Genomic epidemiology as a tool for understanding drivers of hepatitis A community outbreaks in Massachusetts and New Hampshire
This study utilizes whole-genome sequencing and open-source genotyping tools to demonstrate that the 2018 and 2023 hepatitis A outbreaks in Massachusetts and New Hampshire were driven by distinct viral strains, revealing complex transmission patterns linked to homelessness and drug use that cross state borders and risk factor categories, thereby highlighting the value of genomic epidemiology in guiding public health interventions.