Michigan health officials say the southeast part of the state is seeing a serious outbreak of hepatitis A cases.

An analysis by the Detroit Free Press found that Michigan has led the U.S. in hepatitis cases per capita this year, with more than 500 reported cases so far.

The Detroit News reports that there have been 20 deaths linked with hepatitis A in southeast Michigan since August 2016.

The Centers for Disease Control and Prevention says hepatitis A is an extremely contagious liver disease caused by the hepatitis A virus. It can be spread during sex or by eating contaminated food or water.

Health officials say the majority of cases involve drug users, homeless people and current or former inmates. The outbreak has particularly affected Wayne, Macomb and Oakland counties.

The Monroe News reports a case of hepatitis A has been confirmed in Monroe County. According to the paper, the employee works at the Tim Hortons at 404 S. Monroe St. The health department says anyone who ate or drank at the restaurant between Nov. 21 and Dec. 8 may have been exposed and should talk to a doctor. Anyone who may have been exposed may need a hepatitis A vaccination or immune globulin treatment.

Michigan health officials are urging customers who consumed food or beverages at two Detroit-area pizzerias to get vaccinated against hepatitis A after workers there tested positive for the liver disease.

The Detroit Health Department said Tuesday it’s investigating a case at Paul’s Pizza on West Vernor in Detroit and urges vaccinations by Friday for anyone who dined at the restaurant between Nov. 20 and Nov. 25.

Also, Oakland County’s Health Division said it has confirmed a case at Papa Romano’s pizzeria on Nine Mile at Telegraph Road in Southfield and urge vaccinations by before Sunday for anyone who dined there between Nov. 22 and Nov. 26.

The two cases are the latest in a hepatitis A outbreak in Michigan. State health officials confirm more than 550 cases, including 20 deaths, since Aug. 1, 2016.

A worker at Andy’s Pizza, 13280 North Line Road, in Southgate was confirmed to have Hepatitis A while working at the restaurant between Nov. 3 and 17.

The Wayne County Department of Health, Veteran and Community Wellness confirmed Dec. 1.

Once the illness was confirmed the employee was removed from the restaurant, and it was thoroughly cleaned.

“We have been working side-by-side with the health department and have been cleared to stay open after inspections and the staff receiving the vaccine, as a precautionary measure,” owners posted on the store’s Facebook page. “We would not be allowed to operate under Wayne County health department laws if there was a possible risk of contaminating the public. The person who had the virus that work for us as of 2 weeks ago is no longer working in the establishment and contracted the virus from outside of Andy’s. The employee was put into immediate isolation. We apologize for any Inconvenience or the lack of confidence in any of our customers faith in our operation.”

Wayne County officials are urging anyone who ate at the restaurant during that time to watch for abdominal pain, nausea, vomiting, diarrhea, dark urine, clay-colored stool, fever, chills, yellow skin and eyes, all of which are symptoms of the illness. Symptoms typically show up between 15 and 50 days of contact.

Hepatitis A can be fatal.

County officials said all residents should get vacinated if it is medically feasible for them.

For those without insurance coverage, the vaccine is available at the Wayne County Health Department Clinic, located at 33030 Van Born Rd. in Wayne, Michigan.

To find out more information about hepatitis A, visit www.michigan.gov/hepatitisaoutbreak or call Wayne County at 734-727-7078.

A Greektown Casino employee has been diagnosed with Hepatitis A, the Detroit Health Department said Thursday, just two days after it announced a separate case in Detroit.

The department said it believes there is no suspected risk for casino patrons other than those who consumed food or beverages in the private Platinum member card access area between Nov. 11 and Nov. 22.

According to a news release, Greektown Casino, located at 555 East Lafayette, is attempting to those patrons to urge them to obtain a vaccination.

As of Thursday, only one Greektown employee is known to have Hepatitis A.

The health department said the risk of transmission of Hepatitis A from an employee is usually low.  Hepatitis A can potentially be prevented if given a vaccination within two weeks of having come in with the virus. Given the low, but potential risk, the Detroit Health Department is recommending vaccination for people who may have eaten in the private Platinum member card access area during the exposure period.

The Detroit Health Department has also notified the casino that the affected employee cannot return to work until cleared by their doctor.

