(Wayne County, IN)--When the year began, Wayne County had 142 cases of hepatitis A. Now, as the year is winding down, Wayne County is holding steady at 143 cases. It’s a vast improvement from 2018, when the number of cases exploded and put Wayne County in the top ten counties per capita nationally for the number of hepatitis A cases. Some neighboring counties have seen substantial increases this year. Randolph County has 26, Henry County has 25, Fayette County has 22, and Union County has seven cases. Users of illicit drugs are among those most at risk.