Christine Wade sits among her children in front of their donated tent in the city-sanctioned encampment on a parking lot in San Diego. They are, from left, Shawnni, 12, Roland, 4, Rayahna, 3, Jaymason, 2, Brooklyn, 8, and Shaccoya, 14. The Wade family is among several hundred people living in the city's first campground open for the homeless, set up to curb the worst Hepatitis A outbreak in the United States in decades. Gregory Bull | AP
The Poor Man's Disease

Hepatitis Spikes as Poverty and Isolation Take Hold Among America’s Forgotten

What’s happening in Michigan is the largest outbreak of hepatitis A in the state’s history. But Michigan is hardly unique: In nearby Ohio, Indiana and Kentucky — and as far away as San Diego, Salt Lake City, and New York City — the number of hepatitis A cases is spiking sharply.