“…Infections caused by hepatitis A virus (HAV) are endemic throughout the world (6,21,41). Apart from communitybased epidemics (7,15,16,26), outbreaks of the disease are frequently associated with hospitals (3,13,25,45), day-care centers (12,(15)(16)(17)40), schools and institutions for mentally ill people (27,31,37,41), and eating establishments (19,25,28,30). Whereas fecally contaminated food (e.g., shellfish) and potable water are well recognized as vehicles for HAV (6,8,36,41), in nearly 50% of the cases the vehicle(s) responsible for virus spread remains unidentified (15).…”