18 Sickened in Hepatitis A Outbreak Associated with the La Mesa Chipotle

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chipotle.jpgUpdate to the entry below: There are now 21 confirmed cases of hepatitis A associated with the Chipotle restaurant in La Mesa, California.


The number of hepatitis A cases associated with Chipotle in La Mesa, California has risen to 18. Health officials are still looking for the source of the outbreak.  According to the San Diego County Health Department, all 26 food handlers identified to date by the restaurant have tested negative for active hepatitis A infection. Given the long incubation period for hepatitis A (10 to 50 days), this is not conclusive evidence that a food handler did not contaminate food eaten by those who have tested positive for hepatitis A. The negative test results do make it a little more likely that the source of the outbreak is a food product that was contaminated before it got to the La Mesa Chipotle restaurant.  The long incubation period for hepatitis A will make it extremely difficult to pinpoint a specific food product that is the source of the outbreak.

Even if the source of a hepatitis A outbreak is never found, other microbiological evidence along with epidemiological evidence can be sufficient to find a restaurant liable for money damages. In this outbreak the microbiological proof consists of the tests run to determine the people were sickened by hepatitis A.  But just knowing that the people have hepatitis A does not link the illnesses to Chipotle. Health officials made the connection between the illnesses and the La Mesa Chipotle with epidemiological evidence. 

Epidemiology is part detective work and part statistical analysis. It involves trying to piece together potential sources (stores, restaurants, and food products as well as water and animal exposures) and determine if they are the source of the illness that the microbiologists were able to identify.  Epidemiologists develop and test hypotheses to determine if there is a common link between the people with the same foodborne illness. They question foodborne illness patients in order to determine if they ate at the same place, ate the same food, got sick at the same time, lived in the same area, etc. They also visit suspected outbreak sources and do further testing. By a process of elimination, epidemiologists rule out other sources until they can settle on a common link.

In this case, epidemiologists discovered that the people with hepatitis A had eaten at the La Mesa Chipotle within a specific time period.

For more information about proving a foodborne illness case, please see our previous entry, “Proving Foodborne Illness: How Lawyers Evaluate Defective Food Product Cases.”

6 People with Hepatitis A Ate at Chipotle in La Mesa, California

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Update to the entry below: There are now 21 confirmed cases of hepatitis A associated with the La Mesa Chipotle.


At least 6 people who ate at a La Mesa Chipotle restaurant have contracted hepatitis A.  Using epidemiological and microbiological evidence, we have successfully recovered significant amounts for victims of food poisoning associated with restaurants, even in cases where a food source was not pinpointed.  If you would like to know more about restaurant liability in a hepatitis A case, please contact a lawyer at our office at 1-888-377-8900 (toll-free), email our lawyers or submit our free case consultation form.

In most hepatitis A cases, food served to the sickened patrons was contaminated with the feces of a food handler who had hepatitis A.  In the case of a restaurant like Chipotle, the most likely scenario was that a sickened food handler contaminated food while cooking or serving the food.  In a recent hepatitis case involving a restaurant (not Chipotle), health officials determined that the food source of the outbreak was most likely raw lettuce that the sickened employee had chopped up.  Health officials may not find even a likely food source of this outbreak.

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"Our Community Epidemiology Branch and DEH are working closely with the restaurant to determine the source of the hepatitis A infection,” said Wilma Wooten, M.D., M.P.H., County of San Diego Public Health Officer. "Hepatitis A is a vaccine-preventable illness, and we recommend that the public talk to their physicians about getting vaccinated against hepatitis A."

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Hepatitis A Exposure at San Jose Jamba Juice

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oranges.jpgThere is the possibility of exposure to hepatitis A for customers of the Jamba Juice located at 1140 Lincoln Avenue, San Jose.  A food handler who worked at this Jamba Juice location has been diagnosed with a hepatitis A infection. The food handler worked while potentially infectious on several dates in August, including August 1, 2, 3, 6, 7, 8, 9, 11, 13, 14, 15, 16.

If the infected food handler did not follow good hand hygiene and food safety practices, patrons who ate at the San Jose Jamba Juice on the dates above could have been exposed to the hepatitis A virus.

