Chipolte Cyclists More Important Than Victims Of Hepatitis A To Its Hometown Newspaper

Denver is the hometown of Chipotle Mexican Grill.   So,  we are not surprised with the "homer" coverage the fast food chain is getting from Joyselle Davis, a business writer at the Rocky Mountain News.

Within the same news cycle that Terry Wesley sued Chipotle for giving him Hepatitis A from eating at the Mexican fast food chain's outlet on Fletcher Parkway in Le Mesa,  Ms. Davis writes a glowing story entitled "Chipotle rides onto a bigger stage."  In it she makes no mention of the fact that Chipolte's Kent, Ohio outlet has spread norovirus to more than 400 while the Le Mesa, CA Chipolte is serving up Hepatitus A to 21 confirmed cases so far.

Instead,  "The Rocky" has a just "slap your leg" with laughs story about how the European riders on the new "Slipstream-Chipotle" cycling team call burritos "bread."   Wow, is that funny or what?

The serious part of the story, the part that could have just as well been written by the burrito peddlers public relations department, was this:

For co-sponsor Chipotle Mexican Grill, which prides itself on using only hormone- and antibiotic-free meat, the marketing deal gives the restaurant chain a vehicle to take its additive-free ethos to the world stage.

"This is a team that's very vigorous about their drug testing and keeping their bodies clean, and that's very much our philosophy," said Jim Adams, Chipotle's executive marketing director.

Excuse us for being picky, but we are far more concerned about a restaurant chain being "pathogen free" than we are about its ethos or its cycling team.   Chipotle is making people sick.  Its customers would also like to be "drug free," but they all have to get well before that's going to happen.

Writing about Hepatitis A, the viral infection that attacks the liver and is spread by fecal contamination of water or food, isn't as much fun as those colorful new bike uniforms "The Rocky" is so excited about.  Symptoms include nausea, diarrhea, fever, fatigue, dark urine and jaundice.

But that's path Terry Wesley has been forced to take by Chipolte.  Its a far  tougher ride.  Its the one "The Rocky" apparently does not want to hear, see, or talk about.

Looks Like It Was Chipotle Customers Making Other Customers Sick With Hepatitis A

You are looking at the inside of a typical Chipotle Mexican Grill.   It's a very clean-looking environment.   It's always a function of local management if the interior is really kept clean and the service running smoothly.   To be honest, we don't dine at Chipotles because we don't like standing in lines period, and these places are usually so popular that there lines are long.

Well, if you assume that the Health Department has actually tested all employees (not likely) and that the food (as in many earlier Hepatitis A outbreaks) was not contaminated, then is it possible that customers who were in those lines at the La Mesa, CA Chipotle restaurant came into contact with someone or someones who were carriers of Hepatitis A as the disease has spread to at least 18 other people?  We at Hepatitis Blog have not found such an outbreak in our research.  So, anyone who dined there between March 1 and April 22 are being told by health officials to seek a medical checkup.

Hepatitis A is commonly transmitted when an object contaminated with the stool of someone with hepatitis A comes in contact with another person’s mouth. Exposure also can occur when an individual consumes food or water contaminated with the Hepatitis A virus, according to the health department.  Symptoms of hepatitis A include fever, fatigue, nausea and jaundice.

Chipotle is also dealing with a norovirus outbreak at one of its Ohio restaurants.

Hepatitis A Outbreak At Chipotle Mexican Grill

Chipotle Mexican Grill is experiencing its second outbreak of the week, this one at La Mesa, CA involving Hepatitis A.   Fox 6 News reports:

The San Diego Health and Human Services Agency and County Department of Environmental Health are investigating six cases of Hepatitis A linked to a La Mesa Chipotle restaurant.

The county is recommending individuals who dined at the restaurant between March and April 22, 2008, and may see symptoms of Hepatitis A, to see their physicians for screenings.


Hepatitis A is a vaccine-preventable illness, according to health officers, and the public is urged to talk to their physicians about getting vaccinated

The other Chipotle outbreak has made more than 400 people sick in Kent, Ohio.  Go here for more on the Southern California outbreak.

Common Misspellings of Hepatitis A - hepatitus a, hepititis a, hepatitis e, hepetitis a, hepatatis a, hepatitisa, hepatits a, hepatites a, hepaititis a, epatitis a

Hepatitis A is one of five human hepatitis viruses (hepatitis A, B, C, D, and E) that primarily infect the liver and cause illness. An estimated 80,000 cases occur each year in the U.S., although much higher estimates have been proposed based on mathematical modeling of the past incidence of infection. Each year, an estimated 100 persons die as a result of acute liver failure in the U.S. due to hepatitis A, but the rate of infection has dramatically decreased since the hepatitis A vaccine was licensed and became available in the U.S. in 1995.

Want To Prevent Hepatitis A Outbreak? STAY HOME!

