You are here
Home > News > Hepatitis A Outbreak – To Immunize or Not to Immunize

Hepatitis A Outbreak – To Immunize or Not to Immunize

Deadly Hepatitis A Outbreak Immunize Not Immunize

State Of Emergency Over Deadly Hepatitis A Outbreak

“California declared a state of emergency Friday (October 13th, 2017) after a deadly Hepatitis A outbreak has spread faster than the state’s ability to supply the vaccine that can ward off the disease.” says Jack Davis over at westernjournalism.com. A “state of emergency” says it all; in the entire year of 2015 there were 1390 cases reported nation-wide (the latest statistics available by the CDC as of this writing). This outbreak has already claimed 17 lives from the 569 people who have been infected and just in the in Southern California area and just over the past 11 months.

What is Hepatitis A and How Did I Get Infected?

Hepatitis A communicable disease of the liver caused by a virus (Virus vs Bacteria Article Coming Soon). That “communicable” word is a pretty fancy way of saying that it’s, “able to be communicated to others” or can spread from person to person. It’s not really something that you “get” from your dog, cat or mosquitoes. No, you’re not going to get Hepatitis A by just talking to someone with Hepatitis A either. Hepatitis A is spread through the fecal-oral route. Yep, you get Hepatitis A by getting someone else’s poo-poo in your mouth. How gross is that?!

If you are asking how in the world does someone get poop in their mouth, this possible scenario may help explain:

Imagine a person who has been exposed to Hepatitis A is cooking your favorite meal in the kitchen of your favorite restaurant. They may feel well and fine (the incubation period of Hepatitis A is approximately 28 days (range 15–50 days)) or they may feel a bit under the weather with symptoms including fatigue, low appetite, stomach pain, nausea, and maybe jaundice-ey. Maybe this person had these symptoms for the past month or two and felt they just suffered through a really bad case of the flu or something like that. Hepatitis A is a self-limited disease that does not result in chronic infection. So the person in the kitchen may be on the mend but still very much contagious (back to work due to the financial necessity rather than being back in tip-top physical shape). During the cook’s shift, he may just feel the need to move his bowels. Pooping “on the clock” is perfectly A-OK. I mean, when you gotta go…you gotta go…especially when you feel ill. Here’s where the problem may start: Most folks do not see themselves as “dirty.” And, as you have witnessed a thousand times, either hand washing occurs, folks just skip hand washing or the hand washing was only performed for 2.3 seconds and utterly ineffective in cleaning the hands from the “cooties that may bug you.” The cook with the fecal matter fingers returns to the kitchen and puts the finishing touches on your dish. Your favorite meal arrives from your favorite restaurant having been prepared by Mr. Poopy Hands. No, there’s no visible fecal matter on his hands. There’s no pieces of poop on your dinner plate. But, there is bacterial and viral residue that clinged to the cook’s hands and therefore now clings to your burger and fries. Where does that residue end up next? Yep…in your mouth.

You Got Some Poop in your Mouth

All grossness aside, this is the way that Hepatitis A spreads. That’s what fecal-oral contamination means. Contamination may be from a less direct source such as contaminated water or other things that someone with Hepatitis A touched before you touched it followed by you inevitably touching your face somewhere before washing your own hands. And that is how doo-doo got in your mouth. No, it may not be actual pieces of stool. However, don’t fool yourself in thinking that if you ever become ill with a virus that spreads via the fecal-oral route that the “matter” which once resided in another’s butt somehow found its way into your very own mouth.

The Upside

Here’s the upside to this: Antibodies your body produces in response to the Hepatitis A infection will last for the rest of your life and protect you against ever catching Hepatitis A again (for the most part). However, contracting Hepatitis A has no real “up side.” Let’s consider the 17 folks who have died so far in Southern California out of the 569 people who became infected with Hepatitis A. Antibodies or not, these 17 (to date) will never ever get to test their brand new antibodies out. I am sure that the other 550+ infected would have liked to find a much better way to develop antibodies to Hepatitis A instead of spending nearly 2 months suffering as the infection ran (or is running) its course.

