Little Rock, Ark. – Arkansas continues to have a hepatitis A (hep A) outbreak. The Arkansas Department of Health (ADH) is warning of a possible hep A exposure after an employee of the J Mart Diner in Redfield tested positive for the virus.
Anyone who ate at the J Mart Diner at 1101 Sheridan Rd., Redfield, Ark. from July 17-Aug. 2, 2019 should seek vaccination immediately if they have never been vaccinated against hep A or are unsure of their vaccination status. There are no specific treatments once a person gets hep A. Illness can be prevented even after exposure by getting the vaccine or medicine called immune globulin, which contains antibodies to hep A. These work best to prevent illness if given within two weeks of exposure to the virus. Hep A vaccination can still prevent the virus after exposure.
The ADH will host vaccine clinics in Grant and Jefferson counties on Friday, Aug. 9. Vaccines will be available from 8:30 a.m.-6 p.m. at the Grant County Local Health Unit at 700 East Center, Sheridan, AR 72150 and at the Jefferson County Local Health Unit at 2306 Rike Dr., Pine Bluff, AR 71611. The vaccine will be provided to the public at no cost. People should bring their insurance card and driver’s license if they have one. Those who are unable to attend the clinic because they are in another county may be able to visit a Local Health Unit in their county. Those visiting Local Health Units in other counties should call ahead to ensure vaccine is available. The Local Health Unit listing can be found at https://www.healthy.arkansas.gov/health-units.
Anyone experiencing symptoms should seek care immediately. Typical symptoms of hep A include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored bowel movements, joint pain, or jaundice (yellowing of the skin or eyes). It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months.
Risk of getting hep A in a food service setting is low. Restaurants must follow ADH protocols for handwashing and glove use, and employees are not to return to work until they are no longer sick. Hep A is being spread in this outbreak primarily through close contacts in the community, not through eating at restaurants.
Since February 2018, 393 cases of hep A have been reported as part of an outbreak in Arkansas, including three deaths. Half of the patients involved in this outbreak have been hospitalized. Greene and Craighead counties have had the most cases, and there have also been cases in Arkansas, Clay, Cleburne, Conway, Crittenden, Cross, Faulkner, Fulton, Independence, Jackson, Jefferson, Lawrence, Lee, Lincoln, Logan, Lonoke, Mississippi, Monroe, Phillips, Poinsett, Prairie, Pulaski, Randolph, Sharp, St. Francis, Washington, and White counties. Several other states are experiencing outbreaks as well.
Those at high risk of getting hep A are:
- Anyone who has had close contact with someone who has hep A
- People who use drugs, whether injected or not
- People experiencing homelessness, transient, or unstable housing
- People who have been recently incarcerated