Contamination of food by an infected food worker is the most common mode of transmission of hepatitis A in food borne disease outbreaks (Guzewich 1999). A review of food-borne Hepatitis A outbreaks in the United States found that in many cases the infected food handler either did not seek medical care or delayed getting medical care (Fiore 2004).

So says Dr. Rajiv Bhatia, Director, Occupational and Environmental Health of the San Francisco Department of Public Health.  That's just a taste of a long article by Dr. Bhatia on the California Progress Report, in which he makes the case that paid sick days are the key to cutting down on food borne illnesses like hepatitis A.

Two years ago, San Francisco began the first city in America to require all employers to provide for paid sick days.  Now the California Assembly is considering imposing the same requirement statewide.

Dr. Bhatia says paid sick days pay positive dividends in the following areas: Avoiding transmission of infectious disease in communities;  Preventing food borne illness;Reducing expensive hospital care; Providing essential care for family members and dependents;and Addressing health disparities.  He says:

For occupations such as health care workers, child care providers, and food service workers, it is critical to keep sick workers out of the workplace.

See Dr. Bhatia's entire article here.



A Look At Two States Handling Hepatitis A Threats

We spend a lot of time observing how various state, regional and local health districts handle the challenge of an outbreak, or the potential for one.  

We see the Idaho Central Health District has pretty well put away the threat that one restaurant worker caused at Boise's Red Feather Lounge by working with Hepatitis A.  Here's what that Idaho agency told the public:

It has now been two weeks since the Red Feather Lounge employee with hepatitis A last worked at the establishment. Anyone potentially exposed to the disease between March 5th and 17th will no longer be eligible for a vaccination because it would not be effective. From March 25th through March 31st Central District Health Department (CDHD) provided hepatitis A vaccinations to 283 people. Everyone potentially exposed should continue to wash their hands thoroughly, since receiving hepatitis A vaccine after a potential exposure is not 100% effective prevention. CDHD reminds those that have not been vaccinated or have not been previously infected to watch for signs of hepatitis A infection. CDHD still maintains that the chance of infection is low, but patrons should be aware of the following information.

It goes on to provide excellent write-ups on symptoms, incubation, treatment, and statistics.  Go here for all of that.

As that ends in Idaho,  the Lafayette, Louisiana Parish Schools is confronting the same problem as one of its employees continued working after contracting Hepatitis A.   KLFY-TV 10 is reporting that vaccinations will be available on Wednesday April 9th at these three sites: Acadian Middle, NP Moss at Good Hope Baptist and NP Moss Annex.  The vaccines are free of charge for all students and faculty attending those schools

KLFY-TV 10 reports:

Hepatitis A is serious contagious liver disease. Now hundreds of students in Lafayette are exposed to it.

We will see how Louisiana handles it.  At this point, we haven't seen any involvement by either the state or the Region 4 Health District.   Maybe they just leave it to the Parish Schools.

PF Chang's Worker May Have Spread Hepatitis A

Anyone who consumed ice, beverages with ice, ice cream or lemons at the PF Chang's in West Chester, Ohio anytime between March 14 and 25 should see their doctor immediately.

A restaurant worker with Hepatitis A was on the job then, putting everyone consuming one of those items in danger, according to the Butler County Health Department.  The Kypost reports tonight (3/28/08) on the alert about the Hepatitis scare.

Go here for that report.

Trendy Boise Nightspot May Be Spreading Hepatitis A

Dozens of people are showing up at the Central Health District in Boise, ID for shots, either vaccines or immune globulin.   All are patrons of the Red Feather Lounge, a trendy spot in downtown Boise, and they were served in the establishment sometime between March 5 and 17 when they might have been served by a restaurant worker who was contaminated with Hepatitis A.

The online Argus Observer reports that:

While the risk to the public is low, lounge patrons possibly could have been exposed, David Fotsch, public information officer for the Central District Health Department, said in an announcement released Tuesday. Central and Southwest District health departments are recommending people not immune to hepatitis A who had food or a drink at the Red Feather Lounge during the specified dates receive hepatitis A vaccines or immune globulin immediately. They should also contact their health provider if they are showing any symptoms of hepatitis, Fotsch said.

For more from the Argus, go here.

North Dakota Requires Hep A Vaccine

On April 1st,  North Dakota will require children in daycare to have vaccines for Hepatitis A, Pneumococcal, and Rotavirus.

KFYR-TV took a look at how its going with the deadline fast approaching.  The Bismark station reports:

"Well most of the kids have the pneumonia one, some of the small ones have the Hepatitis A one, but very few have the rotavirus one," says Renae Vilhauer, of King`s Kids Daycare.

Bismarck-Bureleigh Public Health says that`s because the rotavirus vaccine has only been available for two years. It must be given to a child by the time he or she is eight months old, meaning a child who is three has never, and will never get the chance to receive the immunization.

The State Health Department says it`s up to the daycare to enforce the immunization deadline.

