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  • UT: 2017/2018Hepatitis "A" - outbreak over

    Source: http://www.good4utah.com/news/local-...unty/818347067

    Hepatitis "A" outbreak in Salt Lake County
    By: Randall Carlisle
    Updated: Sep 25, 2017 05:53 PM MDT

    SALT LAKE CITY (ABC4 Utah) There is now an outbreak of hepatitis A in Salt Lake County and health officials are working hard to prevent it from becoming an epidemic like it has in California.

    San Diego has declared an emergency and officials there are power washing the streets with bleach after an epidemic has killed 16 people and made another 421 sick. 65% of those affected are homeless. Officials say it started with that population and spread.

    Here's the ominous part of the story from Ilene Risk, head of epidemiology at the Salt Lake County Health Department. "It's been tested and we have the same type of hepatitis virus occurring here that's occurring in California."

    She has confirmed 23 cases so far this year, most of them in the last two months. That compares to a yearly average of only 2 cases. Risk says 70% of them are homeless and a lot can be blamed on hygiene...

  • #2
    Hepatitis A Outbreak

    Since January 1, 2017, Utah public health has identified 84 confirmed cases of hepatitis A virus (HAV) infection; many among persons who are homeless and/or using illicit drugs. Several cases have been linked by investigation and/or viral sequencing to a national outbreak of hepatitis A involving cases in California and Arizona. Hospitalization rates of less than 40% have been described in previous hepatitis A outbreaks; however, other jurisdictions associated with this outbreak are reporting case hospitalization rates approaching 70%. The high rate of hospitalization may be a result of cases having underlying illnesses (e.g., alcoholism), or a higher rate of hepatitis comorbidities (e.g., hepatitis B or C). In response to the outbreak, public health officials have been working to identify cases and contacts, provide education, and ensure opportunities for vaccination of close contacts to cases and vulnerable populations.

    Hepatitis A is usually spread through having oral contact with items contaminated with hepatitis A, for example, through ingesting food or drinks contaminated by infected feces. Some people do not develop symptoms, even if infected. If symptoms occur, they usually appear anywhere from 2-6 weeks after exposure. Symptoms usually develop over a period of several days, and may include jaundice (the yellowing of the skin or whites of the eyes), abdominal pain, nausea or diarrhea. Hepatitis A vaccination is the best way to prevent hepatitis A infection. For more information on hepatitis A, click here.
    Last updated 11/13/17
    Outbreak-Associated Cases 75
    Onset Date Range 5/8/2017 - 11/08/2017
    Age Range 22 - 69 years median age 40 years
    Sex
    Male 48 64.0%
    Female 27 36.%
    Health Jurisdictions
    Salt Lake County 57 76.0%
    Utah County 11 14.7%
    Bear River 4 5.3%
    Central 1 1.3%
    Southwest Utah 2 2.7%
    Hospitalization 44 58.7%
    Deaths 0 0.0%
    Risk Factors
    Homelessness and Drug Use 36 48.0%
    Drug Use 15 20.0%
    Homelessness 6 8.0%
    Epi-Linked 10 13.3%
    Travel 2 2.7%
    Unknown 6 8.0%
    Incarcerated 17 22.7%
    Co-infection
    Hepatitis B (HBV) 10 13.3%
    Hepatitis C (HCV) 22 29.3%
    HBV & HCV 8 10.7%

    http://health.utah.gov/epi/diseases/...Voutbreak_2017
    "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


    • #3
      Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
      Hepatitis A Outbreak

