[(Title)] Hepatitis A outbreak in Massachusetts kills 1, sickens 64 others.

The state of Massachusetts has issued a public health alert over a rash of hepatitis A cases that have left one person dead and 64 others sickened since April.

马萨诸塞州发布了一份公共健康警报，针对自4月以来已经导致一人死亡、64人患病的甲型肝炎病例。

Forty of the cases were reported during the last two weeks of August and the first two weeks of September, with about 45 percent of cases occurring in Boston.

在8月的最后两周和9月的前两周报告了40例病例，其中大约45%发生在波士顿。

According to Monday's announcement, the vast majority of cases were reported in the homeless community, or in patients suffering from substance abuse disorders, similar to the outbreaks reported in other states.

根据周一的声明，绝大多数病例是在流浪汉社区或患有药物滥用紊乱症的病人中报告的，这与其他州报告的疾病爆发类似。

Hepatitis A is a vaccine-preventable disease of the liver, typically transmitted from person-to-person through the fecal-oral route or consumption of contaminated food or water.

甲型肝炎是一种疫苗可预防的肝脏疾病，通常通过粪便-口服途径或食用受污染的食物或水从人与人之间传播。

According to the Centers for Disease Control and Prevention, most patients experience fatigue, low appetite, stomach pain, nausea and jaundice. Symptoms typically resolve within two months.

据疾病控制和预防中心称，大多数患者会感到疲劳、食欲不振、胃痛、恶心和黄疸。症状通常会在两个月内消失。

"There may be misconceptions about the different types of hepatitis,"  Dr. Catherine Brown, state epidemiologist,

州流行病学家凯瑟琳·布朗博士说:“人们可能对不同类型的肝炎有误解，

told MassLive.com.  "Hepatitis A infection can be prevented through vaccination and one dose of vaccine can provide substantial protection. It can also be prevented through proper hand washing, especially after using the toilet and before eating."

“通过接种疫苗可以预防甲型肝炎，一剂疫苗能够提供实质性保护，通过适当的洗手，特别是使用完厕所和吃完之前可以预防这种感染。”

The state's Department of Public Health is urging local health officials to work closely with community-based groups that provide services to the homeless and those with substance abuse issues to make vaccines available to those most at-risk.

该州公共卫生部敦促当地卫生官员与社区团体密切合作，为流浪汉和有药物滥用问题的人提供服务，为那些风险最大的人提供疫苗。

Officials said many patients also showed signs of hepatitis C infection, which makes their condition more serious.

官员说，许多病人也有丙型肝炎感染的迹象，这使得他们的病情更加严重。