Vilhauer told KFYR-TV that although the immunizations will be required by the state, asking, instead of ordering, parents to immunize their children is really all that can be done. 

Check here for the complete story on KFYR-TV.


Demi Moore Bash Turns Bust As Hepatitis A Gets Served

Ok, this is a familar story.  Only because the names of some of the people involved has an Hepatitis A scare turned into a national story. 

It seems movie star Demi Moore threw a party for her boyfriend, Ashton Kutcher, on Feb 7th at a Manhattan bar called Socialista.  The guest list included the likes of MADONNA, BRUCE WILLIS and GWYNETH PALTROW.

Trouble is New York City health officials says anyone who went to the Socialista after 8 p.m.on Thursday February 7th or Friday February 8th, or after 10 p.m. Monday, February 11th is at risk because a bartender working there has active case of Hepatitus A.

Anyone who might have been exposed to him should be vaccinated to keep from developing the disease.

NY1 News reports that:

Symptoms of hepatitis A include fatigue, poor appetite, fever, and vomiting. Some people may have darker urine or jaundice, which is a yellowish tinge to the skin.

As many as 700-800 people may have visited the bar during those dates and times. People who may have been exposed but have already had two doses of hepatitis A vaccine at some point in their life do not need another shot. But health officials say everyone else should be vaccinated.

The Health Department will provide free shots at P.S. 41 elementary school on 116 West 11th Street at Sixth Avenue for people who may have been exposed at the following times: Friday, February 22 from 4 p.m. - 10 p.m.; Saturday, February 23 from 1 p.m. - 8 p.m. ;and Sunday, February 24 from 1 p.m. - 6 p.m.

Go here for more from NY1 News.  Oh, and don't expect to see Demi or any of her pals in line for the shots.  Doctors do still make house calls for the rich and famous.

 

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Buffalo Executive Handles Hepatitus A Scare

The County Executive in Buffalo, NY has decided it will take at least another day to vaccinate all the people exposed to an employee with Hepatitis A who was working at a local Wegmans store.

Wegmans is a Rochester, NY chain of eco-friendly outlets with a grocery store/ restaurant combination.   They are much Whole Foods, which recently took over Wild Oats, and Seattle's late, great Larry's Markets.

The store involved in this Hepatitis A scare is located at 5275 Sheridan Drive in Buffalo.

If you purchased produce at this Wegmans location after January 7, 2008, and ate this produce without cooking since January 26, 2008 and have not been previously vaccinated or had Hepatitis A illness in the past, the Erie County Department of Health is recommending a Hepatitis A vaccine or immune globulin (IG).

Erie County Executive Chris Collins said vaccination clinic held Monday (2/11) on the ECC North Campus from 12:00 p.m. until 8:00 p.m. Collins told WBEN that officials will make evaluations throught the day to see if any additional clinics will be needed.

The WBEN story can be found here.

 

 

BC Health Officials Pursue Two Cases of Hep A

Michele Young of the Kamloops Daily News, wrting in the Vancouver Sun, over the weekend reports that two incidents of Hepatitis A are being investigated by health officials.

One victim, who recently visited Mexico, is a member of a local sports team.   The other is a restaurant worker who was in India recently.  The food handler worked at the Sun Peaks restaurant Mesa's Bar and Grill.

Young's story in the Sun said:

The incidents are unrelated, (Dr. Digby) Horne said. "We don't really know how they got the hepatitis A. Possibly food or water," he said. Neither of the infected people are in hospital, and the food handler is feeling better.

The teenage sports player, however, is still sick. He began showing symptoms Jan. 23 and a lab confirmation of hepatitis A was made Thursday.

"We're still working on identifying or checking to make sure there aren't any more contacts, but we did immunize team members because there had been significant food handling and sharing," said Horne.

For all of Ms. Young's story, go here.

Largest Hep A Outbreak In US History: A Look Back

The on line HealthDay News of the American news magazine, U.S. News & World Report, is filled with stories and information on food-borne illnesses stemming from imports.    It  includes the story of the largest Hepatitis A outbreak in U.S. history and updates the progress that one of the seriously injured victims is making five years later. 

One Sunday after church, Rich Miller headed to a local Chi-Chi's restaurant in Beaver, Pa., where he dipped into the house salsa that came with the meal.

That simple act in 2003 changed his life forever. What Miller didn't know was that imported Mexican green onions in the salsa carried a deadly passenger: hepatitis A.

A few days later, as Miller recalled recently, "I couldn't even get out of bed. It was like the worst case of flu that you could ever imagine."

His health quickly deteriorating, the 57-year-old railroad superintendent was diagnosed with rare fulminant hepatitis A disease -- in which the virus destroys the liver -- and was rushed to a Pittsburgh hospital for a liver transplant.

Placed in a medically induced coma for a month, Miller eventually returned home, frail and unable to return to work. To this day, he said, he has mobility problems and neurological difficulties.

