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  • Michigan: 2018 Hepatitis A outbreaks

    Source: http://michiganradio.org/post/hepati...ed-se-michigan


    Hepatitis A outbreak reported in SE Michigan
    By Virginia Gordan ? 2 hours ago

    Michigan officials are warning health care providers about an outbreak of hepatitis A in the city of Detroit and nearby Macomb, Oakland, St. Clair, and Wayne counties...

    ...There have been more than 300 confirmed cases of hepatitis A in Detroit and the four nearby counties since August 2016, according to Dr. Caroline Castillo, medical officer at the Michigan Department of Health and Human Services. Castillo said that is 17 times higher than three years before...

    ...According to the weekly disease report issued by the MDHHS, the number of cases of hepatitis A statewide has almost tripled this year to date compared to all of 2016. So far in 2017, 348 cases of hepatitis A have been reported statewide, compared to 132 in 2016, 73 in 2015, and 54 in 2014.


  • #2
    Source: http://www.wnem.com/story/36423560/h...uring-outbreak



    Health officials confirm 319 cases of hepatitis A during outbreak
    Posted: Sep 21, 2017 3:35 PM EDT
    Updated: Sep 21, 2017 3:35 PM EDT
    By Jessica Royce, Digital producer

    LANSING, MI (WNEM) -

    Michigan health officials are continuing to investigate an outbreak of hepatitis A in the southeast part of the state.

    The Michigan Department of Health and Human Services (MDHHS) reports from Aug. 1, 2016 to Sept. 15, 2017 there have been 319 confirmed cases of hepatitis A, including 14 deaths.

    Of those cases, nearly 86 percent have been hospitalized.

    Health officials said those infected by the illness have ranged in age from 20 to 87-years-old. Two-thirds of those cases were men, officials said...

    Comment


    • #3
      Source: http://michiganradio.org/post/more-c...titis-outbreak


      More cases in hepatitis A outbreak
      By Tracy Samilton ? 4 minutes ago

      Since an outbreak began last August, 376 people in Michigan have contracted the sometimes fatal illness. It's mainly spread person-to-person via contact with feces.

      Angela Minicuci is with the Michigan Department of Health and Human Services.

      "We haven't found one contaminated food source or exposure at this point," she says, "but we are seeing a lot of relation to people who are using opioids or drugs."

      People who are, or have been incarcerated, are also considered at higher risk of getting hepatitis A, as are homeless people.

      A staggering 86% of those who've gotten hepatitis A in the state since last year have been hospitalized. Fourteen people have died.

      Most of the cases have been in southeast Michigan, including a recent case involving a worker at Cardemom, a popular restaurant in Ann Arbor.

      It's possible people who ate at Cardemom between September 16 and October 3 were exposed.

      Minicuci says people with concerns should contact their doctor...

      Comment


      • #4
        MDHHS activates Community Health Emergency Coordination Center in response to hepatitis A outbreak

