So far, only a few countries have included HAV in their national immunisation programme. Certain other countries have also made vaccination mandatory for people from particular groups or areas. There has been such a programme in the southern part of Italy and in the north-eastern part of Spain. Immunisation programme is observed in some of the American states as well. In this part of the world, Taiwan is the only country that has introduced HAV in universal immunisation programme for the aborigine people who live in mountains.
Immune globulin is quite expensive to produce.
It is a human product and is prone to contamination. Though contamination cases are very rare, one such case was reported in Ireland. Also immune globulin offers only short-term protection. I do not see much hope from alternative and traditional therapies. Hepatitis A vaccine can be given after exposure to the infection but it is advisable to give before infection.