Monday, April 22, 2019

Hepatitis A Case in Philly Grocery Worker Highlights Need for Controls

A Hepatitis A-infected food handler working in a Philadelphia grocery store triggered an alert for those who may have purchased pre-cut RTE fruits and vegetables.  This case is one of an increasing number of Hepatitis A cases seen.   Philadelphia Health Department noted that they are seeing 5 times the number of cases over the 2016 baseline.  While many of these cases are associated with people who are homeless or are drug users, it still increases the risk for food operations in that workers may face increased exposure within the community.

Therefore, it is important for food operations to maintain control including educating workers of the importance of reporting illness or potential exposure. Proper handwashing and glove use are important mitigations against the spread of the disease.

Hepatitis A is a highly infectious virus that is easily spread from an infected person to others through person-to-person contact or person-to-food-to-person.  Once exposed, it takes approximately 6 weeks to see the symptoms, jaundice and fever, but a person can be administered a vaccine within the first two weeks immediately after the exposure event.

Philly.com
https://www.philly.com/health/hepatitis-a-foodborne-illness-acme-philadelphia-health-inspection-reports-20190411.html
After hepatitis A warning at Philly Acme, should you eat precut fruits and veggies?
by Mari A. Schaefer, Updated: April 11, 2019

Precut fruits and vegetables are a tremendous convenience and a great way to get healthy foods into your diet. But as shoppers at a South Philadelphia Acme recently found out, the prepared foods can carry a risk, including contracting hepatitis A.

On Saturday, the Philadelphia Department of Public Health issued a warning to shoppers who bought precut fruit and vegetables at an Acme at 1400 E. Passyunk Ave. between March 17 and 29, encouraging them to get the hepatitis A vaccine as soon as possible. One of the employees at the store was being treated for the highly contagious viral liver infection.

The hepatitis virus can be spread when individuals don’t wash their hands after using the bathroom or by eating contaminated food. There are no medications to treat the illness and the best method of protection is the vaccine, officials said.

Acme has waived any insurance co-pays and provided the vaccine for free for customers without insurance, said Dana Ward, a spokesperson for the grocery.
Article continues - https://www.philly.com/health/hepatitis-a-foodborne-illness-acme-philadelphia-health-inspection-reports-20190411.html

WHYY.org
https://whyy.org/articles/beyond-south-philly-acme-hepatitis-a-is-on-the-rise/
Beyond South Philly Acme, hepatitis A is on the rise

ByJoel Wolfram,
April 13, 2019

A hepatitis A infection contracted by a food handler at a South Philadelphia Acme supermarket highlights a recent rise in the prevalence of the disease in the region.

Philadelphia now sees more than 30 cases of hepatitis A a year, about five times more than the baseline just two years ago. The viral liver infection is also showing up in people who don’t have any of the known risk factors, said Steven Alles, director of the Division of Disease Control at the Philadelphia Department of Public Health.

That appeared to be the case, Alles said, with the worker at the Acme on East Passyunk Avenue. Last weekend, shoppers who bought freshly cut fruit and vegetables there between March 17 and March 29 were warned that they might have been exposed to hepatitis A.

In Delaware, meanwhile, state Division of Public Health officials have reported staff and diners were potentially exposed to hepatitis A at three restaurants: the Stone Balloon Ale House in Newark, between March 20 and April 3; Buffalo Wild Wings in Bear, between March 21 and April 12; and Buffalo Wild Wings in Middleton, between March 28 and April 10.

The virus is transmitted through fecal contamination. Groups considered at increased risk for infection include men who have sex with men; drug users; people who are homeless; and travelers to countries where the disease is more prevalent.

Alles said only of a handful of the recent infections in Philadelphia were tied to any of those risk factors, however.

“There’s quite a bit more hepatitis A virus out there now,” Alles said. “There is an increasing risk.”

Outbreaks of hepatitis A have swept across the country in recent years, sickening a total of 15,000 people since 2016, according to the Centers for Disease Control and Prevention. They have mostly affected people who are homeless or use drugs, cropping up in states as distant as California and New Hampshire.

Other places, including Philadelphia, have had smaller spikes. New Jersey’s Camden, Gloucester, and Burlington counties reported an uptick in hepatitis A cases in the first months of the year.

Symptoms of hepatitis A infection include fever, vomiting, diarrhea, and jaundice, according to the CDC. Most people recover without lasting liver damage, but it can cause death and liver failure in rare cases, the CDC said. In the recent national outbreaks, 140 people have died.

Philadelphia health officials have been working to prevent a larger outbreak here. Alles said that, so far, it’s working. Since last summer, the Health Department has vaccinated about 450 people whose homelessness or drug use makes them more vulnerable.

So far, there are no signs that the Acme Markets worker infected anyone else, Alles said. The Health Department recommends that patrons of the East Passyunk Avenue store who were potentially exposed get the hepatitis A vaccine if they haven’t ever had the disease or received two doses of the vaccine in the past.
Article continues - https://whyy.org/articles/beyond-south-philly-acme-hepatitis-a-is-on-the-rise/

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