Hepatitis A continues to be a problem in Florida. So far 1,129 cases have been reported this year with 92 cases last week as the outbreak continues to grow, according to the state Department of Health. The total is more than double the 548 cases reported in all of 2018. Hepatitis A, which can cause liver damage, can be spread through such things as food or drinks that have been contaminated with fecal matter from people with the disease and health officials have urged people to get vaccinated against the disease. The most cases are reported in Central Florida.