“We are diligently working with our state partners, physicians, hospitals, food establishments, and community groups to educate the community, limit any potential exposures, and vaccinate those who are at risk,” said Dr. Joneigh Khaldun, Director and Health Officer of the Detroit Health Department.

Greektown CEO Jason Gregorec said in a statement that the safety of the casino’s guest and employees is of the “utmost importance.”

“It is significant to note that while no one else has reported any illness, we are taking all precautions to make certain that the incident remains isolated,” Gregorec said.

The news comes two days after a Detroit resident who works as a crew member at a McDonald’s on West Grand Boulevard was diagnosed with Hepatitis A.

The Detroit Health Department issued a news release saying it is conducting a thorough investigation at the McDonald’s, which is located at 2889 West Grand Blvd., to ensure appropriate food handing and cleaning protocols are being followed.

The Detroit Free Press reports that a Detroit resident who works as a crew member at a McDonald’s on West Grand Boulevard has been diagnosed with Hepatitis A, according to the Detroit Health Department which is investigating the case.

The Detroit Health Department issued a news release saying it is conducting a thorough investigation at the McDonald’s, which is located at 2889 West Grand Blvd., to ensure appropriate food handing and cleaning protocols are being followed.

Individuals who ate at the restaurant between Nov. 8 and Nov. 22 are being urged to get a Hepatitis A vaccinebefore Dec. 6.

Generally, the risk of transmission of Hepatitis A from an infected food handler is low. Hepatitis A can potentially be prevented if you are given a vaccination after having come in contact with the virus. After exposure, vaccination is most effective within two weeks.

As We said before – “For Goodness Sake – Vaccinate”

Management of Champs Rotisserie and Spirits at 20515 Mack Ave. alerted the Wayne County Department of Health, Veterans and Community Wellness to the issue.

Hepatitis A is spread through contaminated food or water, or close personal contact with an infected person.

The ill employee is not working and is receiving medical care, the health department said in a news release.

Health officials say those who ate food from the restaurant on or after Oct. 20 should get a vaccine by Nov. 13 if they have not already been vaccinated. People who consumed food from the restaurant Oct. 10-30 should watch for symptoms of hepatitis A, which can include abdominal pain, nausea, vomiting, diarrhea, dark urine, clay colored stool, fever, chills and jaundice. Symptoms occur 15-50 days after exposure and can last for several weeks to months.

Since Aug. 1, 2016, there have been 486 cases of hepatitis A, including 19 fatalities,  identified as related to an outbreak in Southeast Michigan, according to the Michigan Department of Health and Human Services.

In October, health officials said they were investigating cases at Firewater Bar and Grill and a Little Caesars Pizza location in Detroit and a restaurant worker in Ann Arbor. Cases last year were linked to Whole Foods in Detroit and Social Kitchen in Birmingham.

An employee at Trader Joe’s in Reno has contracted Hepatitis A and the store has had to post notices to inform customers.

Washoe District Health Department spokesman Phil Ulibarri said the store notified the health department of the infected employee in early November, as required by law.

The employee worked as both a stocker and a checker. As a stocker, the employee wore gloves, but as a checker did not, so there was a potential for exposure, Ulibarri said.

The Reno Trader Joe’s referred questions to corporate offices and no one was available.

The Centers for Disease Control said Hepatitis A is a liver infection transmitted orally or by consuming contaminated food or water.

Symptoms include fatigue, low appetite, stomach pain, nausea, and jaundice and usually ends within two months of infection.

News reports that customers may have been exposed to hepatitis A at a Costco in Montebello, health officials said Friday.

The Los Angeles County Department of Public Health said in a statement there was a “possible low risk” of exposure to the deadly virus. Butchered meat and seafood products sold at the store, 1345 N. Montebello Ave., between Oct. 22 and Oct. 31 may have been contaminated by a worker with hepatitis A.

Hepatitis A is a liver disease with symptoms that include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored bowel movements, joint pain, and a yellowing of the skin or eyes or jaundice. In extreme cases, the virus can cause liver failure and even death.

The Department of Public Health is working with Costco to investigate the possible exposure and provide employees with hepatitis A vaccines, according to the statement.

The department is recommending that individuals who handled or consumed the meat and seafood products from the Montebello Costco get vaccinated or receive an immune globulin shot by Mondayto prevent or reduce illness. They should also discard any leftover meat and seafood purchased between Oct. 22 and Oct. 31.

