Source:
https://www.courier-journal.com/sto...ers-fighting-hepatitis-a-outbreak/3434886002/
Yes, Kentucky is fighting back against nation's worst hepatitis A outbreak. Here's how
Chris Kenning, Louisville Courier Journal Published 6:43 p.m. ET April 12, 2019
COVINGTON, Ky. ? With deaths from Kentucky?s hepatitis A outbreak rising even as new cases decline, health leaders said Friday they had hired a roving team of nurses to administer vaccines in rural county jails to help counter the virus.
The Department for Public Health also is providing more vaccine storage equipment, money and expertise to a handful of currently hard-hit counties, including giving $40,000 for vaccines Pulaksi County, to combat the state?s 16-month-old outbreak.
"We could see the trend go back up, so it?s not a time to diminish efforts at all," said Dr. Jeff Howard, the commissioner of public health, who appeared on a panel with other health leaders before a Kentucky Public Health Association gathering Friday in Covington...
...First declared in November 2017, Kentucky's hepatitis A outbreak began in Louisville, which fought to contain it as it began to explode last spring across rural Kentucky, catching fire and among the state?s large numbers of rural drug users.
The outbreak has sickened 4,476 and killed 53, according to the latest state report.
Kentucky has had more deaths than any of the other 17 states with similar hepatitis A outbreaks and more cases. But other cities or jurisdictions have had higher incidence rates per 100,000 people, officials said.
The high numbers of deaths in Kentucky are largely because many drug users are already afflicted with other medical problems such as hepatitis C, officials said
It continues on a downward trend, officials said. The state recorded 36 new cases statewide in the week ending March 30, down from a high of 151 cases per week last fall.
It is now in 107 of the state's 120 counties, according to the most recent state report.
Some counties are finding new ways to reach the drug users primarily spreading it, officials said Friday. Alongside jails, hospitals, syringe exchanges and drug treatment centers, some have held vaccine clinics in a convenience store or given vaccine vouchers to those at risk to give to friends.
And the CDC has made more federally funded vaccines available, Thoroughman said...