Hepatitis A Outbreak in Campania Region, Italy Prompts Restrictions
Health officials in the Campania region of Italy, including the city of Naples, are investigating an outbreak of Hepatitis A, with at least 133 cases confirmed since the beginning of 2026. The surge in infections has prompted local authorities to implement measures aimed at curbing the spread of the virus, particularly concerning the consumption of raw seafood.
The increase in cases has raised concerns about food safety and public health, prompting a regional response to strengthen surveillance and inform the public. According to reports, the outbreak appears to be linked to the consumption of raw shellfish.
On March 19, 2026, the Comune di Napoli announced urgent measures to contain the outbreak, including a ban on serving raw shellfish in public establishments. While the sale of raw shellfish remains permitted, its consumption within restaurants and other public venues is now prohibited. This decision aims to minimize the risk of further infections.
The Cotugno Hospital in Naples is currently experiencing a high number of patients with severe cases of Hepatitis A, with the facility reportedly operating at full capacity and patients being treated in the emergency room. “We have a long series of patients with severe illness and, in fact, we have completely filled the ward,” stated Novella Carannante, an infectious disease specialist at the hospital, to ANSA. “Usually, at this time of year, we see about ten mildly infected patients, whom we can diagnose and prescribe treatment for at home. Today, however, we have a long series of severe patients and have completely filled the ward, with many patients on stretchers in the emergency room.”
One patient, a 40-year-old man, is experiencing severe liver failure in addition to Hepatitis A and has been transferred to the Cardarelli hospital for evaluation for a potential liver transplant.
The regional government has reinforced controls along the entire supply chain of bivalve mollusks and is intensifying preventative actions. “This increase requires maximum attention to food safety, epidemiological surveillance and public information,” a statement from the Region of Campania read.
Hepatitis A is typically transmitted through the ingestion of food or water contaminated with the virus. Symptoms can include fatigue, nausea, abdominal pain, and jaundice. While a vaccine is available, it can be administered even after exposure to the virus. The current situation underscores the importance of practicing safe food handling and being aware of potential risks associated with consuming raw or undercooked seafood.
