| FRANKFORT, Ky. (WKYT) -- Kentucky health 
		officials now say three are dead as a result of a hepatitis A outbreak 
		which has affected hundreds. 
 The Kentucky Cabinet for Health and Family Services would not reveal 
		which counties the deaths occurred because of privacy reasons, but it 
		does say the most affected areas are in the Louisville metropolitan area 
		and northeastern Kentucky. The cabinet previously reported the first 
		hepatitis A-related death in Louisville.
 
 According to the CDC, the disease is usually transmitted through 
		ingestion of fecal matter or by consuming contaminated food or water. 
		Health experts say signs and symptoms of Hepatitis A include jaundice, 
		dark-colored urine, fatigue, abdominal pain, loss of appetite, nausea, 
		diarrhea and fever.
 
 Officials say there have been 352 outbreak-associated cases through Apr. 
		14 with 246 hospitalizations and three deaths.
 
 Experts are recommending people in Jefferson, Bullitt, Hardin, Greenup, 
		Carter and Boyd counties to get vaccinated.
 
 State leaders are assuring potential visitors that it is safe to travel 
		to Kentucky, including for the Kentucky Derby. Indiana issued a warning 
		to potential Kentucky visitors about the hepatitis A outbreak, asking 
		Hoosiers to be vaccinated.
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