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2 New Cases of Hepatitis A – 291 Confirmed Cases in Hawaii

Since the last update, HDOH has identified 2 new cases of hepatitis A. Seventy-three (73) have required hospitalization.

hepatitis-headerFindings of the investigation suggest that the source of the outbreak is focused on Oahu. Eleven (11) individuals are residents of the islands of Hawaii, Kauai, or Maui, and seven visitors have returned to the mainland or overseas.

Although the 50-day maximum incubation period from the date of the scallops embargo has passed, HDOH continues to be alert for people who have had onset of illness earlier but may present late to a clinician, as well as possible secondary cases. Secondary cases have been rare in this outbreak and have been limited to household members of cases or close contacts of cases.

CONFIRMED CASES OF HEPATITIS A
291

Onset of illness has ranged between 6/12/16 – 10/9/16.

22 New Cases of Hepatitis A Reported in Hawaii

hepatitis header

As of August 24, 2016*:

Since the last update, HDOH has identified 22 new cases of hepatitis A.  All cases have been in adults, 58 have required hospitalization.

Findings of the investigation suggest that the source of the outbreak is focused on Oahu. Eleven (11) individuals are residents of the islands of Hawaii, Kauai, or Maui, and three visitors have returned to the mainland.

CONFIRMED CASES OF HEPATITIS A
228

Onset of illness has ranged between 6/12/16 – 8/16/16.

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.

Business Island Location Dates of Service
Chili’s Oahu Kapolei (590 Farrington Highway) July 10, 12, 14, 15, 17, 18, 20, 21, 22, 23, 25, 26, and 27, 2016
Hawaiian Airlines Flight list (click here) July 1-26, 2016
Hokkaido Ramen Santouka Oahu Honolulu (801 Kaheka Street) July 21-23, 26-30, and August 2-6, 9-11, 2016
Sushi Shiono Hawaii Waikoloa Beach Resort, Queen’s MarketPlace (69-201 Waikoloa Beach Drive) July 5-8, 11-15, and 18-21, 2016
Taco Bell Oahu 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
Tamashiro Market Oahu Kalihi (802 N. King Street) July 2, 4, 6–8, 11–13, 15–19, and 23, 2016
Papa John’s Waipahu Oahu Waipahu (94-1021 Waipahu Street) July 23-24, and Aug. 2, 2016
New Lin Fong bakery Oahu Chinatown (1132 Maunakea Street) July 20, 22-23, 25, 27, 29-30, and Aug. 1, 3, and 5-6, 2016

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Hepatitis A — Information and Resources

Hepatitis A Outbreak in Hawaii Climbs to 206 Reported Cases

The Hawaii Department of Health (HDOH) is continuing to investigate a cluster of hepatitis A infections in the state.

As of August 17, 2016*:

Since the last update, HDOH has identified 38 new cases of hepatitis A.  All cases have been in adults, 51 have required hospitalization.

Findings of the investigation suggest that the source of the outbreak is focused on Oahu. Nine (9) individuals are residents of the islands of Hawaii, Kauai, or Maui, and one visitor has returned to the mainland.

CONFIRMED CASES OF HEPATITIS A
206

Onset of illness has ranged between 6/12/16 – 8/9/16.

On August 15, 2016, HDOH identified raw scallops served at Genki Sushi restaurants on Oahu and Kauai as the likely source of the ongoing outbreak. The product of concern is Sea Port Bay Scallops (Wild Harvest, Raw Frozen) that originated in the Philippines (states “Product of the Philippines” on the box), distributed by Koha Oriental Foods. As a result, HDOH ordered this product embargoed (not to be sold, purchased, or consumed) throughout the state, and the temporary closure of all Genki Sushi restaurants on Oahu and Kauai.

scallops

The scallops received by True World Foods have not been distributed to any restaurants in the state, and were embargoed at their warehouse. The scallops served at Genki locations on the Big Island and Maui originated from a different supplier and have not been associated with the outbreak.

The outbreak investigation is ongoing.   It continues to be challenging because of the long incubation period of the disease (15 to 50 days) 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.

HDOH encourages Hawaii residents to consider getting vaccinated for hepatitis A, and advises that they talk to their healthcare provider about hepatitis A if they are interested. Vaccination for hepatitis A is strongly recommended for certain individuals who are especially at risk (see HERE for a CDC list of groups recommended to be vaccinated for hepatitis A).

