April 2005

Thursday, 04/21/05
Associated Press
CLINTON, Tenn. — East Tennessee health workers gave vaccinations to 534 people who might have been exposed to hepatitis A while dining at a Waffle House restaurant.
The shots of immune serum globulin were advised for about 5,000 people who had eaten at the Clinton Waffle House between April 5 and 15 and began being administered at a special emergency clinic that opened Tuesday afternoon and runs through today.
State health officials have confirmed 17 hepatitis A cases in Campbell, Scott and Anderson counties. One of those who became ill is an employee of the Clinton Waffle House, and two people were sick enough to be hospitalized.
The source of the outbreak hasn’t been found, though officials suspect that it may have originated at a different restaurant in LaFollette.Continue Reading 534 vaccinated who may have been exposed to hepatitis at diner

April 20, 2005
CLINTON (WATE) — Vaccinations continue Wednesday for diners who ate at a Waffle House in Clinton between April 5th and 15th. A worker there has tested positive for hepatitis A.
Officials estimate 5,000 people dined at the Waffle House located at 2255 N. Charles Seviers Blvd. during the specified time. The highest risk is for people who ate uncooked foods, such as salads, or had iced drinks.
A clinic is set up to dispense the shots at the Tennessee National Guard Armory Building on the J.D. Yarnell Parkway in Clinton. The shots are free. They’re only effective if given within 14 days of exposure.
The schedule for shots is as follows:Continue Reading Shots continue for diners exposed to hepatitis A

April 20, 2005
As many as 5,000 patrons of a Clinton, Tenn., restaurant face the prospect of shots for hepatitis A to stem an outbreak of the viral liver disease, the Associated Press reported Wednesday.
Seventeen cases of the disease have already been confirmed, and all of those infected are believed to have eaten at

Katie Allison Granju, Online Producer
4/20/2005
The East Tennessee Regional Health Office in Knoxville reports that 534 people received a shot to prevent Hepatitis A at a clinic set up in Clinton on Tuesday. The clinic is also open
The vaccine given was Immune Serum Globulin (IsG), and the clinic was set up at the

KnoxNews
April 20, 2005
Transmitted person-to-person by putting something in the mouth that has been contaminated with infected feces. Infected food handlers can pass virus through food or beverages. Also transmitted on improperly cleaned diaper-handling tables and through raw/partially-cooked shellfish from waters containing raw sewage.
Infected person can transmit two weeks before symptoms occur.
Symptoms

By Associated Press
April 20, 2005, 5:50
KNOXVILLE, Tenn. — Unable to find the source of a hepatitis A outbreak in eastern Tennessee, health officials offered to inoculate as many as 5,000 people who ate at a restaurant where an infected food server worked.
Health officials offered free shots Tuesday to anyone potentially exposed at the Waffle House in Clinton from April 5 to April 15, when the restaurant estimates it served as many as 5,000 people.
Dr. Paul Erwin, director of the regional health office, said the infected employee was a victim of the outbreak.
Seventeen cases of hepatitis A, a viral liver disease that can be spread through poor hygiene, have been confirmed in recent weeks. Two people were hospitalized.Continue Reading 5,000 Face Shots After Hepatitis Outbreak

KnoxNews
Clinton Waffle House employee tests positive for hepatitis A
By KRISTI L. NELSON, nelsonk@knews.com
April 20, 2005
A Clinton restaurant worker has tested positive for the hepatitis A virus, prompting the East Tennessee Regional Health Office to offer shots for residents who might have been exposed while eating at the restaurant.
The infected Waffle House worker is a result of an earlier outbreak in Campbell County, not the cause of it, said Dr. Paul Erwin, ETHRO executive director.
The Anderson County Health Department and ETRHO have planned a mass clinic to give immune serum globulin to people who ate at Clinton’s Waffle House, 2255 N. Charles G. Seviers Blvd., between April 5-15. Immune serum globulin, or ISG, offers protection from the virus when given within 14 days of exposure; those exposed earlier than 14 days ago may still get sick but would not be helped by ISG shots.Continue Reading Shots given to diner customers, workers

CAMPBELL COUNTY, TX (April 19, 2005) — The Regional Health Department confirmed that a foodservice worker who worked at the Waffle House restaurant located at off Highway 61 in Clinton tested positive for hepatitis A. People who ate at the restaurant between April 1 and April 15, during the time when the worker was infectious, are now at risk for developing hepatitis A infection. The infected Waffle House worker is suspected to be the victim of a larger outbreak of hepatitis A that is believed to have caused at least 17 acute hepatitis A infections. Health officials have traced the outbreak to a restaurant in LaFollette.
The Regional Health Department organized a clinic to inoculate patrons of the restaurant who ate there between April 5 and April 15. The average incubation period for hepatitis A infection is thirty days, but can be as long as fifty days. A person who is infected with hepatitis A is infectious for the two weeks pervious to symptom onset and for two weeks thereafter. Immune globulin shots prevent hepatitis A infection, but only if administered during the two weeks following exposure to the virus.
“It seems that a month hardly passes without a warning from a health department somewhere that an infected food handler is the source of a potential hepatitis A outbreak,” said attorney William Marler, managing partner of Marler Clark, the Seattle law firm dedicated to representing victims of foodborne illness outbreaks.Continue Reading Marler Clark – Hepatitis A outbreak was preventable

Jeff Webb, Webmaster
4/19/2005
The Regional Health Department confirms that four more people have tested positive for Hepatitis A in the last 24 hours. That brings the total number of Hepatitis A to 17.
Health department officials say a restaurant worker in Clinton is one of those who tested positive. The person is an employee at the Waffle House off of Highway 61 in Clinton.
Health officials say people who dined at that location between April 1 and April 15, 2005 could be exposed. They are specifically concerned about those who have eaten uncooked foods (salads, garnishes, toppings) or iced drinks.
The health department is setting up a clinic today for people to get a shot of serum to ward off the virus. It’s at the Tennessee National Guard Armory on JD Yarnell Parkway in Clinton.Continue Reading Update: New hepatitis cases confirmed; clinic set up

April 19, 2005
CAMPBELL COUNTY (WATE) — Health officials say Tuesday there are two more confirmed cases of hepatitis A in East Tennessee for a total of 17.
There are 13 cases in Campbell County, one in Anderson and three in Scott.
Investigators are still working to isolate the source of the outbreak that began in Campbell County last week.
The director of the Regional Health Department, Dr. Paul Erwin, said Monday he believes an infected restaurant worker is the likely source. But the employee hasn’t been identified and the health department hasn’t said which restaurant it believes originated the outbreak.Continue Reading More hepatitis A cases confirmed in Scott Co.