If you have had a hepatitis A vaccine or have had the illness in the past, you are protected from hepatitis A infection. The Public Health Department is recommending that those persons who are not protected and are within 14 days of exposure, receive hepatitis A vaccine or immune globulin (IG).   The following is from the San Jose Public Health Department:

  • If you were exposed to the virus in the last 14 days, you can benefit from the vaccine, which is very effective in preventing illness. The vaccine is recommended for children and adults from the ages of 12 months to 40 years of age who are not pregnant, immune compromised or have chronic liver disease.
  • If you over 40 years of age, pregnant, immune compromised, have chronic liver disease, or are an infant under 12 months of age, and ate or drank at this particular Jamba Juice location in the last 14 days, immune globulin (IG) is available for prevention of infection.
  • If you ate or drank at the location after August 1st but more than 14 days ago, you should watch for symptoms of hepatitis A. If you experience symptoms, please contact your medical provider. The vaccine or IG treatment will not prevent illness in people exposed prior to 14 days ago.
The Public Health Department has been working in cooperation with Jamba Juice to address the situation.  A San Jose Public Health Department Press Release states the following:

Jamba Juice has informed the Public Health Department that they will pay eligible individuals who satisfy reimbursement requirements. Reimbursement will be for reasonable, out-of-pocket medical expenses related to the diagnosis and treatment of hepatitis A.  

The statement does not mention payments for pain and suffering or emotional distress related to the diagnoses and treatment of hepatitis A.  If you are diagnosed with hepatitis A, a lawyer can protect your rights and pursue just compensation for all of your damages.

Pritzker | Ruohonen is currently representing victims of a hepatitis A outbreak linked to a restaurant and has litigated numerous foodborne illness cases.   To contact the firm, please call toll-free at 1-888-377-8900 or submit the firm's online contact form.

Hepatitis A Lawsuit FAQ - Pizza Ranch in Minnesota

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Last week, food workers at the Pizza Ranch in Slayton, Minnesota, tested positive for hepatitis A. As a result, over 2,300 people who ate at the restaurant had immune globulin shots in hopes of preventing hepatitis A infections. At least one patron of the restaurant has tested positive for hepatitis A.

Minnesota food poisoning attorney Fred Pritzker is providing an FAQ page on the Pritzker | Ruohonen Web site for patrons of the Pizza Ranch in Slayton. The FAQ answers questions about hepatitis A lawsuits, including questions that patrons of the restaurant may have about evidence, liability and damages. 

“Foodborne illness litigation, which includes hepatitis A lawsuits, is a specialty area of the law,” says Pritzker. “By providing this FAQ, I hope to inform patrons of the Pizza Ranch restaurant about their legal options as they consider the injuries they have suffered by being exposed to hepatitis A.”

The following are two questions and answers from Pritzker’s FAQ page on his website (read the entire hepatitis a / Pizza Ranch lawsuit FAQ):

Question: How is hepatitis A spread by a restaurant employee?

If a food handler at a restaurant who has hepatitis A does not wash his or her hands well after going to the bathroom, any feces left on the hands can get into patrons’ food. Because the hepatitis A virus colonizes in human feces, anyone eating the infected food handler’s feces will consume hepatitis A and thereby be infected. 

Question: Do I need to have leftovers from the Pizza Ranch to be compensated for my injuries?

No, you do not need to have leftovers to be compensated for your injuries.  If you have record of eating at the restaurant and you test positive for hepatitis A (or do not test positive but needed an immune globulin shot), you may have a claim against the Pizza Ranch.

Fred Pritzker is founder and president of Pritzker | Ruohonen & Associates, P.A., one of the few law firms in the United States that practices extensively in the area of foodborne illness litigation. The firm is a national law firm with offices in Minneapolis, Minnesota. The firm is currently representing victims of a hepatitis A outbreak linked to an Arizona restaurant. To contact Minnesota personal injury lawyer Fred Pritzker or another food poisoning lawyer at Pritzker | Ruohonen, please call toll-free at 1-888-377-8900 or e-mail Fred Pritzker.  Read more about the Minnesota personal injury lawyers at Pritzker | Ruohonen.

