A vaccine for all employees is good for customers and good for business.

According to a press release, the Madison County Kentucky Health Department is investigating a single case of hepatitis A in a food handler who worked while infectious at McDonalds restaurant on Glades Road in Berea, KY on March 23, 2018. Hepatitis A is caused by a virus that is passed person to person through fecal-oral contact. The risk to patrons who ate at McDonalds is very low. However, individuals who ate there on March 23rd, should watch for signs and symptoms of hepatitis A from April 7th to May 12th.

Hepatitis A can be spread when: an infected person does not wash his or her hands properly after going to the bathroom and then touches objects or food; a caregiver does not properly wash his or her hands after changing diapers or cleaning up the stool of an infected person; someone engages in certain sexual activities. Hepatitis A can also be spread through food or water through an ill food handler or by using contaminated items.

Symptoms of infection usually appear 15 to 50 days after exposure and can include: fever, jaundice, grey-colored stools, dark urine, abdominal pain, vomiting, fatigue, loss of appetite, nausea and joint pain. Some people, especially children, may have no symptoms. This is why proper handwashing is critical. Symptoms usually resolve in 2 months but can last as long as 6 months. There is no treatment for Hepatitis A and some people require hospitalization. If you have these symptoms you should contact your primary care provider for testing.

Hepatitis A can be prevented by receiving the Hepatitis A vaccination. This vaccination is available to anyone 12 months of age or older and is given in two doses six months apart. Everyone is also reminded that handwashing is the best way to prevent infection. Handwashing should be emphasized especially after using the bathroom, changing a diaper or preparing and eating food.

And, then there is the impact on stock price:

272 with Hepatitis A in Kentucky – Full Report

Employees at two local Louisville, Kentucky businesses have been diagnosed with Hepatitis A.

That has been a similar and common headline in newspapers across the country over the last several months.

One worker at Sarino (1030 Goss Avenue) was diagnosed. Customers who dined at the establishment from February 24 through March 15 may have been exposed to the virus. One worker from Kroger (520 N 35th Street) was diagnosed. Customers who shopped at the store from March 2 through March 19 may have been exposed to the virus.

Kentucky

Since Jan. 1, 2017, the Kentucky Department for Public Health (KDPH) has identified 198 confirmed cases of acute hepatitis A, a liver disease caused by hepatitis A virus. An increase in cases since Aug. 1, 2017, primarily among the homeless and drug users, prompted declaration of a statewide outbreak in Nov. 2017. Viral sequencing has linked several outbreak-associated cases in Kentucky with outbreaks in California and Utah.

KDPH is working closely with the Centers for Disease Control and Prevention and local health departments to provide guidance and education to health professionals and at-risk populations. Treatment for acute hepatitis A generally involves supportive care, with specific complications treated as appropriate. Hepatitis A is a vaccine-preventable disease.

Counts as of Mar. 17, 2018

  • Total Outbreak: 198
  • Hospitalizations: 142
  • Deaths: 1

Utah

Since January 1, 2017, Utah public health has identified 226 confirmed cases of hepatitis A virus (HAV) infection; many among persons who are homeless and/or using illicit drugs. Several cases have been linked by investigation and/or viral sequencing to a national outbreak of hepatitis A involving cases in California and Arizona. Hospitalization rates of less than 40% have been described in previous hepatitis A outbreaks; however, other jurisdictions associated with this outbreak are reporting case hospitalization rates approaching 70%.

California

On Jan. 23, 2018, the San Diego County ended the local health emergency, declared on September 1, 2017, in response to the local hepatitis A outbreak. The action does not mean the outbreak is over, and the County will continue efforts it has taken to control the spread of the disease.  There has been a total of 586 illnesses, 401 hospitalizations and 20 deaths.

Arizona

Arizona officials believe the local outbreak was mainly confined to homeless people in Maricopa County. The county recorded only 15 known cases and no deaths, and officials have detected no new Arizona cases since the end of May 2017.  The illnesses in Arizona were linked to a person who traveled from San Diego.

