If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
A hepatitis A outbreak – predominantly affecting men who have sex with men – was recorded in England from July 2016. Although primarily affecting MSM, in 2017 there was evidence that cases in the wider population were linked to the outbreak.