About Hepatitis A Food Poisoning

Hepatitis A is the only common vaccine-preventable foodborne disease in the United States (Fiore, 2004).  It is one of five human hepatitis viruses that primarily infect the human liver and cause human illness.  Unlike hepatitis B and C, hepatitis A doesn’t develop into chronic hepatitis or cirrhosis which are both potentially fatal conditions (Mayo Clinic, 2006); however, hepatitis A infection can still lead to acute liver failure and death.

Hepatitis A is relatively uncommon in nations with developed sanitation systems such as the United States. Nevertheless, it continues to occur here, and approximately one-third of the United States population has been previously infected with hepatitis A (Fiore, 2004).

Viral hepatitis is a major public health concern in the United States, and a source of significant morbidity and mortality.  Each year, approximately 30 - 50,000 cases of hepatitis A occur in the United States.  Direct and indirect costs of these illnesses exceed $300 million, including wage loss and medical expenses.  Adults who become ill miss an average of 27 work days per illness.  Eleven to 12 percent of persons infected are hospitalized, and 100 people die as a result of acute liver failure annually in the United States due to hepatitis A (CDC, 2007).  The unfortunate aspect of these statistics is that with 21st Century medicine, hepatitis A is totally preventable and cases—especially outbreaks relegated to food consumption—need not occur.

The hepatitis A virus or “HAV” is relatively stable and will survive for up to a month at ambient temperatures in the environment, but can be inactivated by heating to 185°F (85°C) or higher, or exposure to formalin or chlorine.
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Iowa Billiard Bar Survives Hepatitis A Scare

After a part-time employee with Hepatitis A sent hundreds to free vaccination clinics at the county health department,  Whitey's Bar and Billiards in Burlington, Iowa will be under new ownership after Aug. 16.

On Friday, the Burlington Hawk Eye reported a happy end to the story:

Business at Whitey's has taken a hit over the last two weeks after a part-time employee was diagnosed with hepatitis A July 11. The Iowa Department of Public Health issued a warning to patrons who consumed select items at the restaurant, sending hundreds of people to free vaccination clinics at the county health department last week.
After telling some people the business would close its doors permanently Wednesday, Walker decided there were other options to explore.
On Thursday afternoon, Walker and wife Angela posted the business for sale on the Whitey's Myspace page. Within an hour, an interested party contacted the couple, requesting they remove the offer from the Web site and begin preparing a lease, Walker said.
Walker said the new owner will maintain the same kind of business.
For more on Whitey's go here.



Hepatitis "A" Shots For Flood Cleanup NOT Required

In the aftermath of the flooding throughout much of the Midwest, health officials are advising those involved in the cleanup to get some shots, but not others.  

Iowa's Henderson and Des Moines counties continue giving out tetanus shots -- also available at doctors' offices -- to people who have had close contact with the floodwaters. Tetanus shots are a concern for people near the floodwaters who have open wounds or the potential for injury.

"Typically, you don't get things like Hepatitis A, because it's so dilute," Des Moines County Public Health Nurse Abby West said. "Hepatitis A is not something they're recommending vaccines for."

For more about cleanup dangers, go here.