Hawaii residents are also advised that the demand for the vaccine during the outbreak has led to varied supply levels around the state, so it is recommended that they call ahead to assure the vaccine is available at a particular clinic or pharmacy before going there.

The Hawaii Department of Health is conducting a case control study to determine what food items served at a local restaurant chain might have led to the increase in hepatitis A infections in Hawaii. We are looking for individuals who ate at Genki Sushi after April 23, 2016 and have not been ill with hepatitis A.

Your assistance is extremely important. We are using this survey to obtain contact information for individuals who would be willing to participate in the study.  Selected individuals will be contacted by phone in the next 1-2 weeks and interviewed about particular foods eaten at Genki Sushi restaurant(s). Participation is voluntary and, if selected, should take about 30 minutes.  Your personal information will be kept confidential and will not be shared outside of the investigative team.

Mahalo.

Click here to take the survey

More Restaurants Tied to Hepatitis Outbreak – 168 Cases – New Survey for Residents

The number of people affected by the hepatitis A outbreak in Hawaii continues to rise, including two additional cases confirmed in Oahu food service workers today by the Hawaii State Department of Health (DOH). As a public health precaution, food handlers identified as contacts of a case must be tested for hepatitis A and found negative for the virus before returning to work.

One infected food service worker is an employee at Papa John’s restaurant, located at 94-1021 Waipahu Street, in Waipahu. The employee worked on July 23 and 24, and Aug. 2, 2016.

The other infected food service worker is an employee at New Lin Fong bakery, located at 1132 Maunakea Street, in Chinatown. The employee worked on July 20, 22-23, 25, 27, 29-30, and August 1, 3, and 5-6, 2016.

Establishment Island Location Dates of Service
Papa John’s Oahu Waipahu                        (94-1021 Waipahu St.)

 

July 23 and 24, and Aug. 2, 2016

 

New Lin Fong Oahu Chinatown                        (1132 Maunakea St.)

 

July 20, 22-23, 25, 27, 29-30, and Aug. 1, 3, and 5-6, 2016

Since DOH began its investigation, a total of 168 cases of hepatitis A have been confirmed as part of the outbreak, as of Aug. 10, 2016. DOH investigators have been hard at work to identify the outbreak source, which was likely a product widely distributed primarily on Oahu.

Click to take survey

Click to take survey

As a part of the ongoing hepatitis A outbreak in our state, we are performing a survey of Hawaii residents to determine how frequently residents eat at restaurants and obtain food from grocery stores in our communities. This survey should take less than 5 minutes. Please limit survey responses to one survey per household/family. Mahalo for your help!

Click here to take the survey

 

As of August 10, 2016*:Since the last update, HDOH has identified 33 new cases of hepatitis A.  All cases have been in adults, 46 have required hospitalization.

Findings of the investigation suggest that the source of the outbreak is focused on Oahu. Eight (8) individuals now live on the islands of Hawaii, Kauai, and Maui, and one visitor has returned to the mainland.

CONFIRMED CASES OF HEPATITIS A
168

Onset of illness has ranged between 6/12/16 – 8/1/16.

This information is provided to the public as a precaution in an attempt to prevent any new cases, and the likelihood that patrons of this business will become infected is very low. Updated case counts and information are provided each Wednesday along with a complete list of food service establishments who have had employees diagnosed with hepatitis A infection at the following link: http://health.hawaii.gov/docd/hepatitis-a-outbreak-2016/.

“The public’s health is our primary concern, and we feel it is important to provide them with the most up-to-date information so they can work with their healthcare providers to protect themselves and their families,” said State Epidemiologist Dr. Sarah Park. “At the same time, we also want the public to understand that these businesses and the other previously affected food establishments are not the source of the outbreak.”

Vaccination provides the best protection from hepatitis A, so any person who consumed food or beverage products prepared or served at this business during the identified periods may want to contact their healthcare providers about the possibility of receiving a vaccine or immune globulin (IG), which may provide some protection against the disease if administered within two weeks after exposure. A statewide list of vaccinating pharmacies can be found at http://health.hawaii.gov/docd/files/2013/07/IMM_Adult_Resource_List.pdf, or call the Aloha United Way information and referral line at 2-1-1

Frequent and thorough handwashing with soap after using the bathroom or changing a diaper, and before preparing food can also help prevent the spread of hepatitis A. Additionally, appropriately cooking foods can also help prevent infection.