Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document C(2012) 5538) (Text with EEA relevance) (2012/506/EU)

2.16.HEPATITIS A (Hepatitis A virus)

Clinical Criteria

Any person with a discrete onset of symptoms (e.g. fatigue, abdominal pain, loss of appetite, intermittent nausea and vomiting)

AND

At least one of the following three:

  • Fever

  • Jaundice

  • Elevated serum aminotransferase levels

Laboratory Criteria

At least one of the following three:

  • Detection of hepatitis A virus nucleic acid in serum or stool

  • Hepatitis A virus specific antibody response

  • Detection of hepatitis A virus antigen in stool

Epidemiological Criteria

At least one of the following four:

  • Human to human transmission

  • Exposure to a common source

  • Exposure to contaminated food/drinking water

  • Environmental exposure

Case Classification
A. Possible case NA
B. Probable case

Any person meeting the clinical criteria and with an epidemiological link

C. Confirmed case

Any person meeting the clinical and the laboratory criteria