Costco is offering free hepatitis A vaccinations at the Montebello store for any customers who may have handled or consumed the meat and seafood products that may have been contaminated.

Here are the times the vaccines are offered:

  • 9:30 a.m. to 6 p.m. Saturday, Nov. 11
  • 10 a.m. to 6 p.m. Sunday, Nov. 12
  • 9:30 a.m. to 6 p.m. Monday, Nov. 13

The Department of Public Health routinely sees cases of hepatitis A. Over the past five years, there have been between 35 and 60 confirmed cases each year.

For more information on hepatitis A, go to www.publichealth.lacounty.gov or call the county information line at 211.

Mann Packing of Salinas, California is voluntarily recalling minimally processed vegetable products listed below because they may be contaminated with listeria monocytogenes. Mann Packing is issuing this recall in response to a single positive result found during random sampling by the Canadian Food Inspection Agency. Mann Packing is issuing this recall out of an abundance of caution. To date, public health officials have not reported any illnesses associated with these products.

The recalled product has the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The recalled products were distributed throughout the United States and Canada with “best if used by” dates from October 12 to October 20 listed on the front of the packaging. For recalled products distributed at retail and foodservice, product names, UPC codes and “best if used buy” dates are listed below.

 

Sales Item Description USA Items UPC Code Best If Used By
Mann’s Family Favorites Broccoli Carrots, 12 oz bags ‘716519013058 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Broccoli Cauliflower Florets, 16 oz bags ‘716519012174 10/14/2017
10/16/2017
Mann’s Family Favorites Broccoli Cauliflower Florets, 12 oz bags ‘716519013034 10/14/2017
10/16/2017
10/14/2017
10/15/2017
10/16/2017
Mann’s Broccoli Cole Slaw, 1 lb bags ‘716519011009 10/15/2017
10/17/2017
Mann’s Broccoli Cole Slaw, 12 oz bags ‘716519013072 10/14/2017
10/15/2017
10/17/2017
Mann’s Family Favorites Broccoli Wokly, 1 lb bags ‘716519010163 10/14/2017
10/16/2017
Mann’s Family Favorites Broccoli Wokly, 12 oz bags ‘716519013010 10/14/2017
10/15/2017
10/16/2017
10/14/2017
10/15/2017
10/16/2017
Mann’s Culinary Cuts Shaved Brussels Sprout, 9 oz bas ‘716519036859 10/14/2017
10/15/2017
Mann’s Family Favorites California Stir Fry, 2 lb bags ‘716519020186 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites California Stir Fry, 1 lb bags ‘716519012181 10/14/2017
10/16/2017
Mann’s Family Favorites California Stir Fry, 12 oz bags ‘716519013065 10/14/2017
10/15/2017
10/16/2017
10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Cauliflower Florets,  3 lb bags ‘716519020292 10/14/2017
10/16/2017
Mann’s Culinary Cuts Cauliettes Chopped Cauliflower, 14 oz bags ‘716519069017 10/15/2017
‘716519069017 10/14/2017
‘716519069017 10/15/2017
‘716519069017 10/16/2017
Mann’s Family Favorites Cauliflower Florets, 10 oz bags ‘716519014031 10/14/2017
10/15/2017
10/16/2017
Mann’s Snacking Favorites Cheddar Pretzel Veggie Tray, 19.6 oz tray ‘716519020445 10/15/2017
10/16/2017
Mann’s Fiest Vegetable Tray, 35.5 oz tray ‘716519088728 10/14/2017
10/16/2017
Mann’s Snacking Favorites Honey Turkey Cheddar, 20.3 oz Tray ‘716519020483 10/14/2017
10/15/2017
10/16/2017
Mann’s Kale Beet Blend, 8 oz Bags ‘716519000287 10/14/2017
10/15/2017
10/16/2017
Mann’s Nourish Bowls Southwest Chipotle, 10.5 oz trays ‘716519036958 10/18/2017
10/19/2017
Mann’s Nourish Bowls Bacon Maple Brussels, 7.15 oz Tray ‘716519036941 10/12/2017
10/13/2017
10/14/2017
10/15/2017
10/16/2017
10/17/2017
10/18/2017
10/19/2017
10/20/2017
Mann’s Nourish Bowl Monterey Risotto, 8.75 oz Tray ‘716519036798 10/11/2017
10/12/2017
10/13/2017
10/14/2017
10/15/2017
10/16/2017
10/18/2017
10/19/2017
Mann’s Nourish Bowls Sesame Sriracha, 12 oz Tray ‘716519036811 10/12/2017
