Michigan: 2018 Hepatitis A outbreaks

[Shiloh]

Source: https://www.detroitnews.com/story/ne...ent/549615002/

Hepatitis A confirmed in Royal Oak student
Charles E. Ramirez, The Detroit News Published 11:42 a.m. ET April 25, 2018 | Updated 11:46 a.m. ET April 25, 2018

Hepatitis A has been confirmed in a Royal Oak High School student, according to district officials.

Royal Oak High School Principal Michael Giromini told parents in a letter Wednesday they should watch their children for symptoms of the disease over the next several weeks...

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of May 23, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
837	671 (80.2%)	27 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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-May 23, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	220		Clinton?	3
City of Detroit	170		Saginaw?	3
Wayne	144		Kent	2
Oakland	114		Mecosta?	2
St. Clair	31		Allegan?	1
Ingham	26		Bay	1
Genesee	19		Clare?	1
Monroe	18		Hillsdale?	1
Washtenaw	18		Huron?	1
Shiawassee	8		Ionia?	1
Eaton	5		Leelanau?	1
Gratiot	3		Lenawee?	1
Isabella?	8		Midland	1
Calhoun?	7		Newaygo?	1
Lapeer	7		Schoolcraft?	1
Livingston?	6		Van Buren?	1
Sanilac?	6		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

[Shiloh]

Source: http://www.mlive.com/news/flint/inde...firmed_at.html

Hepatitis A case confirmed at Fenton Winery & Brewery
Updated 5:12 PM; Posted 5:00 PM

FENTON TWP, MI -- The Genesee County Health Department is advising people that recently visited Fenton Winery and Brewery to receive treatment following the confirmation of a Hepatitis A case in an employee.

Any guests who consumed food or drinks at the facility, located at 1370 N. Long Lake Road in Fenton Township, between May 26 and May 31 may have been exposed, according to a public health advisory...

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A 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 the state.
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.

Michigan Hepatitis A Outbreak Cases and Deaths as of June 6, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
840	677 (80.6%)	27 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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-June 6, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	220		Saginaw	4
City of Detroit	171		Clinton†	3
Wayne	141		Kent	2
Oakland	115		Mecosta†	2
St. Clair	32		Allegan†	1
Ingham	26		Bay	1
Genesee	21		Clare†	1
Monroe	18		Hillsdale†	1
Washtenaw	18		Huron†	1
Shiawassee	8		Ionia†	1
Gratiot	3		Leelanau†	1
Isabella†	8		Lenawee†	1
Calhoun†	7		Midland	1
Lapeer	7		Newaygo†	1
Livingston†	6		Schoolcraft†	1
Sanilac†	6		Van Buren†	1
Eaton†	5		Other*†	1
Grand Traverse†	4
† Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

[Shiloh]

Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of June 20, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
846	682 (80.6%)	27 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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 - June 20, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	220		Saginaw	4
City of Detroit	171		Clinton?	3
Wayne	142		Gratiot?	3
Oakland	116		Kent	2
St. Clair	33		Mecosta?	2
Ingham	26		Allegan?	1
Genesee	21		Bay	1
Monroe	18		Clare?	1
Washtenaw	18		Hillsdale?	1
Shiawassee	9		Huron?	1
Midland	3		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

[Shiloh]

Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of June 27, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
850	686 (80.7%)	27 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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 - June 27, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	220		Clinton	4
City of Detroit	171		Saginaw	4
Wayne	144		Gratiot?	3
Oakland	116		Kent	2
St. Clair	33		Mecosta?	2
Ingham	26		Allegan?	1
Genesee	21		Bay	1
Monroe	18		Clare?	1
Washtenaw	18		Hillsdale?	1
Shiawassee	10		Huron?	1
Midland	3		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html Michigan Hepatitis A Outbreak Cases and Deaths as of July 25, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
865	695 (80.5%)	27 (3.1%)

Please note: Table does not include all reported hepatitis A cases in the 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 - July 25, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	221		Clinton	4
City of Detroit	172		Saginaw	4
Wayne	145		Gratiot?	3
Oakland	119		Kent	2
St. Clair	33		Mecosta?	2
Genesee	24		Allegan	2
Shiawassee	15		Bay	1
Midland	3		Clare?	1
Ingham?	26		Hillsdale?	1
Monroe?	18		Huron?	1
Washtenaw?	18		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

[Shiloh]

Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html


Michigan Hepatitis A Outbreak Cases and Deaths as of August 8, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
874	703 (80.4%)	27 (3.1%)

Please note: Table does not include all reported hepatitis A cases in the 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 - August 8, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	223		Grand Traverse?	4
City of Detroit	172		Saginaw?	4
Wayne	148		Gratiot?	3
Oakland	118		Kent	2
St. Clair	33		Mecosta?	2
Genesee	25		Allegan	2
Shiawassee	17		Bay	1
Clinton	6		Clare?	1
Midland	3		Hillsdale?	1
Ingham?	26		Huron?	1
Monroe?	18		Ionia?	1
Washtenaw?	18		Leelanau?	1
Isabella?	8		Lenawee?	1
Calhoun?	7		Newaygo?	1
Lapeer?	7		Schoolcraft?	1
Livingston?	6		Van Buren?	1
Sanilac?	6		Other*?	1
Eaton?	5
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of August 15, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
875	705 (80.6%)	27 (3.1%)

