As of November 26, 2019, this outbreak appears to be ongoing.

14 outbreak-associated cases of hepatitis A have been reported from 5 states (Indiana, Michigan, Minnesota, Nebraska, and Wisconsin).

Illnesses started on dates ranging from October 8, 2019, to November 15, 2019.8 people have been hospitalized. No deaths have been reported.

Epidemiologic and traceback evidence are being collected and analyzed. A single, common supplier of fresh blackberries has not been identified.

In interviews, 14/14 (100%) reported eating fresh blackberries. Of 12 cases with known fresh blackberry purchase location information, 12/12 (100%) purchased fresh blackberries from Fresh Thyme Farmers Market.

Traceback information to date shows that the berries came from a distribution center that ships fresh berries to Fresh Thyme Farmers Market stores in 11 states: Indiana, Illinois, Iowa, Kentucky, Mississippi, Missouri, Minnesota, Nebraska, Ohio, Pennsylvania, and Wisconsin.

This outbreak investigation is ongoing, and CDC will update the public when more information becomes available.