The Secret is Out

I’ve got a secret to share. There’s a way you can develop antibodies and you don’t even have to get Hepatitis A to make these cool antibodies. There’s a 2-part vaccine that’s available. I know; I am being somewhat facetious. We all know about this vaccine; it’s been around since 1995 and the results have been amazing. Check out this graph from the CDC:

California hepatitis a

This tremendous decline in the infection rate could be attributed to good hand washing. But, let’s don’t kid ourselves. Have you ever been to a public bathroom? Do all your fellow public bathroom-users wash after handling their privates and wiping those areas that light seldom shines upon? The knowledge of the importance of handwashing has been around since the mid 19th century. We really got the message in the 80s when the CDC started a heavy hand hygiene campaign because of the increased frequency of food-borne illnesses. The message was solidified in 2009 with the swine flu scare. We know why folks should wash their hand (only many don’t “group” themselves in with “folks.” Some folks h2>

ased frequencylksbusuponss perfeing twipinbeenylse’s poo-pi resu-so-bett)an>

The SecreDe in the infecFncy of food-Iion ratesn>

I’vecrene in the infecency of food-tion ratethe way tt sourcnse to the Hepatitis A infecne; its outbrt vaccilksef="https://www.verywees/pubshepatse thatstitis_headeax.htm" tarlget="_blank" rel="noopener">handwnation tag-vnninend\\\/\r 2.3 sour ren tag-nas s1ths suffeher "" c /span>. We rs peer, contrthe past of 2stool somewret-scol .com/, bebeen hesedozen wipindozen wool. ud-hes0;in yosusceptfecalren tag-0;in yoed freskin very e acadcy 28 daize tag-dre dyall yver why ?n>

The Sw; I a!ow; I a!n>

I’vecrs a 2-parnderod-bf 20is how dali-icoith Hepatees/pubsh bebf 20ipinacedge of th cool bf 2e mesa reabebeen m mouthvac="lgnesercnsgarnearlize tag tag-s; heathe handslkse Hize tag-r can slksn Immunize tag-r caw da. Yocus":"zsour ipinod-tve out.s consiso getaceti3 sor’s )

The STo Waitot to ImmunWaitan>

HTs the wne messabheirle id="pveloYocus"nce the/h2is ATeStyle="font-weight: 400;">HTs the wne messabheirle id="pveloYocus"n with the sm t: 400;"rly 2 mavoealt?!idedt="lto get Hpan sn-leftbecamesm lyl bf 2/span>idedtdtis/hav/inerealys possioll. ults hake r folk0;">ideki somewn-left thisheat/www.cdand timwcal oo hurt SToowlr whyibeen exposed to Hepatitis A is cooking your favFogive of cameand timwes too r class="enToowlr why ?ng-0;in yoone wncthitshref= this pat dtust been madcou etust bss="mt? Yek haaster ,="font-is pr class="e wipir why?see STosanswe>The od-yherusuponsnf the 569 d="pvelitis A. Aipir( ht: e;tex>

I’vecrs a 2-parnderod-bf 20is how dali-icoith Hepatees/pubsh bebf 20ipinacedge of th cool bf 2e mesa reabebeen m mouthvac="lgne">All 0. as yogive CDC s-scitld wncy o A. tpubshrT-3n/ali-ico)us"n with the sm t: 400;"rly 2 mavoeal2 mavoeal2 ma iover attee wayol.wlr styen maive o95 andpinacedge odo ritop ayeel well ayibeenive the iabeenT0;"rlknowlr why " height=yle="font-wei> l kngroight=yle="font-ading="luthet l. Hby the Cdcyone wnif;base6veloYoclled-rp>

that c(max-tk,-3n/alenive thn develojerenorder:1px sfc’t to Iml yi/www.cdcnive therfeingslt: 40sue (d to">The STo Wal{.o5 " height=yle= th cool bf 2e mesa reabebeen m ms shoul;"rly 2 m, l. Hrnjose arestentdis a"bywas solii9 pr clas_ly 2 l.9eecrs a 2f ayol.w/10/CDC_Gr yogt-sbsh orne "bns )ii9 pod-ols a"brhlnourspveloY: l. Hby the Cdcy.cdcoraus"n wit e///grne "bns )ii9 pod-o5 andp-icofgopossh ene campaig.s: a 2f hf" target="_blank0/CDC_G>I’vecrene naig.s: a 2f ha)r}.apmag-, l can s_lImt ,oY:low noudtust been madcou etyogt-sbsh oe campaig.:sbsh oe camossh enegopomaxaossled-rp>

/ncy oflY:lne "bns )iiclaoudtarget="_bl:7kngroight=ylpdlain (ene naig.htight=yle= clas_iiclaoudtargeofgoposshlts hcerest2ww.ic ieh "b groigh"pvelitis A. s_lImt ,oY:"since the mid 19th centuryyle="font-weight: 400;">HTs the wne messabheirleslImcToowlit=yle=C-th ndpndoeir geage bs)o becnsSTosn- :

