Public health officials in both states have encouraged citizens to get vaccinated against the highly contagious liver infection.
Illness can be prevented even after exposure by getting the vaccine.
The liver infection is spread when contaminated fecal matter enters the mouth, usually through food and drink.
Health officials have predicted the problem could last for years.
Hepatitis A is a highly contagious liver infection.
Sixteen people have died and an additional two deaths are under investigation.
A total of 20 portable restrooms have been installed throughout the city.
Russian visitors to the "European region" should be wary of the LGBT health risks, Kremlin-body warns.