CA: 2018 Hepatitis- San Diego outbreak over

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Source: http://www.sandiegouniontribune.com/...921-story.html

North County cities log nearly two dozen cases of hepatitis
Phil Diehl and J. Harry Jones
September 25, 2017, 1:10PM

More than 20 cases of hepatitis A have been reported in North County cities, including 11 in Escondido and 7 in Oceanside, according to statistics released by county health officials Friday.

Both cities, each with homeless populations of roughly 525, are working with San Diego County on measures to prevent the further spread of the virus...

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Source: http://www.sandiegouniontribune.com/...926-story.html

One more hepatitis death reported in San Diego
Sept. 25, 2017)
Paul Sisson

With one new hepatitis A death reported, county leaders unanimously re-ratified San Diego?s ongoing public health emergency Tuesday morning.

The Board of Supervisors must approve the emergency declaration every two weeks for it to remain in effect. It was first declared Sept. 1.

Dr. Wilma Wooten, the county?s public health officer, gave a weekly outbreak update which pushed the death total to 17 with 461 cases and 315 hospitalizations over the course of the outbreak. That?s one more death, 17 more cases and 10 more hospitalizations than a week ago...

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html San Diego County Hepatitis A Outbreak Cases and Deaths as of September 26, 2017*
*Table will be updated weekly each Tuesday

Cases	Deaths	Hospitalizations
461	17 (4%)	315 (68%)

Please note: Table does not include all reported hepatitis A cases in the county; only those that are local-outbreak-related. Also, data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego County Hepatitis A Outbreak Cases and Deaths as of October 3, 2017*
*Table will be updated weekly each Tuesday

Cases	Deaths	Hospitalizations
481	17 (3.7%)	337 (70%)

Please note: Table does not include all reported hepatitis A cases in the county; only those that are local-outbreak-related. Also, data are provisional and subject to change.

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Source: http://sanfrancisco.cbslocal.com/201...is-a-outbreak/


Santa Cruz County Among Hardest Hit In Deadly Hepatitis A Outbreak
October 6, 2017 6:30 AM
Filed Under: Hepatitis A, Medicine, Public Health, San Diego, Santa Cruz

SANTA CRUZ (CBS SF & AP) ? While a deadly outbreak of hepatitis A has taken a toll in San Diego, health officials said 70 cases have been discovered in Santa Cruz County and the numbers could continue to climb.

In an effort to stem the outbreak, Santa Cruz County has distributed nearly 1,400 doses of vaccine. However, more cases are likely because it can take up to 50 days for infected people to show symptoms, said Jessica Randolph, the county?s public health manager...

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Source: http://www.pbs.org/newshour/rundown/...ess-community/


An outbreak waiting to happen: hepatitis A marches through San Diego?s homeless community
BY Usha Lee McFarling, STAT October 8, 2017 at 10:18 AM EDT

SAN DIEGO ? The hepatitis A outbreak now roiling this well-heeled, coastal city may have had its roots in a baseball game ? when the city cleaned up for the 2016 All-Star Game by pushing its homeless out of the touristy areas downtown and into increasingly congested encampments and narrow freeway onramps just east of downtown. The lines of tents stretched for blocks.

At the same time, the city was locking and removing bathrooms to help control the rampant drug and prostitution trade they?d spawned. Hepatitis A is transmitted through contact with feces from an infected person, and in close, unsanitary conditions, the highly contagious virus can spread explosively. So it was only a matter of time, experts say, before cases would surge among the homeless.

?I?m not so much surprised it occurred, but surprised it didn?t occur earlier,? said Dr. Robert Schooley, who chairs the division of infectious diseases at the University of California, San Diego, and currently serves as an informal health adviser to the city?s mayor. ?In some ways, it was the perfect storm.?

Today, the tents are gone. There are clusters of newly installed portable toilets open and guarded 24 hours a day. More than 60 new hand-washing stations dot the city. Workers in hazmat suits spend mornings spraying bleach onto streets and sidewalks. Armies of nurses walk through encampments and even into riverbeds and canyons to offer the highly effective hepatitis A vaccine to homeless people. And on Monday, the first city-sanctioned homeless camp ? with 200 four-person tents, security, showers, and bathrooms ? is slated to open in a parking lot near Balboa Park.

