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Hepatitis A cases on the rise

(Chelsea Update would like to thank Kayla Steinberg for the information in this story.)

The Southeast Michigan hepatitis A outbreak appears to be spreading from person-to-person and through illicit drug use. Among the eight Southeast Michigan health departments, 551 cases have been confirmed since August 2016, which represents 95 percent of the total outbreak cases statewide.

It can be spread through close contact, such as living with or having sex with someone who has hepatitis A. Hepatitis A is also easily transmitted by consuming food or beverages handled by someone infected with the virus. Infected persons can be contagious for up to two weeks before showing any symptoms. Vaccination and handwashing can prevent the spread of illness.

Hepatitis A is an infection of the liver caused by a virus. Symptoms of infection may include sudden abdominal pain, diarrhea, nausea, headache, dark urine, and/or vomiting often followed by yellowing of the skin and eyes (jaundice). Symptoms may appear from 14-50 days after exposure, but average about one month.

Since 2016, health departments across Southeast Michigan have mounted a strong effort to combat the Hepatitis A outbreak in the region.

The outbreak is predominantly impacting Southeast Michigan, which includes Livingston, Macomb, Monroe, Oakland, St. Clair, Washtenaw and Wayne Counties, and the City of Detroit. This joint release highlights key information and expanded opportunities for hepatitis A vaccination.

Each of the impacted health departments is offering greatly expanded opportunities for hepatitis A vaccination, including evening hours and multiple community locations.

People who prepare food or beverages for others, such as those who work in food service or restaurants are strongly encouraged to get vaccinated. This is a priority because of the potential for spreading illness to large numbers of people rapidly, not necessarily increased risk of becoming ill.

State and local officials are also working to vaccinate healthcare workers, first responders and police departments, to protect the public and prevent illness from impacting critical municipal functions

As communities, families, and friends come together for the holidays, there is an increased risk of exposure to hepatitis A. The best protection for you and your family is the hepatitis A vaccination.

Over 82 percent of people infected are becoming sick enough to require hospitalization. For this reason, the health officers are urging residents to contact their local health departments if they believe they have been infected.

To reduce your risk of hepatitis A:

  • Get the hepatitis A vaccine.
  • Know the signs and symptoms of the disease.
  • Wash your hands frequently with soap and water for at least 20 seconds.
  • Do not prepare food if you are sick.
  • Stay home from work and report illness to your employer.

Learn more about the Southeast Michigan hepatitis A outbreak, including the current number of cases and information for at-risk groups and food service workers, at www.mi.gov/hepatitisaoutbreak.

Hepatitis A Vaccination

The hepatitis A vaccine is very effective at preventing infection. Many people can get the vaccine from their health care provider. While anyone who wants to obtain the vaccine should be vaccinated, state and local health officials are recommending the following high-risk individuals obtain the vaccine:

  • Persons who are homeless.
  • Persons who are incarcerated.
  • Persons who use injection and non-injection illegal drugs.
  • Persons who work with the high-risk populations listed above.
  • Persons who have close contact, care for, or live with someone who has HAV.
  • Persons who have sexual activities with someone who has HAV.
  • Men who have sex with men.
  • Travelers to countries with high or medium rates of HAV.
  • Persons with chronic liver disease, such as cirrhosis, hepatitis B, or hepatitis C.
  • Persons with clotting factor disorders.
  • People without insurance or who cannot get it elsewhere can get vaccinated through their local health department.
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