      Since January 1, 2017, Utah public health has identified 95 confirmed cases of hepatitis A virus (HAV) infection; many among persons who are homeless and/or using illicit drugs. Several cases have been linked by investigation and/or viral sequencing to a national outbreak of hepatitis A involving cases in California and Arizona. Hospitalization rates of less than 40% have been described in previous hepatitis A outbreaks; however, other jurisdictions associated with this outbreak are reporting case hospitalization rates approaching 70%. The high rate of hospitalization may be a result of cases having underlying illnesses (e.g., alcoholism), or a higher rate of hepatitis comorbidities (e.g., hepatitis B or C). In response to the outbreak, public health officials have been working to identify cases and contacts, provide education, and ensure opportunities for vaccination of close contacts to cases and vulnerable populations.
      Hepatitis A is usually spread through having oral contact with items contaminated with hepatitis A, for example, through ingesting food or drinks contaminated by infected feces. Some people do not develop symptoms, even if infected. If symptoms occur, they usually appear anywhere from 2-6 weeks after exposure. Symptoms usually develop over a period of several days, and may include jaundice (the yellowing of the skin or whites of the eyes), abdominal pain, nausea or diarrhea. Hepatitis A vaccination is the best way to prevent hepatitis A infection. For more information on hepatitis A, click here.
      Last updated 11/27/17
      Outbreak-Associated Cases 87
      Onset Date Range 5/8/2017 - 11/15/2017
      Age Range 22 - 69 years median age 38 years
      Sex
      Male 54 62.1%
      Female 33 37.9%
      Health Jurisdictions
      Salt Lake County 66 75.9%
      Utah County 14 16.1%
      Bear River 4 4.6%
      Central 1 1.1%
      Southwest Utah 2 2.3%
      Hospitalizations 51 59.3%
      Deaths 0 0.0%
      Risk Factors
      Homelessness and Drug Use 44 50.6%
      Drug Use 15 17.2%
      Homelessness 7 8.0%
      Epi-Linked 12 13.8%
      Travel 3 3.4%
      Unknown 6 6.9%
      Incarcerated 18 20.7%
      Co-infection
      Hepatitis B (HBV) 12 13.8%
      Hepatitis C (HCV) 25 28.7%
      HBV & HCV 9 10.3%

      Comment


      • #4
        Source: http://www.heraldextra.com/news/loca...baf7fcdaa.html


        Heath department dealing with Hep A outbreak at Utah County Jail
        Braley Dodson Daily Herald 2 hrs ago


        A hepatitis A outbreak that has reached the Utah County Jail in Spanish Fork is keeping the Utah County Health Department busy.

        “It’s here, right in this jail,” said Steve Mickelson, the nursing director at the Health Department.

        Utah County typically has one or two reported cases of hepatitis A a year. In 2017, there have been 25 reported cases of hepatitis A in Utah County as of Dec. 26, according to information from the Utah Department of Health...

        Comment


        • #5
          Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
          Last updated 01/02/18
          Outbreak-Associated Cases 124
          Onset Date Range 5/8/2017 - 12/25/2017
          Age Range 22 - 69 years median age 38.5 years
          Sex
          Male 77 62.1%
          Female 47 37.9%
          Health Jurisdictions
          Salt Lake County 85 68.5%
          Utah County 26 21.0%
          Bear River 5 4.0%
          Southwest Utah 3 2.4%
          Central Utah 2 1.6%
          Tooele 1 0.8%
          Weber-Morgan 2 1.6%
          Hospitalizations 68 55.7%
          Deaths 0 0.0%
          Risk Factors
          Homelessness and Drug Use 58 46.8%
          Drug Use 31 25.0%
          Homelessness 11 8.9%
          Epi-Linked 15 12.1%
          Travel 3 2.4%
          Unknown 6 4.8%
          Incarcerated 27 21.8%
          Co-infection
          Hepatitis B (HBV) 12 9.7%
          Hepatitis C (HCV) 28 22.6%
          HBV & HCV 9 7.3%

          Comment


          • #6
            Source: http://www.babwnews.com/2018/01/dead...es-scrambling/

            Deadly disease at 7 Eleven sends authorities scrambling
            January 8, 2018 By Dan Taylor

            Authorities are concerned that customers at a 7-Eleven located in Salt Lake City were exposed to hepatitis A, and they are urging recent customers to reach out to the health department so they can get an injection. The Salt Lake County Health Department released a statement indicating that an infected employee at a 7-Eleven in West Jordan worked while sick and may have handle items there.

            It’s a huge exposure that could affect up to 2,000 people, even though it only affects that one store. Authorities say that people who visited the 7-Eleven, located at 2666 West 7800 South, between Dec. 26 and Jan. 3 are at risk, especially if they used the bathroom or consumed certain specific items like fresh fruit, fountain drinks, or anything from the hot food case...

            Comment


            • #7
              Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
              To determine if you are at risk for hepatitis A infection based on specific exposures, click here.
              Last updated 01/08/18
              Outbreak-Associated Cases 133
              Onset Date Range 5/8/2017 - 01/02/2018
              Age Range 22 - 69 years median age 38 years
              Sex
              Male 84 64.6%
              Female 49 37.7%
              Health Jurisdictions
              Salt Lake County 94 70.7%
              Utah County 26 19.5%
              Bear River 5 3.8%
              Southwest Utah 3 2.3%
              Central Utah 2 1.5%
              Tooele 1 0.8%
              Weber-Morgan 2 1.5%
              Hospitalizations 68 55.7%
              Deaths 0 0.0%
              Risk Factors
              Homelessness and Drug Use 62 47.7%
              Drug Use 33 25.4%
              Homelessness 12 9.2%
              Epi-Linked 17 13.1%
              Travel 3 2.3%
              Unknown 6 4.6%
              Incarcerated 27 20.8%
              Co-infection
              Hepatitis B (HBV) 13 10.0%
              Hepatitis C (HCV) 29 22.3%
              HBV & HCV 10 7.7%

