Hepatitis A

Risk Assessment Tool

Hepatitis A is a highly contagious liver infection caused by the Hepatitis A virus (HAV). It can spread easily through contaminated food, water or close personal contact.

Assess your risk.

Take the first step towards protection.

PATIENT INFORMATION

Name

Please enter your name.

Phone No.

Please enter your phone number.

Age

yrs

Enter age (1-120).

Gender

Select gender.

Location

Please enter or select a location.

Privacy Notice

The personal information you provide is collected solely for generating your hepatitis risk assessment and will not be used for any other purpose.

I read and consent to the privacy notice.

You must consent to proceed with the assessment.

Answer the following 15 simple questions to know your risk of hepatitis A infection.

Validation Error! Please answer all 15 questions before calculating risk.

Q 1 Do you live in a hostel, shared accommodation, slum, or on the pavement?

NO YES

Q 2 Do you use a common/ shared toilet or a public toilet?

NO YES

Q 3 Do you mainly get your drinking water from a public water tank?

NO YES

Q 4 Do you drink tap water without boiling, filtering, or otherwise treating it?

NO YES

Q 5 Are you using intravenous drugs?

NO YES

Q 6 Have you been in close contact with someone who had Hepatitis A?

NO YES

Q 7 Do you consume food or drinks prepared outside your home that may not be prepared hygienically, such as street food, restaurant food, raw food, or ice/iced drinks?

NO YES

Q 8 Do you work in a hospital, laboratory, hotel, restaurant, or in preparing or serving food?

NO YES

Q 9 Do you travel to places where clean drinking water and proper sanitation may not be easily available, including during pilgrimages or trips to other countries?

NO YES

Q 10 Do you have a condition that weakens your immune system, such as HIV?

NO YES

Q 11 Do you have hepatitis B or hepatitis C infection?

NO YES

Q 12 Do you have diabetes?

NO YES

Q 13 Do you follow good hygiene practices before preparing/ eating food and after using the bathroom/ changing diapers etc?

NO YES

Q 14 Do you have chronic liver disease, including fatty liver disease, cirrhosis, or alcoholic liver disease?

NO YES

Q 15 As a man, have you ever had sexual contact with another man?

NO YES

* All questions are mandatory and must be answered to calculate your hepatitis A risk.