South Carolina? Oh, goodness, where have you been? Hepatitis A has been a big problem in a lot of locations for years. The worst has been in California with the homeless on the streets where feces and other bloodily fluids are a hepatitis A threat to other people. In Hawaii, we've had a hepatitis A problem because of import of some seafood in restaurants from untested Asian locations. Because of that me and my family and many of our population have gone and got Hepatitis A vaccinations. So far, no Hepatitis A outbreaks in the last couple of years. The thing is eating raw seafood is what is risky here.