10/13/2017
10/15/2017
10/16/2017
10/17/2017
10/19/2017
10/20/2017
Mann’s Nourish Bowl Cauli Rice Curry, 11 oz Tray ‘716519036897 10/11/2017
‘716519036897 10/12/2017
‘716519036897 10/13/2017
‘716519036897 10/14/2017
‘716519036897 10/15/2017
‘716519036897 10/16/2017
‘716519036897 10/18/2017
‘716519036897 10/19/2017
Mann’s Nourish Bowls Southwest Chipotle, 10.5 oz Tray ‘716519036859 10/12/2017
‘716519036859 10/13/2017
‘716519036859 10/14/2017
‘716519036859 10/15/2017
‘716519036859 10/16/2017
‘716519036859 10/18/2017
‘716519036859 10/19/2017
Mann’s Vegetable Tray, 54 oz tray ‘716519014055 10/15/2017
Mann’s Power Blend, 20 oz bags ‘716519000416 10/17/2017
Mann’s Power Blend, 10 oz bags ‘716519013119 10/14/2017
10/16/2017
10/17/2017
Mann’s Rainbow Salad, 12 oz bags ‘716519013089 10/14/2017
10/15/2017
10/16/2017
10/17/2017
Mann’s Family Favorites Vegetable Medley, 2 lb bags ‘716519020155 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Vegetable Medley, 1 lb bags ‘716519012150 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Vegetable Medley, 12 oz bags ‘716519013041 10/14/2017
10/16/2017
10/14/2017
10/16/2017
Mann’s Vegetable Tray, 2.5 lb tray ‘716519014079 10/15/2017
10/16/2017
Mann’s Snacking Favorites Hummus Tray, 16.5 oz trays ‘716519014758 10/14/2017
10/15/2017
10/16/2017
Mann’s Snacking Favorites Veggie Ranch Tray, 16.5 oz bags ‘716519020575 10/14/2017
10/15/2017
10/16/2017
Sales Item Description CANADA ITEMS UPC Code Best If Used By
Mann’s Family Favorites Broccoli & Cauliflower Florets, 12 oz ‘716519013034 10/14/2017
10/15/2017
10/16/2017
Mann’s Broccoli Cole Slaw, 12 oz bags ‘716519013072 10/15/2017
‘716519013072 10/16/2017
‘716519013072 10/17/2017
Mann’s Family Favorites Brussels Sprouts, 12 oz bags ‘716519010354 10/12/2017
10/14/2017
10/15/2017
Mann’s Culinary Cuts Shaved Brussels Sprouts, 9 oz bags ‘716519036859 10/14/2017
10/15/2017
Mann’s Family Favorites California Stir Fry, 12 oz bags ‘716519013065 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Cauliflower Florets, 3 lb bags ‘716519020292 10/14/2017
10/16/2017
Mann’s Culinary Cuts Cauliettes Chopped Cauliflower, 14 oz bags ‘716519069017 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Cauliflower Florets,  10 oz bags ‘716519014031 10/14/2017
10/15/2017
10/16/2017
Mann’s Fiesta Vegetable Tray, 35.5 oz tray ‘716519020490 10/14/2017
10/15/2017
Mann’s Kale Beet Blend, 8 oz bags ‘716519000270 10/14/2017
10/16/2017
Mann’s Nourish Bowls Cauli Rice Curry, 11 oz trays ‘716519036903 10/11/2017
10/12/2017
10/14/2017
10/15/2017
10/16/2017
10/18/2017
Mann’s Nourish Bowls Butternut Kale Risotto, 8.75 oz tray ‘716519036910 10/11/2017
10/12/2017
10/14/2017
10/15/2017
10/16/2017
10/18/2017
10/19/2017
Mann’s Nourish Bowls Southwest Chipotle, 10.5 oz trays ‘716519036866 10/12/2017
10/13/2017
10/14/2017
10/15/2017
10/16/2017
10/18/2017
10/19/2017
Mann’s Vegetable Trays, Large 54 oz tray ‘716519014055 10/15/2017
Mann’s Power Blend, 10 oz bags ‘716519013119 10/14/2017
10/16/2017
10/17/2017
Mann’s Rainbow Salad, 12 oz bags ‘716519013089 10/15/2017
10/16/2017
10/17/2017
Mann’s Family Favorites Vegetable Medley, 2 lb bags ‘716519020155 10/14/2017
10/15/2017
10/16/2017
Mann’s Family Favorites Vegetable Medley, 12 oz bags ‘716519013041 10/14/2017
10/16/2017
Mann’s Vegetable Trays, 2.5 lb trays ‘716519014079 10/14/2017
10/15/2017
10/16/2017
Mann’s Snacking Favorites Veggie Hummus Tray, 16.5 oz tray ‘716519020582 10/14/2017
10/15/2017
10/16/2017
Mann’s Snacking Favorites Veggie Ranch Tray, 16.5 oz tray ‘716519020605 10/14/2017
10/15/2017
10/16/2017
10/14/2017
10/15/2017
10/16/2017
Mann’s Nourish Bowls Sesame Sriracha, 12 oz trays ‘716519036828 10/12/2017
10/13/2017
10/15/2017
10/16/2017
10/17/2017
10/19/2017
Mann’s Nourish Bowls Bacon Maple Delight, 7.15 oz trays ‘716519036934 10/15/2017
10/16/2017
10/18/2017
10/19/2017

