- Associated Press - Wednesday, September 12, 2018

LEXINGTON, Ky. (AP) - Amid a growing hepatitis A outbreak, health officials in Kentucky’s second-largest city are recommending all residents get vaccinated.

The Lexington-Fayette County Health Department announced the update Tuesday. It comes two months after health officials in Louisville made the same recommendation.

Officials say there have been 1,620 cases reported across 86 counties in Kentucky, with 12 cases in Lexington. A total of 13 deaths have been reported.

Officials say they have targeted the vaccine to high risk populations such as those who use illegal drugs and the homeless since the outbreak began. They say they now are recommending it for all residents of Fayette County.

Hepatitis A is transmitted by oral contact with fecal matter. It attacks the liver and causes symptoms including abdominal pain, nausea, diarrhea, fever and jaundice.

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