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22 New Cases of Hepatitis A – Oahu Outbreak Up to 74 Cases

The Hawaii Department of Health (HDOH) is investigating a cluster of hepatitis A infections on Oahu.  HDOH staff are conducting interviews with the cases in an effort to identify the source of infection.

Department of Health

Identifying the source of infection continues to be a challenge because of the long incubation period of the disease and the difficulty patients have in accurately recalling the foods consumed and locations visited during the period when infection could have taken place.

Healthcare providers have been informed and are asked to notify HDOH immediately if they have a patient they suspect may be infected.

Individuals who are interested in being vaccinated should contact their healthcare providers.

As of July 20, 2016*:

Since the last update, HDOH has identified 22 new cases of hepatitis A.  All cases have been in adults, 26 have required hospitalization.

All of the cases are residents of Oahu with the exception of two individuals who now live on the islands of Hawaii and Maui, respectively, but were on Oahu during their exposure period.


Onset of illness has ranged between 6/12/16 – 7/14/16.

Contacts of Cases

Unvaccinated contacts of cases should talk to their healthcare providers about the possibility of receiving hepatitis A vaccine or immune globulin, which may provide some protection against the disease if administered within the first two weeks after exposure.

A contact is defined as:

  • All unvaccinated household members
  • All unvaccinated sexual contacts
  • Anyone sharing illicit drugs with a case
  • Anyone sharing food or eating or drinking utensils with a case
  • Anyone consuming ready-to-eat foods prepared by an infectious food handler with diarrhea or poor hygiene

Note: A food handler is any person who directly prepares, serves, or handles food.

Places of Interest

An employee of the following food service business(es) has been diagnosed with hepatitis A. This list does not indicate these businesses are sources of this outbreak; at this time, no infections have been linked to exposure to these businesses. The likelihood that patrons of these businesses will become infected is very low. However, persons who have consumed food or drink products from these businesses during the identified dates of service should contact their healthcare provider for advice and possible preventive care.

Establishment Location Dates of Service
Baskin-Robbins Waikele Center June 17, 18, 19, 21, 22, 25, 27, 30, and July 1 and 3, 2016
Taco Bell Waipio (94-790 Ukee Street) June 16, 17, 20, 21, 24, 25, 28, 29, 30, and July 1, 3, 4, 6, 7, and 11, 2016

Hepatitis A — Information and Resources

One Response

  1. The Honolulu Health Board should be informing the Outer Islands when their hepatitis patients come to our islands. We should not be a dump for their hepatitis patients.

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