              Comment


              • #8
                Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                Last updated 02/12/18
                Outbreak-Associated Cases 176
                2017 146
                2018 30
                Onset Date Range 05/08/2017 - 02/01/2018 Incidence Rate per
                100,00 Person-Years
                Age Range 22 - 90 years median age 38 years 5.17
                Sex
                Male 115 73.4%
                Female 61 41.0%
                Health Jurisdictions Incidence Rate per
                100,000 Person-Years
                Salt Lake County 121 68.8% 9.68
                Utah County 39 22.2% 5.91
                Bear River 5 2.8% 2.52
                Southwest Utah 3 1.7% 1.18
                Davis County 1 0.6% 0.26
                Central Utah 2 1.1% 2.28
                Tooele 2 1.1% 2.77
                Weber-Morgan 2 1.1% 0.69
                Wasatch 1 0.6% 2.94
                Hospitalizations 86 52.1%
                Deaths 0 0.0%
                Risk Factors
                Homelessness and Drug Use 72 49.3%
                Drug Use 37 25.3%
                Homelessness 19 13.0%
                Epi-Linked 27 18.5%
                Travel 4 2.7%
                Unknown 13 8.9%
                Incarcerated 33 22.6%
                Co-infection
                Hepatitis B (HBV) 13 8.9%
                Hepatitis C (HCV) 33 22.6%
                HBV & HCV 10 6.8%

                Comment


                • #9
                  Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                  Last updated 03/12/18
                  Outbreak-Associated Cases 202
                  2017 148
                  2018 54
                  Onset Date Range 05/08/2017 - 02/25/2018 Incidence Rate per
                  100,00 Person-Years
                  Age Range 22 - 90 years median age 38.5 years 6.62
                  Sex
                  Male 131 65.0%
                  Female 71 35.0%
                  Health Jurisdictions Incidence Rate per
                  100,000 Person-Years
                  Salt Lake County 140 69.3% 12.48
                  Utah County 42 20.8% 7.09
                  Bear River 5 2.5% 2.81
                  Southeast Utah 2 1.0% 4.98
                  Southwest Utah 3 1.5% 1.31
                  Davis County 1 0.5% 0.29
                  Central Utah 4 2.0% 5.09
                  Tooele 2 1.0% 3.08
                  Weber-Morgan 2 1.0% 0.77
                  Wasatch 1 0.5% 3.28
                  Hospitalizations 102 51.5%
                  Deaths 0 0.0%
                  Risk Factors
                  Homelessness and Drug Use 79 39.1%
                  Drug Use 42 20.8%
                  Homelessness 25 12.4%
                  Epi-Linked 33 16.3%
                  Travel 4 2.0%
                  Unknown 17 8.4%
                  Incarcerated 33 22.3%
                  Co-infection
                  Hepatitis B (HBV) 12 8.1%
                  Hepatitis C (HCV) 36 24.3%
                  HBV & HCV 9 6.1%

                  Comment


                  • #10
                    Source: https://www.sltrib.com/news/health/2...ad-has-peaked/

                    Utah reports two deaths in hepatitis A outbreak, as health officials hope the disease’s spread has peaked
                    By Luke Ramseth
                    Updated: 1 hour ago

                    Two Salt Lake County residents have died from complications due to hepatitis A in the first deaths in Utah since an outbreak began last summer, county health officials announced Tuesday.

                    One fatality happened in January, officials said, but the Salt Lake County Health Department was unable to confirm the cause until this week due to other health problems affecting the patient. The second death occurred late last month, they said.

                    The outbreak, which originated in San Diego, has steadily spread among the homeless population in Salt Lake and Utah counties. As of this week, there had been 213 outbreak-associated cases confirmed by the Utah Department of Health, with about half of those requiring hospitalization...