Michigan

Since the beginning of the outbreak in August 2016, the Michigan public health response has included increased healthcare awareness efforts, public notification and education, and outreach with vaccination clinics for high-risk populations. No common sources of food, beverages, or drugs have been identified as a potential source of infection. Transmission appears to be through direct person-to-person spread and illicit drug use. Those with history of injection and non-injection drug use, homelessness or transient housing, and incarceration are thought to be at greater risk in this outbreak setting. Notably, this outbreak has had a high hospitalization rate.  There has been a total of 789 illnesses, 635 hospitalizations and 25 deaths.

What about all the rest of the states?  What is the cause?  What is the source?  What can we do – in addition to vaccinations – to stop this?

Ill employee prompts Kroger to vaccinate employees but not customers.

According to Kentucky press reports, an employee in the produce department of the Kroger store at 4915 Dixie Highway has been diagnosed with Hepatitis A.

Kroger said the man worked at the store in Pleasure Ridge Park in February, and customers who bought produce between Feb. 4 to Feb. 28 may have been exposed to the virus. Any produce purchased during that time frame should be thrown away, Kroger said.

The employee worked third shift in the produce section and was diagnosed with Hepatitis A on Feb. 28 at a visit to the doctor. He immediately notified his supervisor, and Kroger notified the Health Department later that day, the company said.

Kroger said officials are cooperating with local and state health officials. Other employees threw away all the produce that the man is believed to have come in contact with and cleaned the store.

Additionally, Kroger is offering all associates and their families Hepatitis A vaccines. About 300 people work at the Pleasure Ridge Park store.

Hepatitis A can be transmitted through eating or drinking contaminated food or water. Symptoms include fatigue, loss of appetite, stomach pain, nausea and jaundice.

Since Jan. 1, 2017, the Kentucky Department for Public Health (KDPH) has identified 125 confirmed cases of acute hepatitis A, a liver disease caused by hepatitis A virus. An increase in cases since Aug. 1, 2017, primarily among the homeless and drug users, prompted declaration of a statewide outbreak in Nov. 2017. Viral sequencing has linked several outbreak-associated cases in Kentucky with outbreaks in California and Utah.

KDPH is working closely with the Centers for Disease Control and Prevention and local health departments to provide guidance and education to health professionals and at-risk populations. Treatment for acute hepatitis A generally involves supportive care, with specific complications treated as appropriate. Hepatitis A is a vaccine-preventable disease.

Counts as of Feb. 24, 2018

  • Total Outbreak: 125
  • Hospitalizations: 91
  • Deaths: 0

An employee who worked at the Lancaster restaurant Al-E-Oops and the Brookdale Williamsville Senior Living Facility may have exposed 346 patrons and nursing home residents to hepatitis A. The contagious liver virus can be transmitted through contaminated food and water and close contact with an infected person.

Patrons of the restaurant, located at 5389 Genesee St., and the nursing home, may have been exposed to the virus in late January, announced Erie County Executive Mark C. Poloncarz and Health Commissioner Gale R. Burstein. The food prep employee who worked there tested positive for the hepatitis A virus on Monday.

The county is offering an emergency vaccination clinic on from 3 to 8 p.m. Wednesday at Bowmansville Volunteer Fire Station No. 1, located at 36 Main St. in Bowmansville.

Restaurant patrons who could benefit from either a hepatitis A vaccine or immune globulin injection would have eaten at the restaurant between Jan. 27-30, county officials said. Those who patronized Al-E-Oops between Jan. 16-26 may have been exposed to the disease but would not benefit from an injection. Those who patronized the restaurant after Jan. 30 are at no risk.

Yesterday, the Salt Lake County Board of Health amended Health Regulation #5: Food Sanitation to require hepatitis A vaccination for all food workers in an establishment when anyone working in that establishment has been in contact with someone infected with hepatitis A. This amendment is in response to Salt Lake County’s ongoing hepatitis A outbreak and takes effect immediately, on February 1, 2018.

At least 181 people have been sickened in the Salt Lake area.

“Throughout this outbreak, we’ve identified that some people infected with hepatitis A share a household or are otherwise in contact with someone who works at a food service establishment,” explained Gary Edwards, SLCoHD executive director. “When we’ve learned this, we’ve immediately acted to vaccinate all food workers in that same establishment for the protection of the public. This amendment formalizes and codifies that health department response as it relates to food workers.”