        FOR IMMEDIATE RELEASE: October 31, 2017
        CONTACT: Angela Minicuci, (517) 241-2112
        LANSING, Mich. ? As cases continue to rise, the Michigan Department of Health and Human Services (MDHHS) has activated the Community Health Emergency Coordination Center (CHECC) to coordinate the response of the multiple jurisdictions involved in the hepatitis A outbreak.
        "To help coordinate Michigan?s response to the hepatitis A outbreak, we are opening the Community Health Emergency Coordination Center to assist the multiple local public health jurisdictions involved in the response and prevention of further cases," said MDHHS Director Nick Lyon.
        The CHECC has been activated to provide support to impacted jurisdictions including local health departments, hospitals, EMS, healthcare coalitions and other healthcare providers. This coordination and communication support includes responding to requests for health related resources, developing and distributing guidelines and educational materials to meet the needs of this outbreak.
        As there are indications that the outbreak could spread outside of the Southeast region of Michigan, MDHHS is urging all healthcare providers to promote hepatitis A vaccination to the highest risk individuals, including:
        • Persons with a history of substance use??
        • Persons currently homeless or in transient living
        • Men who have sex with men (MSM)
        • Persons incarcerated in correctional facilities
        • Food handlers
        • Healthcare workers
        • Persons with underlying liver disease
        • Persons who are in close contact with any of the above risk groups
        • Persons wishing to be immune to hepatitis A
        "We know that the hepatitis A vaccine is more than 90 percent effective in protecting someone who may be exposed to hepatitis A," said Dr. Eden Wells, Chief Medical Executive with the MDHHS. "Without a single source associated with these cases, the importance of vaccination and proper hygiene is vital to ensuring we stop the person-to-person spread of hepatitis A."
        Since August 1, 2016, there have been 457 confirmed cases of hepatitis A, including 18 fatalities, associated with this outbreak in the City of Detroit, Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne Counties reported to MDHHS.
        Primary cases range in age from 20 to 87 years with median age of 42 years. Sixty-three percent are male and 85.6 percent have been hospitalized. Forty-eight percent of cases reported illicit drug use, 27 percent of cases were co-infected with hepatitis C, and three percent co-infected with hepatitis B. Six percent report recent incarceration, and 7.7 percent are MSM. Transmission is primarily person-to-person as no single source has been identified.
        Due to the temporary limitations on the availability of Adult Hepatitis A vaccine, MDHHS recommends that healthcare providers postpone administration of the second dose of Adult hepatitis A vaccine unless individuals require the second dose to address high risk conditions, including travel to a hepatitis A endemic country. Pediatric hepatitis A vaccine should continue to be administered routinely as there are no limitations on the availability of this vaccine for those 18 years and younger.
        MDHHS today broadly issued a statewide message through the Health Alert Network to encourage healthcare providers across Michigan to be on alert for hepatitis A infection in high risk individuals and to order testing when suspected as soon as possible. The earlier the report of a case is received, the better chance public health officials have at determining exposure and administering appropriate interventions.
        MDHHS and local public health officials are working to quickly investigate cases as they are identified, as well as notify the healthcare community and encourage providers to speak with their patients about hepatitis A, increase vaccinations, and test for hepatitis A when appropriate. These activities include:
        • On September 18, the state Medicaid program issued a letter to healthcare providers about the outbreak, testing information, including prevention, testing, and treatment information. This letter was sent to 5,069 Medicaid-enrolled providers and another 11,758 providers and interested parties signed up for Medicaid updates.
        • There are ongoing vaccination campaigns in jails, substance use treatment centers, health departments, emergency departments, and homeless centers, as well as with the Michigan Department of Corrections, to reach highest risk individuals.
        • Supported by contracted nurses from the Visiting Nurse Association, MI Volunteer Registry - volunteers, and MDHHS, local health departments are partnering with community organizations to provide hepatitis A vaccine to at-risk individuals.
        More information about the hepatitis A outbreak in Michigan and current recommendations are available at www.michigan.gov/hepatitisAoutbreak. Michigan residents are also encouraged to contact their local health departmentfor more information or vaccination.
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #5
          Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
          Hepatitis A Southeast Michigan Outbreak

          Public health officials and the Michigan Department of Health and Human Services (MDHHS) are continuing to see an elevated number of hepatitis A cases in Southeast Michigan.
          Since the beginning of the outbreak in August 2016, public health response has included increased healthcare awareness efforts, public notification and education, and outreach with vaccination clinics for high-risk populations.No common sources of food, beverages, or drugs have been identified as a potential source of infection. Transmission appears to be through direct person-to-person spread and illicit drug use. Those with history of injection and non-injection drug use, homelessness or transient housing, and incarceration are thought to be at greater risk in this outbreak setting. Notably, this outbreak has had a high hospitalization rate.

          Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of November 21, 2017*
          *Table will be updated weekly by 4:00pm each Friday
          Cases
          Hospitalizations
          Deaths
          526 436 (82.9%) 20 (3.8%)
          Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

          Confirmed Cases Referred August 1, 2016-November 21, 2017
          Meeting the SE MI Hepatitis A Outbreak Case Definition
          County (or city)
          Total Cases
          County (or city)
          Total Cases
          Macomb
          167
          Lapeer
          4
          City of Detroit
          133
          Sanilac
          4
          Wayne
          86
          Ingham
          3
          Oakland
          82
          Calhoun
          1
          St. Clair
          16
          Clare
          1
          Monroe
          8
          Genesee
          1
          Washetnaw
          8
          Hillsdale
          1
          Livingston
          5
          Huron
          1
          Isabella
          4
          Other*
          1
          *Michigan Department of Corrections

          Comment


          • #6
            Source: http://www.9and10news.com/2017/12/01...itis-outbreak/


            Health Department: Isabella County Experiencing Hepatitis A Outbreak
            December 1, 2017
            Chris Clor

            A mid-Michigan health department is officially calling the large amount of hepatitis A cases in Isabella County an outbreak.

            The Central Michigan District Health Department says there have been more than 500 cases since August of last year and says it?s considered part of the outbreak right now in southeast Michigan...

            Comment


            • #7
              Source: http://www.fox2detroit.com/news/loca...kland-counties


              Pizza shops issue hepatitis A warnings in Wayne, Oakland counties
              By: Randy Wimbley
              Posted: Dec 05 2017 11:49PM EST
              Video Posted: Dec 05 2017 11:48PM EST
              Updated: Dec 05 2017 11:51PM EST

              (WJBK) - Hepatitis A warnings are starting to mount, there are now two new warnings, involving restaurants in Wayne and Oakland counties.

