Academic journal article Journal of Environmental Health

Hepatitis A in a Food Worker and Subsequent Prophylaxis of Restaurant Patrons

Academic journal article Journal of Environmental Health

Hepatitis A in a Food Worker and Subsequent Prophylaxis of Restaurant Patrons

Article excerpt

* CDC has estimated that 38,000 cases of acute hepatitis A occurred in 2002 in the United States.

* 8,795 acute cases were reported.

* A laboratory-confirmed hepatitis A patient was reported to Tri-County Health Department (TCHD) in Colorado on December 30, 2002.

* The individual with the case was determined to be an employee of a fast-food restaurant.

* TCHD conducted an environmental investigation of the restaurant and identified handwashing deficiencies.

* The restaurant manager reported that the ill employee had worked while infectious, had had frequent contact with ready-to-eat foods without gloves, and had not practiced proper hand hygiene.

* TCHD staff decided to hold a mass immunoprophylaxis clinic.

* A news release was issued advising restaurant patrons to get an immune globulin (IG) shot at the clinic.

* A total of 693 people received IG at the TCHD clinic.

* The clinic screened an additional 195 individuals who were determined to be ineligible to receive IG.

* All employees of the restaurant either received IG or were removed from the work schedule for the following 50 days.

* TCHD's Health Alert Network was used to fax a hepatitis A advisory to physicians informing them of potential exposure dates, symptoms, laboratory tests, and treatment for hepatitis A.

* Follow-up inspections of the restaurant were conducted over the next six weeks. …

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