solved I just need a paragraph response to the post below:Hepatitis

I just need a paragraph response to the post below:Hepatitis A is a liver disease that is caused by the hepatitis A virus (HAV). HAV is primarily spread through ingestion of food or water that has been contaminated with the feces of infected individuals (Center for Disease Control and Prevention, 2021). Hepatitis A is preventable through vaccination. Since 2016, cases of Hepatitis A have steadily increased across the United States of America (CDC, 2021). Florida, however, has seen a 500 percent increase since the year 2019 (Florida Department of Health and Human Services, 2021).The consensus regarding Hepatitis A in the United States is that it is simply a disease of the poor or third world countries. How could we possibly see Hepatitis A in a country with clean water, access to healthcare, and grocery stores? Hepatitis A has merely been misunderstood by the general population leading to an increase in its emergence. Florida has some of the highest HAV occurrences in the country and accounts for the most deaths caused by HAV, with recent numbers showing 5,024 total reported cases and 76 deaths since January 2018 (Flynn, 2021).Although HAV is spread primarily through the fecal-oral route, this way of contraction seems not to be the principal concern in the recent reemergence of HAV infections (Flynn, 2021). The recent increase in Florida appears to be tied to a rise in homelessness and IV drug use related to the nation’s opioid crisis (Company & Koh, 2019). While most individuals will have minor symptoms like nausea, vomiting, diarrhea, and jaundice, a small percentage of individuals will be sick enough to require hospitalization, and a smaller percentage will die from HAV. Vaccination with a single dose of the Hepatitis A vaccine provides up to 95 percent protection for up to 11 years (CDC, 2021). It is therefore imperative for nurses to do what they can to encourage patients to encourage vaccination. The Center for Disease Control and Prevention (CDC) currently recommends that the following groups be vaccinated for HAV; children at age one, injection drug users, men who have sex with men, homeless people, and people with chronic liver disease (CDC, 2021). It should also be considered for those traveling where HAV is common, caretakers of people with HAV, people with clotting disorders, and people who work with HIV in a research laboratory setting (CDC, 2021).With their intimate knowledge of patient’s health histories, nurses are uniquely situated to recommend the Hepatitis A vaccine to high-risk individuals, who may not otherwise avail themselves of this lifesaving opportunity. The declaration of a public health emergency in the state of Florida on August 1, 2019, significantly changed the way I practice because it brought HAV to the forefront of my mind. As a nurse in a hospital setting, I became even more conscious of good hand washing techniques and the use of universal precautions months before the onset of the COVID pandemic. HAV also rose higher on the list of differential diagnoses for my patients with abnormal liver function tests. The search for a cause for jaundice in a hospitalized patient no longer ended with gall stones and biliary cancer; I had to consider HAV as a potential diagnosis. The reemergence of HAV through the surging homeless population and increasing opioid epidemic has challenged me to use an integrative approach in my care delivery methods to better educate patients with the hope of preventing and protecting vulnerable populations in my community.

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