Minnesota Hepatitis A and the Pizza Ranch Restaurant

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We have just been in contact with the Minnesota Department of Health.  Some information on the MDH website was incorrect.  The correct information regarding the Pizza Ranch restaurant in Slayton, Minnesota, is that two food workers at the restaurant tested positive for hepatitis A.  One patron of the restaurant has also tested positive.  MDH is expecting more people to test positive.  We are closely monitoring the situation.

Also, to date over 2,300 people who ate at the Pizza Ranch restaurant received immune globulin shots in the last few days.  Public health officials are not administering any more of the shots.  Anyone needing a shot will have to contact their doctor. 

Call 1-888-337-8900 (toll-free) if you want to speak with a Minnesota food poisoning attorney at Pritzker | Ruohonen about your legal rights after being exposed to hepatitis A.  Learn more about hepatitis A associated with Pizza Ranch and read the Pritzker | Ruohonen Pizza Ranch lawsuit FAQ.

Minnesota Hepatitis A: The Pizza Ranch in Slayton

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Pizza Ranch Lawsuit Information: If you ate at the Pizza Ranch in Slayton, Minnesota, between  April  20 and May 1, contact Pritzker | Ruohonen regarding a Pizza Ranch lawsuit.  We are a Minnesota personal injury firm with a concentration in the area of food poisoning litigation.  Fred Pritzker has a national reputation in the area and has been interviewed by the New York Times, the Wall Street Journal, and other publications.  Please call toll-free at 1-888-377-8900 or e-mail Fred Pritzker.

Update to information below: As of May 7, 2007:  Two cases of hepatitis A have been confirmed in employees of the Pizza Ranch restaurant in Slayton, Minnesota. One patron of the restaurant has also tested positive.  The Minnesota Department of Health  continues to  investigate the situation. 


Minnesota health officials are investigating three cases of hepatitis A in employees at the Pizza Ranch in Slayton, Minnesota.  The Minnesota Department of Health and local pubic health officials are testing other Pizza Ranch employees for hepatitis A, several of whom had some symptoms. 

“We are concerned that some patrons of the restaurant may have been exposed to the virus through contaminated food,” said Dr. Ruth Lynfield, state epidemiologist for the MDH. “MDH is working with the local public health department to prevent additional cases.”

According to a Minnesota Department of Health news release, Lyon Lincoln Murray Pipestone County Public Health Services is planning a clinic to provide immune globulin to people who ate at the Pizza Ranch, or at events catered by the restaurant, between April 20 and May 1. IG can be given within 14 days of exposure to the hepatitis A virus to provide protection against developing infection.

The restaurant serves between 800-1,000 meals per week, and therefore, a large number of people could have been exposed, the release said.

Hepatitis A is an infection of the liver caused by hepatitis A virus, but does not result in chronic infection. Adults generally experience some acute symptoms, particularly headache, fever, tiredness, loss of appetite and nausea. Learn more about hepatitis A symptoms.  Young children generally do not have symptoms.  Learn more about hepatitis A symptoms.


Hepatitis A can lead to a very severe liver disease. Past outbreaks of hepatitis A have lead to several fatalities.  Read about Minnesota wrongful deathMinnesota personal injury lawyer Fred Pritzker is nationally recognized in the area of food poisoning lawsuits.  He is currently representing several people sickened by hepatitis A at an Arizona restaurant.  He also was recently lead counsel for a food poisoning case that involved ready-to-eat turkey.  His leadership in that case resulted in significant compensation for the families involved. 

To contact Pritzker | Ruohonen, please call toll-free at 1-888-377-8900 or e-mail Fred Pritzker.  The firm's offices are located in Minneapolis, Minnesota.  See the firm website to learn more about the Minnesota personal injury lawyers at Pritzker | Ruohonen.

More information on hepatitis A can be found on the Minnesota Department of Health website at http://www.health.state.mn.us/divs/idepc/diseases/hepa/index.html

Whataburger Employee Diagnosed With Hepatits A

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The Texas Department of State Health Services issued a statement Friday that an employee at the Whataburger in both Harlingen and Raymondville, Texas has been diagnosed with hepatitis A and may have exposed others to the virus. 