Still, Miller considers himself lucky: Four others who ate the salsa and developed fulminant liver illness died. Overall, more than 600 people around Pittsburgh were sickened during what became the largest hepatitis A outbreak in U.S. history

The Mexican green onion outbreak at Chi- Chi's came a month after the restaurant chain had filed for bankruptcy.  In 2004, it was forced to shut-down entirely, selling off some of its choice properties to Outback Steakhouse. 

Marler Clark represented many of the victims, including the 9,489 people who got inoculated because of  they were exposed to Hepatitis A at the Beaver Valley Mall Chi-Chi's.  News reports at the time said Seattle-based Marler Clark won millions for its clients in the deadly outbreak, including $6.25 million for Mr. Miller.

Although some of its sites were cherry-picked for use by Outback and others, many abandoned Chi-Chi's remain around the country.

Chi-Chi's line of grocery products, which was big on its salsa, was sold to Hormel.  If Chi-Chi's demise has left you wishing you could still get its salsa, Wikipedia, the free encyclopedia, provides this recipe:

"Salsa"

Chi-Chi's fresh hot Salsa can easily be replicated with fresh tomatoes, red onions, fresh cilantro, serrano peppers, banana peppers, lime juice and salt. This is actually a "pico" sauce but Chi-Chi's sold it as their fresh salsa. It replaced the standard hot salsa and was served in its place.

The actual recipe from the Chi-Chi's food manual (for the Hot / Pico Salsa ) is as follows:
(Adapted to make 30 servings, Actual recipe made 120 servings)

1 Serrano pepper stemmed & chopped (leave seeds in for more "heat")
3 tsp fresh cilantro
2 TBS sweetened lime juice (Rose's Lime Juice)
2 tsp salt
4 tomatoes chopped drained
1/2 large red onion chopped
1/2 banana pepper chopped
1/2 red pepper

 

President Putin's Vacation Spot Suffers Hep A Outbreak

You may recall that last August, there were pictures of President Putin hunting and fishing in Tuva.

We not think these events are in anyway connected, but now comes word of a Hepatitis A outbreak in Tuva's Todzhinsky Kozhuun District.

Russia's NewsLab is reporting that 34 children have tested positive for Hepatitis A; and 900 other children have had contact with them.

Twenty five water sources have been tested for the virus, 5 of them were detected as infected, Lyubov Oorzhak, Tuva's chief sanitary official said. Immunization of children has already been carried out in the villages, where the outbreak of the disease had been registered.

Nikolay Mongush, head of Tuvan Agency for Civil Defense and Emergencies, was reprimanded for failure to take measures and inform the executives of the republic about the situation.

400 doses of a vaccine were sent to Todzhinsky District today. The Russian news service said extra money will be required for re-vaccination. Ministry for Finances was asked to find the required funds. 

Whether Tuva remains Putin's vacation spot remains to be seen.

Oregon requires Hep A vaccine for children

Oregon, it appears, will become the 11th state beginning in the Falls of 2008 to require children in preschool, childcare facilities, kindergarten and Head Start to have two doses of Hepatitis A vaccine.

Over the next few years, Hepatitis A vaccine requirements will be added to other grade levels in Oregon. 

Oregon allows two types of immunization exemptions: one for religious purposes, which requires a guardian signature, and the other for medical reasons, which requires a physician or a health department official signature.

According to a report by the Centers for Disease Control & Prevention, Alaska, Arizona, Georgia, Missouri, Nevada, New Mexico, Oklahoma, Tennessee, Texas and Utah currently include Hepatitis A vaccines in their school immunization requirements.

California strongly recommend children get vaccine shots for Hepatitis A, but do not require them.

About 180,000 people become infected annually with the Hepatitis A virus, and about one third of those are children.

Dirty doctor sent to prison, patients get tested

As soon as he finishes writing newspaper stories on the convicted Dr. Robert Stokes, Ken Kolker at the Grand Rapids Press should start on a script for "Law & Order."

This strange story would be weird for New York City let alone mild and mellow Grand Rapids, Michigan.   So far, this story does not involve Hepatitis A, but Hepatitis C.  But its interesting nevertheless.  Here's the nitty-gritty of the story.  Dr. Stokes allegedly reused medical equipment meant for one-time use, including syringes and sutures.  He was sentenced on Dec. 27 to 10 and one-half years in federal prison for $1.9 million in insurance fraud that was not related to his  allegedly unsanitary medical practices.

In the meantime, however, public health officials in Michigan are encouraging Dr. Strokes 13,000 patients to get tested.

Thus the New Year's Day edition of The Grand Rapids Press reported that:

"The results of blood tests are trickling in for former patients of Dr. Robert Stokes, the disgraced dermatologist whose medical practices allegedly posed a risk for the spread of communicable diseases.

 "So far, six former patients have tested positive for hepatitis C, state health officials said. The officials say in terms of percentages, the overall results have been encouraging, though it still is too early to draw conclusions.