Please note: Table does not include all reported hepatitis A cases in the 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 - August 15, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	223		Grand Traverse?	4
City of Detroit	172		Saginaw?	4
Wayne	148		Gratiot?	3
Oakland	118		Kent	2
St. Clair	33		Mecosta?	2
Genesee	25		Allegan	2
Shiawassee	18		Bay	1
Clinton	6		Clare?	1
Midland	3		Hillsdale?	1
Ingham?	26		Huron?	1
Monroe?	18		Ionia?	1
Washtenaw?	18		Leelanau?	1
Isabella?	8		Lenawee?	1
Calhoun?	7		Newaygo?	1
Lapeer?	7		Schoolcraft?	1
Livingston?	6		Van Buren?	1
Sanilac?	6		Other*?	1
Eaton?	5
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html Michigan Hepatitis A Outbreak Cases and Deaths as of August 29, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
880	709 (80.6%)	28 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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 - August 29, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	222		Saginaw?	4
City of Detroit	172		Gratiot?	4
Wayne	151		Midland?	3
Oakland	120		Kent	2
St. Clair	33		Mecosta?	2
Ingham	27		Allegan	2
Genesee	25		Bay	1
Shiawassee	18		Clare?	1
Clinton	6		Hillsdale?	1
Monroe?	18		Huron?	1
Washtenaw?	18		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer?	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

[Shiloh]

Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of September 5, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
886	713 (80.5%)	28 (3.2%)

Please note: Table does not include all reported hepatitis A cases in the 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 - September 5, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	222		Saginaw?	4
City of Detroit	173		Gratiot?	4
Wayne	154		Kent	3
Oakland	120		Midland?	3
St. Clair	33		Mecosta?	2
Ingham	27		Allegan	2
Genesee	26		Bay?	1
Shiawassee	18		Clare?	1
Clinton	6		Hillsdale?	1
Monroe?	18		Huron?	1
Washtenaw?	18		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer?	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

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Source: https://www.clickondetroit.com/healt...taurant-worker

Health officials confirm case of hepatitis A in Plymouth restaurant worker
Hepatitis A confirmed in food service worker at Omelette and Waffle Cafe
By Derick Hutchinson
Posted: 8:37 PM, September 11, 2018
Updated: 8:37 PM, September 11, 2018

PLYMOUTH, Mich. - The Wayne County Department of Health, Veterans and Community Wellness has confirmed a case of hepatitis A in a food service worker for Omelette and Waffle Cafe at 580 Forest Avenue in Plymouth.

The facility was inspected Sept. 11 and is still open, officials said. Management is working with HVCW during the investigation.

HVCW staff vaccinated employees of the facility Tuesday.

Customers who consumed food or beverages from Omelette and Waffle Cafe between Aug. 17 and Sept. 4 should get vaccinated by Sept. 18 to prevent getting the disease, health officials said...

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Source: https://www.fox47news.com/news/atten...cination-urged

Attendee at Renaissance Festival diagnosed with Hepatitis A, vaccination urged
WXYZ
7:28 PM, Sep 13, 2018
11:09 PM, Sep 13, 2018


(WSYM) - The Oakland County Health Division has issued a warning after confirming that an attendee at the Michigan Renaissance Festival in Holly was ill with Hepatitis A.

Officials confirm the attendee is the same individual who triggered a similar warning about Plymouth's Omelette and Waffle Caf? earlier this week.

The exposure happened September 1. Anyone working or attending the festival on either Sept. 1 and 2 get a Hepatitis A vaccine by Saturday, Sept. 15, if they have not been previously vaccinated...

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Source: https://www.michigan.gov/mdhhs/0,588...7907--,00.html
Michigan Hepatitis A Outbreak Cases and Deaths as of September 19, 2018*
*Table will be updated weekly by 4:00pm each Friday

Cases	Hospitalizations	Deaths
895	719 (80.3%)	28 (3.1%)

Please note: Table does not include all reported hepatitis A cases in the 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 - September 19, 2018 Meeting the MI Hepatitis A Outbreak Case Definition
County (or city)	Total Cases		County (or city)	Total Cases
Macomb	222		Saginaw?	4
City of Detroit	173		Gratiot?	4
Wayne	157		Kent	3
Oakland	120		Midland?	3
Genesee	28		Mecosta?	2
Ingham	28		Allegan?	2
Shiawassee	20		Bay?	1
Clinton	6		Clare?	1
St. Clair?	33		Hillsdale?	1
Monroe?	18		Huron?	1
Washtenaw?	18		Ionia?	1
Isabella?	8		Leelanau?	1
Calhoun?	7		Lenawee?	1
Lapeer?	7		Newaygo?	1
Livingston?	6		Schoolcraft?	1
Sanilac?	6		Van Buren?	1
Eaton?	5		Other*?	1
Grand Traverse?	4
? Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction

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Source: https://www.fox47news.com/news/local...ing-restaurant


Ingham Co. Health Dept. confirms Hepatitis A at Lansing restaurant
Press Release
1:08 PM, Sep 28, 2018


LANSING, Mich. (WSYM) - The Ingham County Health Department has confirmed a case of hepatitis A in a foodservice worker at Steak ?n Shake located at 540 E. Edgewood Boulevard in Lansing.

People who ate at the restaurant September 2-25 may have been exposed. The facility is working with the health department during the investigation...