The employee worked at the Harlingen Whataburger between March 1 and 12, and at the Raymondville location between March 13 and March 31.  Anyone who ate at those restaurants on those dates could possibly have been exposed to the virus.  

If you ate at the restaurant, you should watch for symptoms of hepatitis A, including jaundice, fatigue, abdominal pain, loss of appetite, nausea, diarrhea, and fever.  The first hepatitis A symptoms can appear from 15 to 50 days after the initial infection. The average length of time between infection and the first appearance of symptoms (this is called the incubation period) is about a month.

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Marble Slab Creamery Hepatitis A Risk

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A food handler at Marble Slab Creamery in Katy, Texas, has tested positive for hepatitis A, a viral foodborne pathogen that can cause serious injury and death in the elderly and people with compromised immune systems.  According to a story on KHOU, Channel 11 news, “People who may have eaten at the Marble Slab between Feb. 1 and Feb. 25 should watch for any symptoms of the disease.”

Symptoms of hepatitis A usually occur abruptly and may include: fever, tiredness, loss of appetite, nausea, abdominal cramps, diarrhea, light-colored stools, and dark urine. Another possible symptom, the yellowing of the skin and eyes, is called jaundice.  

The first hepatitis A symptoms can appear from 15 to 50 days after the initial infection. The average length of time between infection and the first appearance of symptoms (this is called the incubation period) is about a month. Unfortunately, infected individuals are most contagious in the middle of the incubation period, weeks before any sign of symptoms. Hepatitis A sufferers are usually contagious for about a week after they become jaundiced.


Wolfgang Puck Catering Hepatitis A Risk

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Wolfgang Puck Caterer Positive for Hepatitis A

A food handler working for Wolfgang Puck Catering at a recent Sports Illustrated party has tested positive for hepatitis A, exposing hundreds of partygoers to the potentially life-threatening foodborne pathogen. In addition, people who ate at other venues where Wolfgang Puck Catering provided the food may also be at risk if food was handled by the infected worker.  

According to a Reuters story:

The Los Angeles County health department recommended on Tuesday that anyone who ate uncooked food at the U.S. sports magazine's party on February 14 get treatment by Wednesday to avoid developing the serious liver disease.

Health officials said the risk was "quite low" and that no Wolfgang Puck pre-packaged foods or restaurants were affected.

Hepatitis A is caused by a virus spread by ingesting something contaminated with the feces of an infected person. Symptoms can include fever, fatigue, loss of appetite, nausea, abdominal pain and jaundice.

Carl Shuster, president of Wolfgang Puck Catering, said the company was working closely with health officials to contact anyone who ate food prepared in its Hollywood kitchen between February 1 and 20.

Fred Pritzker, a leading food poisoning lawyer, represents people wrongfully infected with hepatitis a.  He has recovered millions for victims of food poisoning. 

Illinois Hepatitis A: Houlihan's

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People who dined at Houlihan's in Geneva, Illinois, before January 19, 2007, may have been exposed to hepatitis A by an infected food handler at the restaurant.  Health officials are particularly concerned about people who consumed beverages containing ice.  Health officials have set up a free clinic to administer immunoglobulin shots, which can be effective within 14 days of exposure to hepatitis A.   

The incubation period for hepatitis A is between 4 and 20 weeks.  People who ate at Houlihan's, will have to watch for symptoms of hepatitis A for almost 5 months.  Those at highest risk for serious illness resulting from a hepatitis A infection are the elderly and those with compromised immune systems.  Anyone diagnosed with hepatitis A who ate at Houlihan's should immediately consult a lawyer with hepatitis A lawsuit experience.

Pritzker | Ruohonen, a leading food poisoning litigation law firm, has recovered millions for victims of food poisoning.  To contact a lawyer at the firm, please call toll-free at 1-888-377-8900 or submit the firm’s online consultation form.  Please see the firm's website for more hepatitis A information.

San Diego Bay and El Yaqui Hepatitis Risk

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Patrons of San Diego Bay and El Yaqui restaurants may have been exposed to hepatitis A by an infected food handler at the restaurants.  Both restaurants are in Guadalupe, Arizona.  Health officials were alerted to the problem when the infected food handler was diagnosed with hepatitis A after being admitted to the hospital.