                    Comment


                    • #11
                      Source:http://health.utah.gov/epi/diseases/...Voutbreak_2017
                      Last updated 04/03/18
                      Outbreak-Associated Cases 213
                      2017 149
                      2018 64
                      Deaths
                      Deaths associated with the hepatitis A outbreak are determined and reported by the Local Health
                      Department with jurisdiction over the case. The following Local Health Departments have reported
                      deaths associated with hepatitis A. Click on the name of the Local Health Department to be
                      re-directed to their website.
                      Salt Lake County Health Department
                      Onset Date Range 05/08/2017 - 03/17/2018 Incidence Rate per
                      100,00 Person-Years
                      Age Range 22 - 90 years median age 39 years 7.0
                      Sex
                      Male 140 65.7%
                      Female 73 34.3%
                      Health Jurisdictions Incidence Rate per
                      100,000 Person-Years
                      Salt Lake County 149 70.0% 13.3
                      Utah County 43 20.2% 7.3
                      Bear River 5 2.3% 2.8
                      Southeast Utah 2 0.9% 5.0
                      Southwest Utah 3 1.4% 1.3
                      Davis County 1 0.5% 0.3
                      Central Utah 4 1.9% 5.1
                      Tooele 2 0.9% 3.1
                      Summit 1 0.5% 2.5
                      Weber-Morgan 2 0.9% 0.8
                      Wasatch 1 0.5% 3.3
                      Hospitalizations 111 52.1%
                      Risk Factors
                      Homelessness and Drug Use 85 39.9%
                      Drug Use 44 20.7%
                      Homelessness 25 11.7%
                      Epi-Linked 35 16.4%
                      Travel 4 1.9%
                      Unknown 18 8.5%
                      Incarcerated 34 22.8%
                      Co-infection
                      Hepatitis B (HBV) 14 9.4%
                      Hepatitis C (HCV) 42 28.2%
                      HBV & HCV 11 7.4%

                      Comment


                      • #12
                        Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                        Last updated 04/16/18
                        Outbreak-Associated Cases 221
                        2017 148
                        2018 73
                        Deaths
                        Deaths associated with the hepatitis A outbreak are determined and reported by the Local Health
                        Department with jurisdiction over the case. The following Local Health Departments have reported
                        deaths associated with hepatitis A. Click on the name of the Local Health Department to be
                        re-directed to their website.
                        Salt Lake County Health Department
                        Onset Date Range 05/08/2017 - 04/06/2018 Incidence Rate per
                        100,00 Person-Years
                        Age Range 22 - 90 years median age 39 years 7.2
                        Sex
                        Male 143 64.7%
                        Female 78 35.3%
                        Health Jurisdictions Incidence Rate per
                        100,000 Person-Years
                        Salt Lake County 154 69.7% 13.7
                        Utah County 45 20.4% 7.6
                        Bear River 5 2.3% 2.8
                        Southeast Utah 2 0.9% 5.0
                        Southwest Utah 3 1.4% 1.3
                        Davis County 1 0.5% 0.3
                        Central Utah 4 1.8% 5.1
                        Tooele 2 0.9% 3.1
                        Summit 1 0.5% 2.5
                        Weber-Morgan 3 1.4% 1.2
                        Wasatch 1 0.5% 3.3
                        Hospitalizations 115 52.0%
                        Risk Factors
                        Homelessness and Drug Use 87 39.4%
                        Drug Use 49 22.2%
                        Homelessness 24 10.9%
                        Epi-Linked 35 15.8%
                        Travel 4 1.8%
                        Unknown 21 9.5%
                        Incarcerated 34 23.0%
                        Co-infection
                        Hepatitis B (HBV) 14 9.5%
                        Hepatitis C (HCV) 42 28.4%
                        HBV & HCV 11 7.4%

                        Comment


                        • #13
                          Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                          Last updated 05/22/18
                          Outbreak-Associated Cases 241
                          2017 148
                          2018 93
                          Deaths
                          Deaths associated with the hepatitis A outbreak are determined and reported by the Local Health
                          Department with jurisdiction over the case. The following Local Health Departments have reported
                          deaths associated with hepatitis A. Click on the name of the Local Health Department to be
                          re-directed to their website.
                          Salt Lake County Health Department
                          Onset Date Range 05/08/2017 - 04/25/2018 Incidence Rate per
                          100,00 Person-Years
                          Age Range 22 - 90 years median age 40 years 7.9
                          Sex
                          Male 157 65.1%
                          Female 84 34.9%
                          Health Jurisdictions Incidence Rate per
                          100,000 Person-Years
                          Salt Lake County 167 69.3% 14.9
                          Utah County 45 18.7% 7.6
                          Bear River 5 2.1% 2.8
                          Southeast Utah 2 0.8% 5.0
                          Southwest Utah 3 1.2% 1.3
                          Davis County 2 0.8% 0.6
                          Central Utah 4 1.7% 5.1
                          Tooele 3 1.2% 4.6
                          Summit 2 0.8% 5.0
                          Weber-Morgan 6 2.5% 2.3
                          Wasatch 2 0.8% 6.6
                          Hospitalizations 127 55.2%
                          Risk Factors
                          Homelessness and Drug Use 92 38.2%
                          Drug Use 53 22.0%
                          Homelessness 17 7.1%
                          Epi-Linked 36 14.9%
                          Travel 4 1.7%
                          Unknown 25 10.4%
                          Incarcerated 35 24.3%
                          Co-infection
                          Hepatitis B (HBV) 3 1.2%
                          Hepatitis C (HCV) 34 14.1%
                          HBV & HCV 13 5.4%

