The number of hepatitis A cases in Volusia County has almost quadrupled since May, a skyrocketing trend that is impacting the entire state, according to the Florida Department of Health. The most recent data shows Volusia County has the fourth highest number of cases in the state with 128, falling behind Orange County with 129, Pinellas County with 287 and Pasco County with 314. Statewide there are 1,636 cases — nearly three times the number of cases reported in 2018. Hepatitis A is a highly contagious liver infection that can range from a mild illness that lasts a few weeks to a severe illness that can last months. Although rare, some people can die from the infection, mostly people ages 50 and older or people with other liver diseases, according to the federal Centers for Disease Control and Prevention. Common symptoms of hepatitis A include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, diarrhea, clay-colored stools, joint pain and jaundice, whic...