"Officials have received test results for 710 of the doctor's 13,000 or so patients in Kent and Montcalm counties. Many have yet to be tested. "

Calgary McDonald's patrons to line up for hepatitis A inoculations

McDonald's Hepatitis AA worker at a Calgary, Alberta, Canada McDonald's restaurant has been diagnosed with hepatitis A, and in an effort to prevent an outbreak, public health officials are offering immune globulin injections to inoculate customers against the hepatitis A virus.

Anyone who ate at McDonald's less than 14 days ago is eligible to receive the injection.

This week's food safety infosheet from the International Food Safety Network provides additional information about the hepatitis A exposure.

Merck Temporarily Halts Hepatitis A Vaccine Orders

The latest news on available supplies of pediatric and adult formulations of hepatitis A vaccine, inactivated, is mixed. Of the two manufacturers that produce this vaccine for the U.S. market, one reports that it has temporarily ceased taking orders for vials of the vaccine, and the other states that its current production and supply levels are in good shape to handle demand for the product.

That's according to a Sept. 28 update posted on the CDC's Current Vaccine Shortages & Immunizations Web page, which further notes that no changes in current recommendations for administration of hepatitis A vaccine are indicated at this time.

keep reading here

2nd Fishers student gets hepatitis

A second student has been diagnosed with Hepatitis A at a Fishers grade school, authorities said today.

Classes at Harrison Parkway Elementary were not dismissed because of today's discovery - the second case this month - but letters explaining the disease were sent to parents, said Hamilton Southeastern School Assistant Superintendent Richard Hogue.

"The health department told us there was no reason to shorten the school day," Hogue said.

Keep reading here

Jamba Juice To Reimburse After SJ Hepatitis Scare

SAN JOSE, Calif. -- Jamba Juice's CEO responded Thursday to a hepatitis A scare originating at a Willow Glen location.

Santa Clara County Public Health Department said Thursday there might have been exposure to hepatitis A at a San Jose Jamba Juice, located in Willow Glen at the corner of Willow and Lincoln avenues

Santa Clara County Health Officer Dr. Marty Fenstersheib told NBC11 a worker came down with hepatitis A in August.

He said because the worker came in contact with food, he is issuing a warning to customers. Fenstersheib said anyone who went to that restaurant and has certain symptoms should see his or her doctor.

Keep reading here.

Know risks when travelling with baby

As I lay huddled on a lumpy bed in a guest house in Dharamsala, India, still recovering from giardia, I listened to the infant in the room next door scream for hours.

Was he suffering from a similar parasite, dysentery or food poisoning, or was he just colicky? I never found out, but my husband and I promptly checked out, vowing to never bring a newborn to a country where flies are more numerous than diners inside restaurants.

keep reading here.

Hepatitis A cases are on the rise

The number of cases of Hepatitis in Kern County California is increasing at an alarming rate.  According to new statistics released by the Kern County Department of Public Health, Hepatitis A cases have increased 10-fold from six this time last year to 64 this year.  Hepatitis A is most commonly transmitted due to bad hygiene.


Hepatitis A at Hooters in 2005 - How did I miss that?

The Salem Hooters, at 327 S. Broadway, opened only three years ago. In May 2005, an employee there was taken to the hospital with hepatitis A, but state officials said diners at the restaurant were never at risk.

Hepatitis Outbreak Linked To Lexington Restaurant

A former worker at O'Charley's Restaurant has been linked to the Hepatitis A outbreak in Lexington.  Full Story

Officials say the worker most likely contracted the virus out of state.
At this time, only three people have been linked to the outbreak, but not from eating at the restaurant.   Never the less, for the next week anyone who ate at the O'Charley's on Richmond road is being asked to monitor their health.

Officials say, that symptoms of the disease could occur at anytime.
Symptoms of the disease include diarrhea, flu symptoms, and even in the most serious cases jaundice.

Hepatitis warning issued

Anyone who has visted Earthhaven in McDowell County around May 25 is being prompted to seek treatment from a physician due to possible Hepatitis A exposure.  Full Story

Carolyn King, health education supervisor with Wayne County Health Department, said the treatment is to be vaccinated with a shot of immune globulin. If received within two weeks of exposure, symptoms of Hepatitis A are more unlikely.

Hepatitis A, or HAV, is a liver infection and the most common type of viral hepatitis, she explained. It usually causes temporary liver inflammation and most recover without long-term problems. The virus can be spread for at least two weeks before symptoms develop.

Symptoms may include jaundice, fatigue, abdominal pain, loss of appetite, nausea, diarrhea and fever. They usually last less than two months.

Hepatitis A found in Rutherford County

One person has tested positive for Hepatitis A after being in contact with the Earth Haven Eco Village in North Carolina. Full Story

Rutherford Polk McDowell District Health Department spokeswoman Debbie Goings said anyone who has had contact with the Earth Haven Eco Village, a natural living commune, from May 25 until the present should call the health district at 925-0530.

