{"id":8858,"date":"2022-02-14T18:52:33","date_gmt":"2022-02-14T18:52:33","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/roanoke\/?p=8858"},"modified":"2024-07-22T15:17:54","modified_gmt":"2024-07-22T15:17:54","slug":"community-update-week-of-february-14th-2022","status":"publish","type":"post","link":"https:\/\/www.vdh.virginia.gov\/roanoke\/2022\/02\/14\/community-update-week-of-february-14th-2022\/","title":{"rendered":"Frequent Questions About Hepatitis A"},"content":{"rendered":"<div id=\"pl-8858\"  class=\"panel-layout\" ><div id=\"pg-8858-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-8858-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-8858-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<table style=\"height: 62px;background-color: #0e4c90\" width=\"1637\">\n<tbody>\n<tr>\n<td>\n<h1 style=\"text-align: center\"><span style=\"color: #ffffff;font-size: 24pt\">RCAHD Community Health Update<br \/>\n<\/span><span style=\"color: #ffffff;font-size: 12pt\">A Roanoke City &amp; Alleghany Health Districts publication<\/span><\/h1>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>While the COVID-19 pandemic has grabbed headlines for the past two years, we continue to see cases, and even outbreaks, of other communicable diseases in the Roanoke City and Alleghany Health Districts (RCAHD). One current concern is that the number of cases of hepatitis A has steadily increased in our districts.<\/p>\n<p>In a typical year, the RCAHD team investigates only 2-5 cases of this disease among RCAHD residents. In the fall of 2021, an investigation of over 50 cases of hepatitis A were associated with transmission of the disease at a local restaurant chain. This was the largest hepatitis A outbreak that has been recorded in our community.<\/p>\n<p>While that outbreak resolved, since October 2021, there has been a slow but very steady increase in cases of hepatitis A reported to the RCAHD. Between October 2021 and February 10, 2022, we have investigated approximately 30 additional cases of hepatitis A, with over 70% of these individuals requiring hospitalization. The vast majority of these recent cases are associated with persons who use injection drugs.<\/p>\n<p>What do you need to know about this potentially contagious virus? Here are some Frequently Asked Questions about hepatitis A:<\/p>\n<h3><span style=\"color: #333333\">What is hepatitis A?<br \/>\n<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>Hepatitis is a term used to describe inflammation of the liver. Hepatitis A is a virus that attacks the liver, causing the liver to become inflamed. The primary way that it is spread is through the fecal-oral route.<\/p>\n<h3><span style=\"color: #333333\">What are the symptoms of hepatitis A?<br \/>\n<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>Not everyone who is infected develops symptoms. For those who do develop symptoms, common symptoms include tiredness, poor appetite, fever, or nausea. Some people might also have vomiting, clay-colored stool, dark urine or jaundice (a yellowing of the skin and the whites of the eyes). While these symptoms can be severe, resulting in hospitalization, most people fully recover within a couple of months.<\/p>\n<h3><span style=\"color: #333333\">Can hepatitis A be prevented?<br \/>\n<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>Yes! We have a safe and effective vaccine to prevent hepatitis A. In addition, hepatitis A is considered preventable via good personal hygiene habits such as thorough handwashing and safer sex practices. Always wash hands thoroughly with soap and water after using the toilet, changing a diaper or helping a child to use the toilet, before preparing food and beverages, and before eating.<\/p>\n<h3><span style=\"color: #333333\">Can hepatitis A turn into hepatitis B or C?<br \/>\n<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>No, hepatitis A is caused by a different virus from the viruses that cause hepatitis B or C. Hepatitis A is typically an acute infection, while hepatitis B and hepatitis C can cause a chronic, persistent infection, which can lead to chronic liver disease. There are vaccines to prevent hepatitis A and B, however there is not one for hepatitis C.<\/p>\n<h3><span style=\"color: #333333\">Who should get the hepatitis A vaccine?<br \/>\n<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<ul style=\"margin-top: 20px\">\n<li style=\"margin-bottom: 15px\">\u00a0All children at age 1 year. (12 \u2013 23 months of age)<\/li>\n<li style=\"margin-bottom: 15px\">\u00a0Travelers to countries\/areas with increased rates of hepatitis A. (visit cdc.gov\/travel for more information)<\/li>\n<li style=\"margin-bottom: 15px\">\u00a0Men who have sex with men.<\/li>\n<li style=\"margin-bottom: 15px\">\u00a0People with existing chronic liver disease or clotting disorders.<\/li>\n<li style=\"margin-bottom: 15px\">\u00a0People who use injected or non-injected street drugs.<\/li>\n<li style=\"margin-bottom: 15px\">\u00a0Anyone who wants to protect themselves from getting hepatitis A.<\/li>\n<\/ul>\n<p>Hepatitis A is the only vaccine-preventable foodborne illness. Two doses of the vaccine are needed for lasting protection.<\/p>\n<h3><span style=\"color: #333333\">How long has the hepatitis A vaccine been available?<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>Hepatitis A vaccines were licensed in 1995 and 1996. The number of acute hepatitis A infections in the U.S. significantly dropped in the early 2000s, largely because hepatitis A vaccination was recommended for children and persons in groups shown to be at high risk for infection, beginning in 1996. By 2006, the hepatitis A vaccine had been incorporated onto the list of recommended childhood vaccinations for all children in the United States.<\/p>\n<h3><span style=\"color: #333333\">What is RCAHD doing in response to this outbreak?<\/span><\/h3>\n<hr class=\"clinic5\" \/>\n<p>We are working closely with partners to increase health education about hepatitis A and to increase access to hepatitis A vaccine, particularly for vulnerable populations. We know that hepatitis A vaccination can prevent severe illness and death associated with the virus. Hepatitis A vaccines are available for the public at your local health department offices by appointment. Questions? Call 540-283-5050 or visit <a href=\"http:\/\/vdh.virginia.gov\/immunization\/hav\/\" target=\"_blank\" rel=\"noopener\">vdh.virginia.gov\/immunization\/hav\/<\/a> for more information.