The two largest reported outbreaks of Hepatitis A are offering in San Diego and Southern Michigan.

San Diego

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

Southern Michigan

Cases Hospitalizations Deaths
397 320 (85.6%) 15 (4.0%)

Marler Clark, The Food Safety Law Firm, is the nation’s leading law firm representing victims of Hepatitis A outbreaks. The Hepatitis A lawyers of Marler Clark have represented thousands of victims of Hepatitis A and other foodborne illness outbreaks and have recovered over $600 million for clients.  Marler Clark is the only law firm in the nation with a practice focused exclusively on foodborne illness litigation.  Our Hepatitis A lawyers have litigated Hepatitis A cases stemming from outbreaks traced to a variety of sources, such as green onions, lettuce and restaurant food.  The law firm has brought Hepatitis A lawsuits against such companies as Costco, Subway, McDonald’s, Red Robin, Chipotle, Quiznos and Carl’s Jr.  We proudly represented the family of Donald Rockwell, who died after consuming hepatitis A tainted food and Richard Miller, who required a liver transplant after eating food at a Chi-Chi’s restaurant.

If you or a family member became ill with a Hepatitis A infection after consuming food and you’re interested in pursuing a legal claim, contact the Marler Clark Hepatitis A attorneys for a free case evaluation.

Since early 2017, the Public Health Services Division, in the County of San Diego Health and Human Services Agency, has been investigating a local Hepatitis A outbreak. The majority of people who have contracted hepatitis A are homeless and/or illicit drug users, although some cases have been neither.  The outbreak is being spread person-to-person and through contact with a fecally contaminated environment.  No common sources of food, beverage or drugs have been identified that have contributed to this outbreak, though investigation is ongoing.  The Centers for Disease Control and Prevention (CDC) notes that person-to-person transmission through close contact is the primary way people get hepatitis A in the United States.

Vaccination efforts are being implemented in targeted locations by County staff and in collaboration with health care partners. Health providers are asked to inform the Epidemiology Program if they have a patient suspected to have the hepatitis A infection, before the patient leaves the emergency department or provider’s office (see contact number below).

On September 1, 2017, the San Diego County Public Health Officer declared a local public health emergency due to the ongoing hepatitis A virus outbreak in the county. The County Board of Supervisors ratified this declaration on September 6, 2017 and again on September 12, 2017. The declaration shall be ratified every two weeks by the County Board of Supervisors until the declaration is rescinded.

For information and resources, please click on the links below:

The table below will provide a weekly update of total cases, deaths, and hospitalizations.  Following this update is information about hepatitis A to educate the community and help prevent the continual spread of this viral infection.

San Diego County Hepatitis A Outbreak Cases and Deaths as of October 10, 2017*
*Table will be updated weekly each Tuesday

Cases Deaths Hospitalizations
490 18 (3.7%) 342 (70%)