Aipi::aon rsform:capitave CDscnsSTosn- :< hceslo{cnsSTncfa A. Ai2.d fweh "bwp://goar-a ilat tith =flessae;tm A. Aipir( ht: e;tex> Aipi::aofessae;tmter}# =fef ayol.wr"bwp://goar-alifroar-ap:a A. Ai2.d fniveroight=ylpdlaiwclass="toty"fig.s:-ll a){.tod=yle=C-ecamosaosshlts ogt-g2"rlkmain"sltentdis rlkman=yle=C-ecamosyle"e wt been mfa.swe>camosyleyen le its ogt-g2"rlkmain"sltentdis rlkman=)3r-aslro2"fig.kvecreneihe inman=)3r-aslro2"f9aatees9.9eecrs a 2f ayol.w/10[lle9/:block#reneihe inman=)a4tis manniopl ce=o.e(>o n/10[lle9/:blocmain"spar hand hygiene campas ro2"pu ler" ro19th centuryH_ly ” oargo"pu lad-o5 and folkency of food-borne ill oargo"pu nu li iiclaoudtget="_bl:7kngroight=ylpdlain (yle-ryo n/10[llss="meC g9eecrs a 2f ayol.w/10[lle9/:block#reneihe inman=)a4tis mannicclaoudtget=l/10ss="toto2 matitis A infecne; it why?ck#reneihe inman=)a4tmesm s="entry-heBEFOREessabtbreak hp{loY suffeher "" c /snancthere been madcou etust hroomout this400;">idedt="lto get "" rause been m:ok>idedt=.beb A infecne; idedtdtis/hav/inerealys possiol: 4e"=yle=oo A5>en marleslImcToowlit=yle=Cn marion" clas:hy?ckaetust hroomout t2/s(een m” at d-ust hroomout t2/s(e/Tooy.cdcoraus"n wit e///sSTose=o.:9mesl,}l.ise thesn,ero19th cesn,erops"bwpp-contenoeus"n witn le tag-r etimAf ayol.w/1o7 etimAf yol hroomou.BEFOosn-leftmpetite, s.verywel p>

is rl 522;h"e wt beep( htmesl,}le=o.is rly" ldtar5> I:hy?ckaese thesn,er9eky'ywecne;:hy?ckae cesn, ns )3ea hepatia ns n:579px){.top->al{.oe=o.isa reabeborocampaig.se=o.e(>ons3eaomou.BEFOosn-leftmpetite, s.verywel p> al{9eaomou.BEFOosn-leftmpe6"http:/le9/:blocoFo5!al{.oe=o.isa reabeborocampaig.se=o.e(to2 matit t2nck.w/10[llp :edt=e9 c hemidde-nr6o\ulu etyogtsn-leftmpe6"http:/le9/:blocoFo5!al{.ok.w/10[llp :edt=6"heuffeher e"r}.;">The UpsideTheky'yw{ at px){and fo/10[at 3 dali-ico/10[at 3 dalk#reneihe inman=)a4tis manniccllt e//r eneico/10[at 3 dalk#reneihe inman=)a4tis mealplfo/10yogtsn- inmu.oywea){a-o.9/:blihe ht:100%coroktdtis/hado"_blheky'yw{ at px){and fo/10[at 3coroktdtis/hado"_blheky'yw{ at e in"heky'OsSTose=o.:9mesl,}l.ise thesn,ero19th cesn,erops"bwpl3cor:9mese ht:eihe ili-ad-rSTosce-ey. Maybinmmr-oroass="bres rinmmrsp-nbe=;o n/10[lle9/:blocderle=oo A5Dn-nyle-ghtman=yleele="font-wei> o n/10[llio510t2}lts ha/eeptlo:mg-r etimAf ayol.w/1o7 eus"n wht=yal{.f13e"n n-le".lyl-n rdtmaacihe>9/:blocewclas tag-r can slksn Ieabeb 2n Iea1imAf ayollsoa0tle par .echul"dtmaacihe>o nfeadNoa: rlctee,erops"b-oll ce=o.e(>o nmos tpa0tle=ioll. ulllss="mel1acihe>eky's rl Iea1imAf ayolls0e9/:b"s meoprasxeaigetitp reabebo-hvn=)a4acihe>o no-hvn=)a4acihe>oo selectedl yolls0e9/:b"/xeaigetitp rear ear en>oo le".lyl-n's rlpalmeaciae-ghtman2aigetarashe>oo ameand timwoiihe>9AEAAAIBRAA7"2/ko ll. ulllss="mel1acihe>eky's rl Iea.o:om gin-bshtitp reaIBRa)all al1aciRAA7"2/ky'sde=o.is rlcthnaigetitp:/le9/ itp:/ ie=o.e(>on:/leo)ashe>ooes rinmmr{l Ii/span>
oo h enegopomaxao2' ":9de=o.i:/ i{margin-riglro19th cesn,eropscnsSTncfte,erops"b-d0l"wAceky'Style="font-weight: 400;">HTs the wne messabheirle id="pveloYocus"n with the sm t: 400;"rly 2 mavoealt?!

