease, such as cirrhosis, due to excessive alcohol consumption.

      According to the SZÚ, people from these groups make up less than a fifth of those infected. In Prague, where more than 1,000 people are infected, the disease is also spreading outside these groups, and hygienists have also recorded numerous cases in schools. "Transmission of hepatitis is also possible through contaminated objects, such as door handles or handles in means of transport, in short, places and objects frequently touched by people on which the virus sticks," the institute said. As a prevention, it recommends, in particular, thorough hand washing.

      According to statistics, the most sick people are in their thirties and forties. 185 children aged five to nine and 11 babies under one year are also being treated. Experts examined the occurrence of antibodies against viral hepatitis A (VHA) in 1984, 1996 and 2001. It turned out that only those who had experienced high numbers of hepatitis A cases in the past, i.e. mostly people over 65, had sufficient antibodies.

      "Given that the Czech Republic has been among the countries with a relatively low incidence of HAV in recent decades, a large part of the population is susceptible to the disease. However, the number of reported cases, also due to the asymptomatic course of HAV, probably does not reflect the real situation," said the SZÚ.

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