              So far there have been no reports of any customers contracted hepatitis A from these restaurants, which are open and cooperating with their local health departments. But health officials say they cannot overstate the need for people to get vaccinated.

              The two locations: Papa Romano's on Nine Mile and Telegraph in Southfield and Paul's Pizza in southwest Detroit are the latest restaurants affected by the hepatitis A outbreak in southeast Michigan after lone employees for both pizza joints were diagnosed with the virus a few weeks ago...

              Comment


              • #8
                Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of November 29, 2017*
                *Table will be updated weekly by 4:00pm each Friday
                Cases
                Hospitalizations
                Deaths
                555 457 (82.3%) 20 (3.6%)
                Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                Confirmed Cases Referred August 1, 2016-November 29, 2017
                Meeting the SE MI Hepatitis A Outbreak Case Definition
                County (or city)
                Total Cases
                County (or city)
                Total Cases
                Macomb
                172
                Sanilac
                5
                City of Detroit
                140
                Lapeer
                4
                Wayne
                98
                Ingham
                4
                Oakland
                82
                Calhoun
                1
                St. Clair
                18
                Clare
                1
                Monroe
                8
                Genesee
                1
                Washtenaw
                8
                Hillsdale
                1
                Livingston
                5
                Huron
                1
                Isabella
                5
                Other*
                1
                *Michigan Department of Corrections

                Comment


                • #9
                  Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                  Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of December 7, 2017*
                  *Table will be updated weekly by 4:00pm each Friday
                  Cases
                  Hospitalizations
                  Deaths
                  583 482 (82.7%) 20 (3.4%)
                  Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                  Confirmed Cases Referred August 1, 2016-December 7, 2017
                  Meeting the SE MI Hepatitis A Outbreak Case Definition
                  County (or city)
                  Total Cases
                  County (or city)
                  Total Cases
                  Macomb
                  177
                  Livingston
                  6
                  City of Detroit
                  143
                  Isabella
                  5
                  Wayne
                  104
                  Sanilac
                  5
                  Oakland
                  86
                  Lapeer
                  4
                  St. Clair
                  19
                  Calhoun
                  1
                  Monroe
                  8
                  Clare
                  1
                  Washtenaw
                  8
                  Hillsdale
                  1
                  Genesee
                  7
                  Huron
                  1
                  Ingham
                  6
                  Other*
                  1
                  *Jackson Michigan Department of Corrections
                  Indicates counties with outbreak-associated cases that are not included in the outbreak jurisdiction.

                  Comment


                  • #10
                    Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                    Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of December 13, 2017*
                    *Table will be updated weekly by 4:00pm each Friday
                    Cases
                    Hospitalizations
                    Deaths
                    610 501 (82.1%) 20 (3.3%)
                    Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                    Confirmed Cases Referred August 1, 2016-December 13, 2017
                    Meeting the SE MI Hepatitis A Outbreak Case Definition
                    County (or city)
                    Total Cases
                    County (or city)
                    Total Cases
                    Macomb
                    186
                    Isabella
                    6
                    City of Detroit
                    147
                    Sanilac
                    5
                    Wayne
                    107
                    Lapeer
                    5
                    Oakland
                    89
                    Calhoun
                    1
                    St. Clair
                    20
                    Clare
                    1
                    Monroe
                    9
                    Hillsdale
                    1
                    Washtenaw
                    9
                    Huron
                    1
                    Genesee
                    8
                    Shiawassee
                    1
                    Ingham
                    6
                    Van Buren
                    1
                    Livingston
                    6
                    Other*
                    1
                    *Jackson Michigan Department of Corrections
                    Counties with only 1 outbreak-associated case are not considered to be part of the outbreak jurisdiction.

                    Comment


                    • #11
                      Source: https://www.metrotimes.com/news-hits...-concert-venue


                      Confirmed Hepatitis A case at Westland concert venue
                      Posted By Alysa Zavala-Offman on Fri, Dec 15, 2017 at 9:14 AM

                      Adding to a growing list of confirmed Hepatitis A cases in Southeast Michigan, Westland concert venue Token Lounge has confirmed that a bar worker contracted the disease.

                      Anyone who ordered a drink at the venue between Nov. 20 and Dec. 4 is advised to get a Hepatitis A vaccine as soon as possible. Receiving the shot within two weeks of coming in contact with the virus can lessen the chances of contracting the disease, according to the Center for Disease Control...