The incubation period for hepatitis A is between 4 and 20 weeks.  People who ate at the San Diego Bay and El Yaqui restautants between December 26 and 30, will have to watch for symptoms of hepatitis A for almost 5 months.  Those at highest risk for serious illness resulting from a hepatitis A infection are the elderly and those with compromised immune systems.  Anyone diagnosed with hepatitis A who ate at San Diego Bay or El Yaqui should immediately consult a lawyer with hepatitis A lawsuit experience.

Pritzker | Ruohonen, a leading food poisoning litigation law firm, is currently representing victims of an Arizona hepatitis A outbreak linked the Bamboo Grill in Phoenix.  To contact a lawyer at the firm, please call toll-free at 1-888-377-8900 or submit the firm’s online-consultation form.  Please see the firm's website for more hepatitis A information.

Hereford, Texas, Sonic Drive-In and Hepatitis A

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An employee at a Hereford, Texas, Sonic Drive-In has tested positive for hepatitis A, a foodborne pathogen that can cause serious illness. Health officials in Hereford, Texas, have administered more than 2,600 shots to prevent hepatitis A.

According to a story in the Clovis News Journal, the Texas Department of State Health Services began administering free shots Monday afternoon to anyone who patronized the Hereford Sonic Drive-In at 305 North 25 Mile Ave. between Oct. 1 and Oct. 13.

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Hepatitis Outbreak: Senor Baja in Pomona, California

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Three people who ate at Senor Baja, a Pomona, California, have been diagnosed with acute hepatitis A. The restaurant is located at 320 E. Foothill Boulevard. Los Angeles County health officials are investigating the outbreak, hoping to find the source of the outbreak and prevent more illness. According to a KCAL Channel 2 story:

People who ate at Senor Baja in August and develop symptoms of hepatitis A before Oct. 1 -- including jaundice, fever, light colored stools or dark urine -- should contact their doctor.

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How long does the hepatitis A vaccine provide protection?

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Research has indicated that the hepatitis A vaccine is highly effective. Most people will develop protective levels of antibody within one month after a single dose of vaccine. And after two doses, the protection may be 20 years or more.

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What is the hepatitis A vaccine?

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The hepatitis A vaccine is comprised of two doses given at least 6 months apart. Most people will develop protective levels of antibody within one month after a single dose of vaccine. Because hepatitis A is a dangerous pathogen that is easily transmitted, the CDC recommends that children be routinely vaccinated. The CDC recommends that children get the first dose at 12-23 months of age.

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Hepatitis A Risk: Biltmore Village (Asheville), North Carolina

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Diners who ate at Trevi Restaurant in Biltmore Village (Asheville), North Carolina, from August 17 to August 25 may be at risk for hepatitis A. According to North Carolina health officials, a worker at Trevi Restaurant tested positive for hepatitis A. Health officials plan to give up to 1,300 preventive shots to head off any chance of an outbreak.

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Hepatitis Risk: Indiana Pizza Hut

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According to a story in The Journal Gazette (Fort Wayne, Indiana), more than 2,600 people crowded the Allen County Fairgrounds this weekend to receive treatment for hepatitis A after a Pizza Hut employee was diagnosed with the disease Thursday, five days after last going to work. The Pizza Hut employee worked at the Fort Wayne, Indiana, Pizza Hut at 5735 Coventry Lane, near the Interstate 69 and U.S. 24 interchange.

The treatment administered was an antibody shot called immune globulin, or "Ig," which greatly reduces the risks of getting the disease if given within 14 days of exposure. In this case, the people who could benefit from the treatment were those who ate at the Fort Wanyne, Indiana, Pizza Hut between August 12 and August 19. Customers of the Indiana Pizza Hut who ate at the restaurant before August 12 should watch for symptoms of hepatitis A.