Goings also said that people who think they have been infected can receive a globulin injection at the McDowell Health Department from 8:30 a.m. to noon tomorrow. The health department is located at 408 Spaulding Road in Marion.

Goings said along with the one person who has tested positive, three others are thought to be positive based on their symptoms and two other people are suspected to have the disease.

Hepatitis Vaccinations For Food Workers Could Be Reality

KHTS News, Sunday, 20 May 2007
Mandatory Hepatitis A vaccinations being pushed by County board Full Story

To counter legal roadblocks preempting the County from imposing mandatory Hepatitis A vaccinations for food service workers, the Los Angeles County Board of Supervisors unanimously approved Supervisor Michael D. Antonovich’s motion to sponsor State legislations amending the California Retail Food Code to mandate such vaccinations for public health.

Today’s action follows on Supervisor Antonovich’s previous motion to require Hepatitis A vaccinations for food service workers. On May 3, 2007, County Counsel discovered that the County is prevented by State law from imposing a universal vaccination requirement for food service workers.


Raw oysters cause Hepatitis A among Arizonans, including Yuma County resident

Thirteen people contracted Hepatitis A after eating raw oysters in Arizona between March 8 and 25.  Full Story from Diana Suarez at Bajo El Sol

Health officials are warning people not to eat raw shellfish after 13 Arizonans, one of them a Yuma County resident, contracted hepatitis A from eating uncooked oysters at Rocky Point, Son., in March. "These cases are a reminder that there is a real risk of getting sick from uncooked shellfish, regardless of where it came from," state epidemiologist Ken Komatsu said in a news release.

"Our warning is consistent with what the state is doing," added Benito Lopez, epidemiologist with the Yuma County Health Department.
"Avoid consuming oysters, clams and all shelled seafood that is raw. That is the recommendation."

Hepatitis A outbreak possible in Burnsville

Another person has been diagnosed with Hepatitis A in Minnesota. Last week, over 2,000 shots were administered after 3 people were diagnosed with the virus.  Full story.

BURNSVILLE, Minn. (AP) - One person at Burnsville High School has been diagnosed with hepatitis A and about 20 others may have been exposed, school officials warned Thursday.

Preschoolers and high school students were exposed through food preparation in a preschool class at the high school, the Burnsville-Eagan-Savage School District said. The district said the parents of those children were sent a letter and called about the incident.

LBI wants food workers vaccinated for hepatitis A

Long Beach Island health officials are urging local restaurants to take advantage of the hepatitis A vaccine offered at the health department.  Full Story

Health officials on Long Beach Island are concerned that local food-service workers are not being vaccinated for the liver disease hepatitis A and that the transitory nature of the employees, mostly immigrants, makes doing so a difficult task.

Tim Hilferty, director of the Long Beach Island Health Department, said administering the vaccine is not a priority for local business owners.

“There hasn't been a lot of interest in the vaccine. It's not really a priority, because the vaccine is just recommended and not required by law,” Hilferty said.

11 Cases of Hepatitis A Prompts Warning: ?Eating Raw Oysters Can Be Dangerous


The Arizona Department of Health Services and the Maricopa County Department of Public Health have confirmed 11 cases of hepatitis A in Maricopa County. All reported eating raw oysters in Puerto Peñasco (Rocky Point) in March and are recovering.  Two additional cases were discovered statewide, one each in Pima and Yuma counties.  Mexican health officials are investigating possible sources of the contaminated oysters, as they were eaten at various locations including an oyster farm, street vendors and at the beach.

"These most recent cases are a reminder that eating uncooked shellfish is the same story as with meat and poultry—if you eat it raw or undercooked, there is a real risk of getting sick with some pretty nasty bugs," said Dr. Bob England, Director of the Maricopa County Department of Public Health.  Illness resulting from hepatitis A infection may include fever, fatigue, loss of appetite, nausea or abdominal discomfort, which may be followed within a few days by jaundice. Hepatitis A can take from 15 to 50 days to develop, however it usually takes about 30 days. The illness is rarely fatal, and is usually of mild to moderate severity.?

“Our investigation leads us to believe that these 11 people were exposed from mid to late March,” said Dr. England. “Anyone who has traveled to Mexico during this time or subsequently and who develops the above symptoms should consult with their health care provider.”  Due to a higher risk of complications, anyone with another form of hepatitis or underlying liver disease and who ate raw oysters in Puerto Peñasco during this time may wish to consult with their health care provider.
According to the Centers for Disease Control and Prevention, people traveling to countries where hepatitis A is common should consider getting immunized. There is an effective vaccine that virtually eliminates the possibility of getting hepatitis A.

Hepatitis A is usually spread from person to person by putting something in the mouth that has been contaminated with the stool of a person with hepatitis A. To avoid contracting hepatitis A, always wash your hands after using the bathroom, changing a diaper, or before preparing or eating food.