The temporary amendment requires food service establishments to vaccinate all employees who handle food if any worker in the establishment is identified as a contact of someone confirmed to have hepatitis A. Establishments have 14 days to comply with the vaccine requirement; workers who do not comply within 14 days will be excluded from work assignments that involve handling food or food-contact surfaces.

Under the temporary amendment, food establishments are responsible for maintaining official record of their employees’ vaccination status. Each occurrence of an unvaccinated employee handling food or a food-contact surface will be recorded as a critical violation on the establishment’s inspection history, and repeated failure to comply may result in suspension or revocation of the affected food establishment’s permit to operate.

The temporary amendment also authorizes SLCoHD to reduce the cost of the first dose of the hepatitis A vaccine by up to 50 percent for anyone seeking vaccination at a health department immunization clinic who can document that they are a food-service employee in Salt Lake County.

Temporary amendments may be enacted by the Board of Health without the normal public hearing process in response to an imminent public health concern. Temporary amendments are limited to 120 days, during which the Board may, if they choose, engage in the full public notification and hearing process to permanently amend a regulation. The Board has not yet determined if it will be necessary to permanently amend Health Regulation #5.

The Michigan jail system is fighting the spread of hepatitis A in the state’s three largest counties.

The Detroit News reports that thousands of jail inmates in Wayne, Oakland and Macomb counties have opted to receive the hepatitis A vaccine for free in recent months.

A spokeswoman for the Michigan Department of Health and Human Services says the vaccine costs the state $25 per dose.

Health officials say those in jail are particularly vulnerable to hepatitis A because of the close quarters inmates share.

The Health Department says southeast Michigan has had 715 cases of hepatitis A and more than 20 deaths since August 2016. Health officials say the majority of cases are among drug users, homeless people, and current and former inmates.

As I said in a previous post, I have been advocating this fo a very, very long time.  For Goodness Sake, Vaccinate – Against Hepatitis A.

The Detroit Health Department recommends all food establishments get their employees vaccinated.

To support this effort, the Detroit Health Department is launching a mobile vaccination clinic program to provide easy and convenient access for Detroit food establishments to vaccinate their employees.

The Department will set up clinics throughout the City of Detroit, where clusters of restaurants are located.

Restaurants can call the Detroit Health Department at 313-876-0135 to arrange for vaccination.

Southeast Michigan has seen 692 hepatitis A cases, with 564 hospitalizations resulting in 22 deaths in the last year.

Hepatitis A is a contagious liver disease that results from infection with the Hepatitis A virus. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months. Hepatitis A is usually spread when a person ingests fecal matter — even in microscopic amounts — from contact with objects, food, or drinks contaminated by the feces, or stool, of an infected person.

I have been advocating this fo a very, very long time.  For Goodness Sake, Vaccinate – Against Hepatitis A.

The Detroit Health Department recommends all food establishments get their employees vaccinated.

To support this effort, the Detroit Health Department is launching a mobile vaccination clinic program to provide easy and convenient access for Detroit food establishments to vaccinate their employees.

The Department will set up clinics throughout the City of Detroit, where clusters of restaurants are located.

Restaurants can call the Detroit Health Department at 313-876-0135 to arrange for vaccination.

Southeast Michigan has seen 692 hepatitis A cases, with 564 hospitalizations resulting in 22 deaths in the last year.

Hepatitis A is a contagious liver disease that results from infection with the Hepatitis A virus. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months. Hepatitis A is usually spread when a person ingests fecal matter — even in microscopic amounts — from contact with objects, food, or drinks contaminated by the feces, or stool, of an infected person.

With a Hepatitis A outbreak boiling in southeast Michigan for the last year, one would think common sense would dictate vaccinating employees and protecting your customers?

Monroe County Health Department (MCHD) has confirmed a second case of Hepatitis A in an individual who works at a local restaurant. MCHD is providing information to alert residents and guests to the possible exposure and to recommend prompt Hepatitis A vaccination or Immune Globulin (IG) treatment to potentially exposed individuals.

The diagnosed individual works at Tim Hortons Restaurant located at 404 S. Monroe Street in Monroe. Anyone who consumed food and/or drink from the restaurant between December 10, 2017 and December 28, 2017 may have been exposed.

