Figure 1.2. Rates* of reported hepatitis Avirus infection, by state or jurisdiction — United States, 2018–2019

Figure 1.2. Rates* of reported hepatitis A† virus infection, by state or jurisdiction — United States, 2018–2019
Distribution of rates of reported hepatitis A, by state or jurisdiction, for 2018 and 2019, sorted from highest to lowest for 2019. The US rate in 2019 was 5.7 reported cases per 100,000 population. Tennessee and Kentucky had the highest rates of reported hepatitis A during 2019.
Source: CDC, National Notifiable Diseases Surveillance System.
* Rates per 100,000 population.
† Reported cases that met the classification criteria for a confirmed case. For the case definition, see https://ndc.services.cdc.gov/conditions/hepatitis-a-acute/. Only states with rates for 2018 and 2019 are shown. No hepatitis A cases were reported from Montana and North Dakota in 2018

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During 2019, the rates of reported hepatitis A ranged from a high of 31.6 cases per 100,000 population in Tennessee to a low of 0.1 case per 100,000 population in Hawaii. Changes in rates during 2018 and 2019 were influenced by the time that person-to-person outbreaks occurred within jurisdictions. The largest increase in rates was observed in New Hampshire, with a rate during 2019 (22.7 cases per 100,000 population), 25 times the rate reported during 2018 (0.9 cases per 100,000 population). In contrast, the largest decrease in a rate was observed in Utah, where the 2019 rate decreased by 86%, as the person-to-person outbreak was resolving.