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Public health officials and the Michigan Department of Health and Human Services (MDHHS) are continuing to see an elevated number of hepatitis A cases in the state.
Since the beginning of the outbreak in August 2016, public health response has included increased healthcare awareness efforts, public notification and education, and outreach with vaccination clinics for high-risk populations.No common sources of food, beverages, or drugs have been identified as a potential source of infection. Transmission appears to be through direct person-to-person spread and illicit drug use. Those with history of injection and non-injection drug use, homelessness or transient housing, and incarceration are thought to be at greater risk in this outbreak setting. Notably, this outbreak has had a high hospitalization rate.
Michigan Hepatitis A Outbreak Cases and Deaths as of February 5, 2020*
*Table will be updated weekly by 4:00pm each Friday
|
Cases |
Hospitalizations |
Deaths |
|
920 |
738 (80.2%) |
30 (3.3%) |
Please note: Table does not include all reported hepatitis A cases in the outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.
|
Confirmed Cases Referred August 1, 2016 - February 5, 2020 |
||||
|
County (or city) |
Total Cases |
|
County (or city) |
Total Cases |
|
Macomb† |
223 |
|
Gratiot† |
3 |
|
City of Detroit† |
173 |
|
Midland† |
3 |
|
Wayne† |
164 |
Allegan† |
2 |
|
|
Oakland† |
120 |
|
Cass† |
2 |
|
St. Clair† |
33 |
|
Mecosta† |
2 |
|
Ingham† |
30 |
Bay† |
1 |
|
|
Genesee† |
28 |
|
Charlevoix† |
1 |
|
Shiawassee† |
22 |
|
Clare† |
1 |
|
Washtenaw† |
20 |
|
Hillsdale† |
1 |
|
Monroe† |
18 |
|
Huron† |
1 |
|
Calhoun† |
10 |
|
Ionia† |
1 |
|
Isabella† |
8 |
|
Leelanau† |
1 |
|
Lapeer† |
7 |
|
Lenawee† |
1 |
|
Clinton† |
6 |
|
Missaukee† |
1 |
|
Livingston† |
6 |
|
Newaygo† |
1 |
|
Sanilac† |
6 |
|
Schoolcraft† |
1 |
|
Eaton† |
6 |
|
St Joseph† |
1 |
|
Saginaw† |
5 |
|
Van Buren† |
1 |
|
Grand Traverse† |
4 |
|
Other*† |
2 |
|
Kent† |
4 |
|
|
|
|
† Indicates no confirmed case in the past 100 days *Jackson Michigan Department of Corrections Indicates counties with outbreak-associated cases that are not currently included in the outbreak jurisdiction |
||||
Hepatitis A is a serious, highly contagious liver disease caused by the hepatitis A virus (HAV). HAV is found in the feces (poop) of people with hepatitis A. You can get hepatitis A by eating contaminated food or water, during sex, or just by living with an infected person. Illness can appear 15-50 days after exposure and you can be sick for several weeks. In some cases, people can die. Although not all people infected with hepatitis A experience illness, symptoms can include:
nausea and vomitingThere are steps you can take to reduce the risk of Hepatitis A transmission. Hepatitis A is a vaccine-preventable illness. While the hepatitis A vaccine is recommended as a part of the routine childhood vaccination schedule, most adults have not been vaccinated and may be susceptible to the hepatitis A virus. The best way to reduce the risk of getting hepatitis A is to get vaccinated with two doses of Hepatitis A vaccine. It is also recommended to wash your hands after going to the bathroom and before preparing meals for yourself and others. Use your own towels, toothbrushes, and eating utensils. Do not have sex with someone who has HAV infection or share food, drinks, or smokes with other people.
Hepatitis A can be prevented with a safe and effective vaccine. Stop the spread of this infection.
*Note: individuals with chronic liver disease (e.g., cirrhosis and hepatitis C) may not be at increased risk of getting HAV infections but are at increased risk of having poor outcomes if they are infected with HAV.
If you (or someone you know) do not have health insurance, you will likely qualify for free or low cost vaccines. Talk with your local health department to find out if you qualify. For additional information, contact the MDHHS Division of Immunization at 517-335-8159.