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-8858-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-8858-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-8858-1-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-8858\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/community-update\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe904;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tCommunity Update Home\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-8858-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-8858-1-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-8858\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-right ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe900;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tRCAHD Homepage\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-8858-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-8858-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-8858-2-0-0\" class=\"so-panel widget widget_sow-post-carousel panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-post-carousel so-widget-sow-post-carousel-base-8415c3b0c03d-8858\"\n\t\t\t\n\t\t>\t<div\n\t\tclass=\"sow-post-carousel-wrapper sow-post-carousel-theme-base\"\n\t\tstyle=\"overflow: hidden; max-width: 100%; min-height: 182px\"\n\t>\n\t\t<div class=\"sow-carousel-title\">\n\t\t\t<div class=\"sow-carousel-navigation \">\n\t\t\t\t\t\t<a href=\"#\" class=\"sow-carousel-next\" title=\"Next\" aria-label=\"Next Posts\" role=\"button\"><\/a>\n\t\t\t\t\t\t<a href=\"#\" class=\"sow-carousel-previous\" title=\"Previous\" aria-label=\"Previous Posts\" role=\"button\"><\/a>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\n<div class=\"sow-carousel-container \">\n\t\t<div class=\"sow-carousel-wrapper\"\n\t\tdata-dir=\"ltr\"\n\t\tstyle=\"opacity: 0;\"\n\t\tdata-widget=\"post\" data-fetching=\"false\" data-page=\"1\" data-ajax-url=\"https:\/\/www.vdh.virginia.gov\/roanoke\/wp-admin\/admin-ajax.php?_widgets_nonce=d66e0d18ac\" data-item_count=\"71\" data-carousel_settings=\"{&quot;loop&quot;:true,&quot;animation&quot;:&quot;Ease&quot;,&quot;animation_speed&quot;:800,&quot;autoplay&quot;:&quot;off&quot;,&quot;pauseOnHover&quot;:false,&quot;autoplaySpeed&quot;:8000,&quot;item_overflow&quot;:true,&quot;autoplay_continuous_scroll&quot;:false}\" data-responsive=\"{&quot;desktop_slides_to_scroll&quot;:3,&quot;tablet_landscape_breakpoint&quot;:1366,&quot;tablet_landscape_slides_to_scroll&quot;:2,&quot;tablet_portrait_breakpoint&quot;:1025,&quot;tablet_portrait_slides_to_scroll&quot;:2,&quot;mobile_breakpoint&quot;:480,&quot;mobile_slides_to_scroll&quot;:1}\" data-variable_width=\"true\" \t>\n\t\t<div\n\t\t\tclass=\"sow-carousel-items\"\n\t\t\t\t\t>\n\t\t\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/11\/13\/taking-steps-to-address-heart-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/02\/Heart-Awareness-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11948\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/11\/13\/taking-steps-to-address-heart-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11948\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tTaking Steps to Address Heart Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/10\/15\/updated-tips-for-the-2024-respiratory-season\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/10\/Covid-Lungs-Graphic-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11895\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/10\/15\/updated-tips-for-the-2024-respiratory-season\/\"\n\t\t\t\tid=\"sow-carousel-id-11895\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tUpdated Tips for the 2024 Respiratory Season\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/23\/substance-use-disorder-finding-the-good-news\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/09\/Helping-Hands-Sunset-488x3262-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11836\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/23\/substance-use-disorder-finding-the-good-news\/\"\n\t\t\t\tid=\"sow-carousel-id-11836\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tSubstance Use Disorder &#8211; Finding the Good News\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/03\/protecting-our-pets-and-families-from-rabies\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/08\/World-Rabies-Day-489x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11784\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/09\/03\/protecting-our-pets-and-families-from-rabies\/\"\n\t\t\t\tid=\"sow-carousel-id-11784\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tProtecting Our Pets and Families from Rabies\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/08\/12\/disease-defenders-how-epidemiology-protects-community-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2021\/02\/Vaccination-barriers-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11727\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/08\/12\/disease-defenders-how-epidemiology-protects-community-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11727\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tDisease Defenders \u2013 How Epidemiology Protects Community Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/07\/22\/aging-and-brain-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/10\/Strokeaware-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11617\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/07\/22\/aging-and-brain-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11617\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tAging and Brain Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/05\/20\/taking-care-of-our-mental-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2021\/05\/Mental-Health-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11536\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/05\/20\/taking-care-of-our-mental-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11536\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tTaking Care of Our Mental Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/29\/fight-the-bite-tick-borne-diseases\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/08\/Tick-488x326-1-272x182.png )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11504\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/29\/fight-the-bite-tick-borne-diseases\/\"\n\t\t\t\tid=\"sow-carousel-id-11504\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tFight the Bite: Tick-Borne Diseases\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/08\/finding-solutions-to-improve-reproductive-health\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/04\/clinicianAndPatient488x326-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-11459\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2024\/04\/08\/finding-solutions-to-improve-reproductive-health\/\"\n\t\t\t\tid=\"sow-carousel-id-11459\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tFinding Solutions to Improve Reproductive Health\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div 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