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The California hepatitis A outbreak is on the verge of reaching statewide epidemic status, as cases have spread through homeless tent cities from San Diego north to Sacramento.

California health officials have reported that at least 569 people have been infected with the hepatitis A liver disease and 17 have died since a San Diego County outbreak was first identified in November. Cases have migrated north to homeless populations in Los Angeles, Santa Cruz, San Francisco and Sacramento over the last 11 months.

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