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Hepatitis Risk: Players Grille in North Carolina

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Dare County, North Carolina health officials are warning people about a hepatitis A risk. According to a story from WBTV Channel 3 in Charlotte, North Carolina, a food handler at the Players Grille at Nags Head Golf Links has been diagnosed with hepatitis A, a viral infection that is spread from person to person by putting something in the mouth that has been contaminated with the stool of a person with hepatitis A. People who ate at the Players Grille at Nags Head Golf Links between July 1st and 18th are at risk.

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Hepatitis A Outbreak and Sharky's Restaurant

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Health officials are investigating a hepatitis A outbreak linked to Sharky's Restaurant in Rockaway Beach, Oregon. People who ate at Sharky's Restaurant between April 15 and April 30 may be starting to get sick and should watch for hepatitis A symptoms, including fever, nausea, diarrhea, light-colored stools, dark-colored urine, fatigue, loss of appetite, abdominal cramps, and jaundice (the yellowing of the skin and eyes).

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Green Onions and Hepatitis A

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Green onions were the source of the largest documented foodborne hepatitis A outbreak in U.S. history and also the source of several other hepatitis A outbreaks. A study published in the Journal of Food Protection found that the hepatitis A virus can contaminate the inside of a green onion (1). This poses a serious problem because once hepatitis A has contaminated the inside of a green onion, the hepatitis A can not be washed off. The only way to kill the virus would be by cooking the green onion.

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Hepatitis A Confirmed in New Jersey

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(Update on New Jersey hepatitis A outbreak) - Two 11-year-old boys have been confirmed to have hepatitis A. One of the boys attends Orange Avenue School, the same school attended by the other 3 children with confirmed hepatitis A.

Hepatitis A Outbreak in Kentucky

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The hepatitis A outbreak in Fayette, Kentucky, continues to spread, although at a slower rate. According to health department officials, a third-grader at Tates Creek Elementary School has been diagnosed with hepatitis A. The third-grader is a sibling to a preschool student at Yates Elementary school who was diagnosed with the virus in March.

Family members of a person infected with hepatitis A are at higher risk to contract the disease. Health officials administered free hepatitis A immunizations to children and school staff members in the affected classes and the school has been cleaned and sanitized. Because hepatitis A has an incubation period of between 15 and 50 days, it will not be known whether the infected third-grader transmitted the virus to anyone else at Tates Creek Elementary.

Hepatitis Cases In Lexington School

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14 cases of hepatitis A in Lexington, Kentucky, have been confirmed. 4 of the people confirmed to have hepatitis A are students at Mary Todd Elementary. One student of Yates Elementary School's Early Start morning class also has hepatitis A. Because hepatitis A has a long incubation period--from 15 to 50 days--it will take time to see how widespread this outbreak is.

Schools have been link to several foodborne outbreaks in the past by the Centers for Disease Control (CDC). Often it is a food item that is not adequately cooked or contaminated. In this hepatitis A outbreak, which started in the school with a student (not a food handler), the likelihood is that the Hepatitis A was spread due to inadequate hand washing that left feces on the infected students hands. Any other person coming in contact with the infected person's feces could be infected.

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Foodborne Hepatitis A Outbreaks: The Basics

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Hepatitis A is caused by the hepatitis A virus. Hepatitis is transmitted either by contact with the feces of an infected person or consumption of food that has been contaminated by the feces of an infected person. The incubation period is between 15 and 50 days, making it difficult for health officials to pin point the source of a hepatitis A infection. The result is that there are very few CDC-confirmed hepatitis A outbreaks in the United States each year.

Once someone gets hepatitis A, a permanent immunity to the virus is developed. It is estimated that about one third of the U.S. population has been infected with hepatitis A virus. Hepatitis A initially manifests itself as a fever, nausea, vomiting, diarrhea, muscle pain and malaise. Later symptoms can include jaundice, dark-colored urine, light colored stools and enlargement of the liver and/or spleen. Generally, hepatitis A lasts a few weeks. For about 10% of those infected, the symptoms are recurring for up to 6 months. In a small percentage of cases of hepatitis A, liver failure can occur, which can lead to severe illness of death. Approximately 25,000 cases of hepatitis A are reported to the CDC each year. However, with adjustments made for underreporting and asymptomatic hepatitis A (usually with children less than 5 years of age) the number of hepatitis A cases is estimated to be over 260,000 per year

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