                      Comment


                      • #12
                        Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                        Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of December 20, 2017*
                        *Table will be updated weekly by 4:00pm each Friday
                        Cases
                        Hospitalizations
                        Deaths
                        630 517 (82.1%) 20 (3.2%)
                        Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                        Confirmed Cases Referred August 1, 2016-December 20, 2017
                        Meeting the SE MI Hepatitis A Outbreak Case Definition
                        County (or city)
                        Total Cases
                        County (or city)
                        Total Cases
                        Macomb
                        190
                        Livingston
                        6
                        City of Detroit
                        150
                        Sanilac
                        5
                        Wayne
                        113
                        Lapeer
                        5
                        Oakland
                        89
                        Shiawassee
                        2
                        St. Clair
                        21
                        Calhoun
                        1
                        Monroe
                        11
                        Clare
                        1
                        Washtenaw
                        10
                        Hillsdale
                        1
                        Genesee
                        8
                        Huron
                        1
                        Ingham
                        8
                        Van Buren
                        1
                        Isabella
                        6
                        Other*
                        1
                        *Jackson Michigan Department of Corrections
                        Indicates counties with outbreak-associated cases that are not included in the outbreak jurisdiction

                        Comment


                        • #13
                          Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                          Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of January 4, 2018*
                          *Table will be updated weekly by 4:00pm each Friday
                          Cases
                          Hospitalizations
                          Deaths
                          658 539 (81.9%) 22 (3.2%)
                          Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                          Confirmed Cases Referred August 1, 2016-January 4, 2018
                          Meeting the SE MI Hepatitis A Outbreak Case Definition
                          County (or city)
                          Total Cases
                          County (or city)
                          Total Cases
                          Macomb
                          196
                          Livingston
                          6
                          City of Detroit
                          151
                          Lapeer
                          5
                          Wayne
                          116
                          Sanilac
                          5
                          Oakland
                          91
                          Shiawassee
                          3
                          St. Clair
                          23
                          Calhoun
                          2
                          Monroe
                          15
                          Clare
                          1
                          Washtenaw
                          12
                          Hillsdale
                          1
                          Genesee
                          10
                          Huron
                          1
                          Ingham
                          10
                          Kent
                          1
                          Isabella
                          7
                          Van Buren
                          1
                          Other*
                          1
                          *Jackson Michigan Department of Corrections
                          Indicates counties with outbreak-associated cases that are not included in the outbreak jurisdiction

                          Comment


                          • #14
                            Source: http://www.lansingstatejournal.com/s...nt/1010086001/

                            Hepatitis A case in Eaton County linked to statewide outbreak
                            Princess Gabbara, Lansing State Journal Published 12:15 p.m. ET Jan. 6, 2018 | Updated 1:26 p.m. ET Jan. 6, 2018

                            LANSING ? A case of hepatitis A in Eaton County has been linked to the statewide outbreak in Southeast Michigan, the Barry-Eaton District Health Department announced Friday.

                            The case was reported on Dec. 20 and it was the first case in Eaton County to be connected to the outbreak.

                            Another case of hepatitis A has been reported in Eaton County, but it is unknown whether the case is linked to the outbreak in Southeast Michigan, according to a news release from the health department...

                            Comment


                            • #15
                              Source: http://www.michigan.gov/mdhhs/0,5885...7907--,00.html
                              Southeast Michigan Hepatitis A Outbreak Cases and Deaths as of January 10, 2018*
                              *Table will be updated weekly by 4:00pm each Friday
                              Cases
                              Hospitalizations
                              Deaths
                              677 554 (81.8%) 22 (3.2%)
                              Please note: Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.

                              Confirmed Cases Referred August 1, 2016-January 10, 2018
                              Meeting the SE MI Hepatitis A Outbreak Case Definition
                              County (or city)
                              Total Cases
                              County (or city)
                              Total Cases
                              Macomb
                              198
                              Lapeer
                              5
                              City of Detroit
                              153
                              Grand Traverse
                              4
                              Wayne
                              119
                              Shiawassee
                              3
                              Oakland
                              92
                              Calhoun
                              2
                              St. Clair
                              25
                              Clare
                              1
                              Monroe
                              14
                              Eaton
                              1
                              Ingham
                              13
                              Hillsdale
                              1
                              Washtenaw
                              12
                              Huron
                              1
                              Genesee
                              10
                              Kent
                              1
                              Isabella
                              7
                              Leelanau
                              1
                              Livingston
                              6
                              Van Buren
                              1
                              Sanilac
                              6
                              Other*
                              1
                              *Jackson Michigan Department of Corrections
                              Indicates counties with outbreak-associated cases that are not included in the outbreak jurisdiction

                              Comment

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