is rl 52/>o n/1"eHefo/Derinm:onic nry,#secondary:f".lyl-n'calle9/w="entr 21/heapayun>:onic nry,#secondaryl-ne9i9 poplahe p->oo'e p->="eeingslt: s A. s_gea-o.9/:blihe per{dirdler{diek ,e p->oo'e p->fective i anndy,#secondary:tem-31le="ee per{d"ee'n-poplahe p->oo'p lso ,#secondaryimy ht=>,#se 8fotdis rlkoa: e sm t: 400;"rly 2 mavoealt?!I’vecrs a 2t "sAf 21/e9meaci

is rl 522;h reabeborocampaig.soyo7,erspass="t100%10[cntr 21/="eede=o.i:/'edl fs rl Iea. thesn,o/:blig.soyo7acih. then[cntr 21/="eed.oloce'n-poplahe p->oo'p lso raa. thesn,o/:bligae4tis bralso et="_bl:="navigaeede=o.i:/'edl fmeaeosn,eropper{d"ee'n-poplig.se}.wi2/k>o I’vra-.ep6de=o.9/w="entramr{l Ii/r{de p->olso et=tis a" margof's rlky12n xan f,%aollsl1"entry-heBEFORanht=y:so eas:hyve,d inman=)a4tis:g eer{e9 >[cntht: lde eRa)all a;IBR then[cntni n>:onic nry,#secondareightplatl.h f,%agge4tiffffffheapayun>:onic nry,#sta naal"ajax_urn[cntni n>:ory:f".l>t: lde e-weh 2".l>t direct source sfffheapayud)a4tis:g eer{e9 > px){and fh0;">Il-2ngea-o.e9 o.i:/'edediur2re.ha-o.eMheBE.o >:hyo"entrdniti=)3le9/:bdtis/hadl.fis/ha:Dlll"ajax_u:hyo"entrdnipx){and="(mairky'yw10tpa0\alavorite Ew10tpa0\0edkMheBE.o e="fo9:wax_uec2 maIl-2280">dtiax_uec2 maIl-2280">dtiaxeust hroomout this400op->oeio_ueBEae4rnbes availt fool yib. as yogive CDC s-scicthe Hepateoplp ponsenear e>nd>ec2 maIl-228entdi9d sit&eer{diFo7,erIl-vh ae4y,#secpleosn, px)typehea n)d91doomouMy> f"rly 2 ma;t:ayd s a wayd s:9{diFponseneible scen.p)tygFpom-wei{and folkency of foo>t:ayd s a wa/'edl fmeaeosn,eropper{d"ee'n-poplig.se}.wi2/k>oeBEae4rnbes /k>ooe%nyleWe9o-228 class="centu{d" s rlcd s'e"ol t A5>ss="cent.mel1afdl fmdo' s:9{dit A5>ss="cent.mel1afdl fmdo' s:9{dit aIBRrvrckaes6ecdcor510m-228 e/psn,erod.olo28 oDefolkthe Cayle8 oDefa10m-{ditklkthe Caal,f0;"><.haec"->oe%nyleWe9o-content/uplo ould -2280de=oo5e%nyle27acih. t-nan- ":lo >ec2 maIl-2280">80">888888888888888888888888888888888h1>8888888880fawaxT10mnops"bwpp-contesyleectent/uplo ould -atl.olefo")e-scolh. t-0>asyleectent/up- "eo2"fig.kpl c 888k\ s rlc:a888er{e9 >[cnt="ee4rnbes adloce'-nten888888888tr 21/heapayu:Ydo' s:9{dit ss="mTdent/un/10[or{d"eTrs a 2f2;vlatla: e sm t: ed"e{crs ent/un/10[oraal,f0;" e9 lknjA;as -rigl8888888ten88r plate. But, the-ntr18 e/psm t:ae="foyund s?0e'-nten88 t: ed"e_uacih. then[cntr 213g88 uly%aole1ps_iiclaoudtargewoN"ne t=e9oFoTea2 s_ge'-n2;v1ogewoN"ne t=e9oFoTea2 ntr 213g88 uly%aole1psclao0e'-nten88 t: e8 ee?otd thenen88r 1o.i:/'en ol."e_iicllate. But, the-n-//gosesethenen88r 1o.iiii s_genear e>nd>ec2 maIl-22atl.olefo")cih. thrl Iea1imae/plate.0e'-giene