Minnesota Department of Health Hepatitis A Report


Slayton hepatitis A outbreak update
Clinics serve nearly 2,300 people; restaurant reopens; investigation continues

More than 2,280 people received immune globulin (IG) shots at two public clinics held in Slayton, MN on Friday and Saturday after health officials learned of cases of hepatitis A illness in two food workers at the Pizza Ranch restaurant earlier in the week. Those receiving the shots were people who may have been exposed to hepatitis A through food eaten at the restaurant from April 20 through May 1. The shots, if given within 14 days of exposure, will prevent symptoms of hepatitis A infection.

The restaurant reopened Monday after management complied with all of the conditions required by health officials for reopening. Those requirements included exclusion of all ill foodworkers from working until they recover fully (and are no longer infectious), all other foodworkers receiving immune globulin shots, employee training in various procedures aimed at preventing contamination of food handled by workers, a thorough cleaning of the restaurant and replacement of all ready-to-eat foods.

No additional public IG clinics are planned at this time. According to John Schuh, administrator of the Lincoln, Lyon, Murray, and Pipestone Public Health Services, the vast majority of people from the Slayton area needing IG were served by the two clinics. While it appeared early on Saturday that an additional clinic may be needed, demand tapered off after noon on Saturday, but the entire allotment of IG was used.

People who have concerns about their possible exposure or about needing immune globulin should consult their health care provider. The Minnesota Department of Health will continue to operate a toll-free line during regular business hours Monday through Friday for people who have questions about hepatitis or the outbreak. That number is 1-877-676-5414.

As of Monday, May 7, there are four confirmed cases of hepatitis A in this outbreak: three among food workers and one in a patron of the Pizza Ranch. MDH will continue to investigate current cases of illness and any future possible cases. Additional cases of illness may yet occur because some people may have been exposed before April 20 and did not receive IG. The source of the hepatitis A is still under investigation.

Hepatitis A is an infection of the liver caused by HAV, but does not result in a chronic infection. Adults generally experience acute symptoms, particularly headache, fever, tiredness, loss of appetite, and nausea. Dark (tea or cola-colored) urine, light-colored feces (stool), and yellowing of eyes or skin (jaundice) may appear a few days later. Young children generally do not have symptoms. Rarely, hepatitis A can lead to very severe liver disease. Most people who have hepatitis A get well on their own after a few weeks, but may need to rest in bed for several days or weeks.

There is a very effective vaccine that protects against infection with hepatitis A virus (HAV). Careful hand washing after using the toilet, after changing a diaper, and before preparing or eating food will prevent the spread of HAV.

2,289 get shots in Slayton hepatitis case

There have been 3 confirmed cases of hepatitis A after the outbreak at a Pizza Ranch restaurant in Minnesota. The health department gave nearly 2,300 shots to the public on Friday and Saturday.  Full Story by Dana Yost from the Marshall Independant.

Three cases of hepatitis A have been confirmed, the state health department said Friday. Two cases involve employees, and a third was a customer of the Pizza Ranch, said MDH spokesman Doug Schultz. Because a customer was infected, it made it likely more cases would turn up, Schultz said.

Schuh said 1,375 shots were given as of 7 p.m. Friday. More than 900 were given Saturday.

He said health officials were given 1,800 vials of IG from the state, but were able to stretch the doses to 2,289 because doses are based on an individual's weight.

Officials investigate possible Hepatitis A outbreak in Slayton - UPDATED

The Pizza Ranch Restaurant restaurant in Slayton, Minnesota is being investigated after two food workers tested positive for hepatitis AFull story

SLAYTON, Minn. The Minnesota Department of Health is investigating a possible hepatitis A outbreak in Murray County in southwestern Minnesota.

Two food workers at the Pizza Ranch restaurant in Slayton have tested positive for hepatitis A. Test results on several other employees may be available as early today.

The restaurant voluntarily closed Tuesday as a precaution.

Slayton Hepatitis Shot Clinic Will Not Resume

(AP) Slayton, Minn. Nearly 2,300 people received immune globulin shots for hepatitis A over two days after two workers at a Pizza Ranch restaurant in Slayton became ill with the disease, a health official said Sunday.??Public health will not provide additional shots and anyone wanting a shot should check with their doctor, said John Schuh, the administrator of Lincoln Lyon Murray Pipestone Public Health.

Whataburger warns of hepatitis A scare

Heather Ann White of the Corpus Christie Caller-Times reported that the Stores in question are in Harlingen and Raymondville

The Texas Department of State Health Services issued a warning Tuesday to anyone who ate at the Harlingen restaurant at 1605 W. Harrison St. between March 1 and 12 and its Raymondville restaurant at 1007 E. Hidalgo Ave. between March 13 and March 31 to seek medical treatment for hepatitis A if experiencing symptoms. An employee working at both restaurants was diagnosed with the virus and could have spread the disease, said Emily Palmer, health services spokeswoman.  Whataburger officials said Tuesday that it was an isolated incident. Palmer said no other cases have been confirmed, but symptoms could show up as late as 28 days. Customers who visited either restaurant after March 31 are not in danger of contracting the disease.

