10. Hepatitis A Incidence - American Indians/Alaskan Natives

We've also seen tremendous decreases in special populations, and the population in the United States that had the highest rate of hepatitis A was the American Indian/Alaskan native population. And as you can see here, they had a rate of hepatitis A that was almost 5 times that of the general US population. The first recommendations that came out soon after the vaccine was licensed was to vaccinate aggressively in this population. Then we moved to wider recommendations. And actually what has happened now is the incidence, the number of new infections in the American Indian/Alaskan native population is lower than the general US population. So again, a success story. It shows that if you that if you put prevention efforts in the right places, you can effect change.