Between June 2016 and May 2017, an unusual increase in cases of hepatitis A affecting mainly men who have sex with men (MSM) has been reported by low endemicity countries in the European Region.
15 countries (Austria, Belgium, Denmark, Finland, France, Germany, Ireland, Italy, the Netherlands, Norway, Portugal, Slovenia, Spain, Sweden, and the United Kingdom) reported 1173 cases related to the 3 distinct multi-country hepatitis A outbreaks. Most of the affected countries have routinely recommended hepatitis A vaccine for MSM, but there is currently limited availability of this vaccine worldwide.
In Spain, hepatitis A cases reported in 2017 are almost 8 times higher than the average number of cases reported during the same period between the years 2012 and 2016. Most cases are men aged between 15 to 45 years old, and MSM are the most affected group.
For more information about preventing Hepatitis A outbreaks on the euro.who.int website