We have been contacted by counsel for Whataburger.  They seem quite concerned for their customers.

2 high school students diagnosed with Hepatitis A virus

Two students from Milford High School in New Hampshire have been diagnosed with Hepatitis A. Health officials are investigating the source.  Full story

CONCORD, N.H. --Two Milford High School students were recently diagnosed with Hepatitis A, virus the state Department of Health and Human Services said Thursday in a letter sent to parents.

The letter said it's important to be aware of the signs and symptoms of an infection,which include an abrupt fever, loss of appetite, abdominal pain, dark colored and urine and/or clay-colored stools, and jaundice.

In general, illness is not severe and those who are infected recover fully, Jose Montero, the state epidemiologist, said in the letter. Older children and adults may have symptoms that usually last several weeks.

The virus is contagious two weeks before symptoms start, until one week after they are resolved. Immunoglobulin is given within two weeks of exposure can prevent the disease from developing if exposed.

Texas Whataburger Hepatitis A Warning Prompts Hotline

Reported by Anabel Marquez

Texas State health officials said anyone who ate at the restaurant located on Harrison Street in Harlingen between March 1st and March 12th, or the Whataburger located on Hidalgo Street in Raymondville between March 13 and March 31st, may have been exposed to the dangerous virus.

Hepatitis A
is a viral infection of the liver which health experts say requires immediate medical attention. The Texas Department of State Health Services released a statement indicating an employee who worked at two Valley restaurants has been diagnosed with the disease.


According to the health department, the symptoms may include fever, fatigue, loss of appetite, nausea, vomiting and abdominal discomfort. But, experts say the time between exposure and symptoms may take up to 28 days. Symptoms usually last 2 weeks, but can last longer and young children with Hepatitis A often have no symptoms.

Parents from 2 families with preschool children treated for hepatitis A

Full Story from The Associated Press - April 13, 2007
EAU CLAIRE, WISCONSIN — Health officials vaccinated children, staff and parents Friday at a preschool potentially linked to cases of hepatitis A in three parents.

“This action is being taken to protect the health of parents, preschool staff and children who may have been exposed to hepatitis A and to prevent further infections and the spread of the disease in the community,” said Richard Thoune, Eau Claire City-County Heath Department director.

Hepatitis A is a liver disease caused by a virus. It is most often found in children, according to the state Department of Health and Family Services.

Parents from two families with children in preschool at Trinity Lutheran Church are doing fine after being treated for the disease, Thoune said. They did not require hospitalization.

Pappasitos Offers Cash After Hepatitis Exposure

Pappasitos Cantina restaurant in Houston is offering customers who were exposed to the hepatitis A virus cash and gift cards in exchange for signing a release that would discharge them from any lawsuit connected to the outbreak. Full story

The customer then received an offer of $300 in cash and two $50 dining cards to compensate him for the inconvenience.

"They were quite anxious to get this signed and back in their hands, so that certainly concerned us," the customer said.

In order to get the money, Pappas wants customers to sign a document that would "fully release and discharge Pappas Restaurants from all claims suits … connected with any alleged exposure to hepatitis A at Pappasitos Cantina."

The release said the terms of the agreement are to be held in strict confidence.

"They do this because they don't want the bad publicity," Waldman said.

Celebs warned of Hepatitis A scare


Hugh Grant and Drew Barrymore might think twice before indulging in the nibbles at future parties, after being informed that they may have been exposed to Hepatitis A at a recent bash for their new film, Music And Lyrics.  The Music And Lyrics party was one of 14 events catered for by the Wolfgang Puck catering company using a cook who was discovered to have Hepatitis A, according to TMZ.com, which obtained a letter sent out to guests warning them of the risk of exposure to the virus.  Other high profile guests at the February 7 bash included Sandra Bullock, Adam Brody, Jimmy Fallon and TR Knight.

The sponsors of the party told TMZ.com that the Department of Public Health didn't alert them to the problem until February 28, seven days after the two week window in which those who risked infection could have been vaccinated against developing the virus.  The party's sponsors say that, as far as they know, no-one is known to have contracted Hepatitis A from the event.  The letter urges guests to recall whether they ate any uncooked food served at the event, going on to describe "how very low the risk of infection is".

The LA County Department of Public Health went public with only one other event catered for by the Hep A-carrying cook between February 3 and February 20 - a Sports Illustrated attended by stars included Beyonce - but did tell TMZ.com that several of the events in question were "hosted by extremely high profile people" who have been notified privately about the scare.

I can see it now - 'BILL MARLER, LAWYER TO THE STARS"