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More descriptive data on the current outbreak can be found within the Hepatitis A is a serious, highly contagious liver disease caused by the hepatitis A virus (HAV).Those with history of injection and non-injection drug use, homelessness or transient housing, and incarceration are thought to be at greater risk in this outbreak setting.Notably, this outbreak has had a high hospitalization rate.For additional information, contact the MDHHS Division of Immunization at 517-335-8159. Louis is best known for its 630-foot Gateway Arch but in addition to the iconic attraction the city offers many other great things to do. Louis Art Museum, eat at great restaurants, stroll through the parks, listen to a performance by the St.