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Viral hepatitis There are two major groups of viral hepatitis. Hepatitis spread by contaminated food and water, hepatitis A and E, are endemic in many parts of Asia. Most local people are immune to these types of hepatitis through natural infection, but travellers from better hygienic environments can be receptive to infection. Therefore, travellers are recommended to practice prevention measures against food and water borne diseases, as suggested for diarrhea. An alternative protection for hepatitis A is the immunization with hyperimmune serum or hepatitis A vaccine. Consult with the physician at an established medical service for the immunization. Another group of hepatitis; hepatitis B, C and D; are transmitted through contaminated blood and sexual contacts, or passed from infected mothers to their babies at the time of birth; similar to the ways HIV/AIDS is transmitted. This group of hepatitis can be simultaneously and effectively avoided if precautions against HIV/AIDS are strictly taken. However, for those who require immunization, effective vaccine against hepatitis B is available at most medical services.