MCHD is working with the restaurant to vaccinate all employees, determine if there are any additional cases and to eliminate any additional risk of exposure. Concerned individuals are urged to contact MCHD or their health care provider with questions.

Anyone who has consumed food and/or drink at Tim Hortons from December 10th to December 28th, should monitor for symptoms of Hepatitis A which include fatigue, poor appetite, stomach pain or tenderness, nausea or vomiting, dark urine, and yellowing of the skin (jaundice). Most children less than 6 years of age do not experience symptoms. Symptoms typically appear 2 to 6 weeks after exposure. Individuals with symptoms should call their health care provider and seek medical care.

Earlier, The Department extended the free Hepatitis A walk-in clinic, through the week of December 18 through the 22 where at least 1,800 people were vaccinated after the first employee with hepatitis A was announced. The clinic was for anyone who consumed food and/or drink between November 21 and December 8 from the same Tim Horton’s location.

Hepatitis A vaccine or Immune Globulin (IG) treatment may provide protection against the disease if given within two weeks of exposure. Anyone potentially exposed to Hepatitis A should contact their healthcare provider to be assessed for vaccination or IG treatment. Hepatitis A vaccine is available from health care providers, pharmacies and at MCHD. People who have had Hepatitis A disease or have previously received two doses of the hepatitis A vaccine do not need to be vaccinated.

Hepatitis A is caused by the Hepatitis A virus, and it can cause damage to the liver and cause other health problems.

The most effective method to prevent Hepatitis A is to get vaccinated. The Hepatitis A vaccine is now routinely recommended for children at 1 year of age. Most adults, however, may not be vaccinated, unless they did so for travel or other risk factors.

The Hepatitis A virus is most commonly spread from person-to-person by the fecal-oral route. Most infections result from contact with an infected household member or sex partners. Sometimes, infection results from food or drink that is contaminated with the virus. It is not spread through coughing or sneezing. Anyone who has Hepatitis A can spread the virus to others for 1-2 weeks prior to symptoms appearing.

Frequent hand-washing with soap and warm water after using the restroom and before handling food can help prevent the spread of Hepatitis A. Thoroughly preparing foods can also help prevent infection. Freezing food does not kill the virus.

Outbreak in Southeast Michigan From August 2016 to December 20, 2017 there have been 630 cases of Hepatitis A diagnosed in Southeast Michigan. Monroe County has 14 confirmed cases of Hepatitis A.

The U.S. Food and Drug Administration has issued an Import Alert over hepatitis A found in raw, frozen tuna from Sustainable Seafood Co. Ltd. in Can Lam, Vietnam, and P.T. Deho Canning Company in North Sulawesi, Indonesia.

“FDA believes that hepatitis A virus-contaminated seafood is a result of insanitary conditions in the production or packing facilities, e.g., poor worker hygiene, inadequate worker sanitation facilities, and/or contaminated water supply,” FDA said in the alert.

The FDA found hepatitis A virus in frozen raw tuna samples from the two suppliers in May 2017, but is issuing the Import Alert now “to address seafood products being introduced for entry based on two recent outbreaks,” Jason Stratchman-Miller, a spokesperson for FDA, told SeafoodSource.

In May, Hilo Fish Company in Hawaii recalled tuna sourced from Sustainable Seafood Company and Santa Cruz Seafood, Inc. that tested positive for the hepatitis A virus. The tuna had been distributed to several U.S. grocery stores.

“The current recall resulted from follow-up after the Hawaii Department of Health notified the FDA of a frozen tuna sample, sourced from PT Deho Canning Co., which tested positive for hepatitis A on 1 May, 2017,” FDA said in a statement in May.

In the new Import Alert, FDA explained that hepatitis A virus is excreted in feces of infected people “and can produce clinical disease when susceptible individuals consume contaminated water or foods.” 

As a result of the alert, FDA “may detain, without physical examination, shipments of fresh or frozen raw seafood” from Sustainable Seafood Co. and P.T. Deho Canning Company, the regulator said.

“Hepatitis A virus is primarily transmitted by person-to-person contact through fecal contamination, but common-source epidemics from contaminated food and water also occur,” FDA said in the alert. “Poor sanitation and crowding facilitate transmission. Contamination of foods by infected workers in food production facilities/processing plants and restaurants is common.”