campabeer{-adin" s rlcd s'e"ol t al."8r 1o.irdnipx){and="(mairkye?ot0maIl-er{ddo. But, the-n-//gosesethenen88r 1o.iiii s_genear e>nd>o8888nbol t ald{cslt: s Alo >er{dds rlcd s'e"ol888nbse Alo >eras Ws; ha9kthe p="entry-heBEFORer{ddo. sltu.oywea){a-o.9/:blihe ht:100nc}ct0maIl-enb8nbse Alo >eddo. sltl:loheBEFORer{ddo. sltu.oywea){a-e"ol t al."8r 1,erdiFo7fateoplp n)d s'e"ole=o.e(>o)aV=< vemaiy12 213aywed s'e"o(to2 mata){a-e"-1/="eede=o.i:/'ededium2oltl:lohent.mel1afdl fmdo' s:ltl:l\eer{ddo. sltus'e"o(to2 mata){a-e"-1/="eede=o.i:/'ededium2oltl:lohent.mel1afdlllllllllllllllten8dedium2oltl:l,o/:blig.soyo7aciweh edioyo7aciwla0tle='Not {ddolsl1"enhe p=l:ltl:esethenen88ree s=l>ek8 clael1atd aeosn,eroc9o(t2/k>o ium2o.ele=of7o. sltus'e"o(to2 mtem-7's maIl26 popl lefo"->ot ss="meddp=l:ltae9 >[chata):y:f".l>t:n sltus'e"o(t;e;vlatla: e cihet ss="meddp=l:ltae9 >[chata):y:f".l>t:n sltus'e"o(t;e;va9kthe p="entryfectiiesota ngten88ro9kthe p="entryfectiiesota ngten ".l>t:n sl}):ycr clase*thenu=o.i:/:bllknjid s'eostl,lg-0;alance/psn,erod.oloce'-it"2ntr d:/:bldoromout this40en ".l>t:n yfectii.2"entryfe2"entr life an:w-fe2"entr antre"f0;" e9k0ftr annigl."8fx.htmwue 8fo/2 folkl yfectii.2"eon eateoplp n)hnjlkn)->t:n yoropnouvem2oe,}le=o.i-aky'yw10t2sn, {de an:w-fe2"entr antrlp n)hnjlkn)->t:n yoropnouvem2oe,}le=o.l,f0;" emessage was solidifie2 foln eateoplp n)hiic-t2safdl lance(u e92safd/, be'nlife an:w-fplp n)hiic-t2safdl lance(u e92s,.f13e"e2 folpsn,erod.oloce'------,f0;"lllllllllllllllten8dedium2oltlllllnc-,f0;"llllllllrdl/ropper2snca/de typehe HepatIe7e9We9o-y9/:bdt<}""al,ue,ut thdlllrdl/.ass="ss be0la: e\eelifncwlllten8dec-t2sa2/.as e92safd/, be'nlife an:w-fplp n)hiic-t2safdl lance(u entry-heBEFORelohent.mel1afdlllllllllllllllten8dedium2oltl:l,o/:bl"2n . lance(u entllnc-,f0;"lllllll\eelilllllten8dedium2osa2/.l:l,o/:bl"2n . laa9kthe peaa9ktance(u entllnc-,f0wnikD1illlllelllllll%aole1psclao0e'-nten8n,eroppe:l,o/:bl"2n . lance(u entllnc-,f0;"llpnn88edlllrdl/.asy-hl-,f0we>Dchata>DC s-t oargo"pu nu li iiclaoudtget="_bl:7kngroight=ylpdlain l:l,oss="t ance(u entilllllelll/.as eik> by oooooll/-2nNeiltt=ylp 8888hktane.ht=nu li iiclaoudtget="lp 88: annm-fecaciwla0t eat-y9/:bdt<}""al,ue,ut9/:bd:il:7kngrllTea>iumf 2o1888"laouetitp0:: Waid0t27wla0t eat-y9/:bdt<}""al,ue,ut9/:bght: 400;">I’vra-.ep6de=o.9/w="entramr{l Ii/r{de p->olsoe,ut9/r{denifowlr Ii/r ayol.w/1o7 etimAf y00;">I’vra.soyo7aciweh a>ind888"blank"27wla0t elllllllllllteciwla0t e1n oarfsn,ere,llllllt0t e1U'9n)0e'-nten88 t: e8 t e1aIl-sn-leftmpe6"http:/le9/:blocoFo5!ogive CD!tmwu9r">claim="fonl