It?s an extraordinary campaign to control an outbreak that?s so far known to have stricken 481 and killed 17 here, mainly people who are homeless or drug users, or work with them. The city of San Diego had more than 5,600 homeless residents at last count, the fourth-largest population of any U.S. city, and many health officials fear the outbreak could worsen as new cases continue to surface.

?I don?t expect this is going to be solved overnight,? said Dr. Jonathan Fielding, a UCLA professor who previously headed the LA County Department of Public Health. ?It could take a year or more.?...

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Source: https://www.upi.com/Top_News/US/2017...4541507931916/

California gov. declares emergency in hepatitis A outbreak
By Danielle Haynes
Oct. 13, 2017 at 6:24 PM

Oct. 13 (UPI) -- California Gov. Jerry Brown on Friday declared a state of emergency to control a hepatitis A outbreak.

Last month, the Los Angeles County Department of Public Health and San Diego County Health and Human Services Agency declared local outbreaks in September. The Santa Cruz County Health Services Agency began issuing health alerts about the virus in May...

...Santa Cruz County has had at least 73 cases of the virus since April, San Diego County has had 490 cases and 18 deaths, and Los Angeles County has had 10 cases, eight of which were linked to outbreaks in the other two counties...

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html

San Diego County Hepatitis A Outbreak Cases and Deaths as of October 17, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
507	19 (3.7%)	351 (69%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego County Hepatitis A Outbreak Cases and Deaths as of October 19, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
516	19 (3.7%)	357 (69.2%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego Hepatitis A Outbreak

On Sept. 1, 2017, the San Diego County public health officer declared a local public health emergency due to the ongoing hepatitis A outbreak in the county.
The outbreak is being spread person-to-person and through contact with fecally contaminated environments. The majority of people who have contracted hepatitis A during this outbreak have been homeless and/or illicit drug users.
Efforts of the County and its community partners to halt the hepatitis A outbreak focus on three key areas: vaccination, sanitation and education


San Diego County Hepatitis A Outbreak Cases and Deaths as of November 15, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
553	20 (3.6%)	376 (68%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego Hepatitis A Outbreak

On Sept. 1, 2017, the San Diego County public health officer declared a local public health emergency due to the ongoing hepatitis A outbreak in the county.
The outbreak is being spread person-to-person and through contact with fecally contaminated environments. The majority of people who have contracted hepatitis A during this outbreak have been homeless and/or illicit drug users.
Efforts of the County and its community partners to halt the hepatitis A outbreak focus on three key areas: vaccination, sanitation and education


San Diego County Hepatitis A Outbreak Cases and Deaths as of November 20, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
561	20 (3.6%)	378 (67.4%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego Hepatitis A Outbreak

On Sept. 1, 2017, the San Diego County public health officer declared a local public health emergency due to the ongoing hepatitis A outbreak in the county.
The outbreak is being spread person-to-person and through contact with fecally contaminated environments. The majority of people who have contracted hepatitis A during this outbreak have been homeless and/or illicit drug users.
Efforts of the County and its community partners to halt the hepatitis A outbreak focus on three key areas: vaccination, sanitation and education


San Diego County Hepatitis A Outbreak Cases and Deaths as of December 4, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
567	20 (3.5%)	382 (67.4%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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San Diego County Hepatitis A Outbreak Cases and Deaths as of December 6, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
569	20 (3.5%)	385 (67.7%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

Source: http://www.sandiegocounty.gov/conten...patitis_A.html

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego County Hepatitis A Outbreak Cases and Deaths:
Data reported through December 20 and posted on December 26, 2017*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
574	20 (3.5%)	392 (68.3%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.

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Source: http://www.sandiegocounty.gov/conten...patitis_A.html
San Diego County Hepatitis A Outbreak Cases and Deaths:
Data reported through December 27, 2017 and posted on January 2, 2018*
*Table will be updated each Tuesday

Cases	Deaths	Hospitalizations
577	20 (3.5%)	396 (68.6%)

Note: Table does not include all reported hepatitis A cases in the county; only local-outbreak-related. Data are provisional and subject to change.