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RALEIGH â The North Carolina Department of Health and Human Services announced July 27 that the state has surpassed 1,000 reported cases of hepatitis A associated with a national outbreak that began in April 2017. Sixty-three percent of cases have required hospitalization and 16 people have died. Since 2017, the Centers for Disease Control and Prevention has received more than 41,000 reports of hepatitis A linked to a national outbreak with higher than expected hospitalization and death rates. North Carolina has been tracking this outbreak since April 2018, and reported cases have increased significantly since August 2020. NCDHHS and local health departments are coordinating outreach events, conducting case investigations and contact tracing, and providing hepatitis A vaccine to those at risk. ....