                          Comment


                          • #14
                            Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                            Last updated 06/04/18
                            Outbreak-Associated Cases 251
                            2017 148
                            2018 103
                            Deaths
                            Deaths associated with the hepatitis A outbreak are determined and reported by the Local Health
                            Department with jurisdiction over the case. The following Local Health Departments have reported
                            deaths associated with hepatitis A. Click on the name of the Local Health Department to be
                            re-directed to their website.
                            Salt Lake County Health Department
                            Onset Date Range 05/08/2017 - 05/22/2018 Incidence Rate per
                            100,00 Person-Years
                            Age Range 22 - 90 years median age 40 years 8.2
                            Sex
                            Male 167 66.5%
                            Female 85 33.9%
                            Health Jurisdictions Incidence Rate per
                            100,000 Person-Years
                            Salt Lake County 171 68.1% 15.2
                            Utah County 45 17.9% 7.6
                            Bear River 5 2.0% 2.8
                            Southeast Utah 3 1.2% 7.5
                            Southwest Utah 3 1.2% 1.3
                            Davis County 5 2.0% 1.5
                            Central Utah 5 2.0% 6.4
                            Tooele 3 1.2% 4.6
                            Summit 2 0.8% 5.0
                            Weber-Morgan 8 3.2% 3.1
                            Wasatch 2 0.8% 6.6
                            Hospitalizations 135 55.6%
                            Risk Factors
                            Homelessness and Drug Use 93 37.1%
                            Drug Use 59 23.5%
                            Homelessness 17 6.8%
                            Epi-Linked 36 14.3%
                            Travel 4 1.6%
                            Unknown 27 10.8%
                            Incarcerated 37 14.7%
                            Co-infection
                            Hepatitis B (HBV) 3 1.2%
                            Hepatitis C (HCV) 37 14.7%
                            HBV & HCV 13 5.2%

                            Comment


                            • #15
                              Source: http://health.utah.gov/epi/diseases/...Voutbreak_2017
                              Last updated 06/18/18
                              Outbreak-Associated Cases 257
                              2017 148
                              2018 109
                              Deaths
                              Deaths associated with the hepatitis A outbreak are determined and reported by the Local Health
                              Department with jurisdiction over the case. The following Local Health Departments have reported
                              deaths associated with hepatitis A. Click on the name of the Local Health Department to be
                              re-directed to their website.
                              Salt Lake County Health Department
                              Onset Date Range 05/08/2017 - 05/31/2018 Incidence Rate per
                              100,00 Person-Years
                              Age Range 22 - 90 years median age 40 years 8.4
                              Sex
                              Male 170 66.1%
                              Female 87 33.9%
                              Health Jurisdictions Incidence Rate per
                              100,000 Person-Years
                              Salt Lake County 176 68.5% 15.7
                              Utah County 45 17.5% 7.6
                              Bear River 5 1.9% 2.8
                              Southeast Utah 3 1.2% 7.5
                              Southwest Utah 3 1.2% 1.3
                              Davis County 5 1.9% 1.5
                              Central Utah 5 1.9% 6.4
                              Tooele 3 1.2% 4.6
                              Summit 2 0.8% 5.0
                              Weber-Morgan 8 3.1% 3.1
                              Wasatch 2 0.8% 6.6
                              Hospitalizations 137 55.2%
                              Risk Factors
                              Homelessness and Drug Use 94 36.6%
                              Drug Use 69 26.8%
                              Homelessness 22 8.6%
                              Epi-Linked 36 14.0%
                              Travel 4 1.6%
                              Unknown 32 12.5%
                              Incarcerated 37 14.4%
                              Co-infection
                              Hepatitis B (HBV) 3 1.2%
                              Hepatitis C (HCV) 38 14.8%
                              HBV & HCV 12 4.7%

                              Comment

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