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Ask Dr. Vieder
Why is there suddenly an outbreak of Hepatitis A in Southeast Michigan?
It remains unclear as to the exact reason why there is a sudden spike in the number of Hepatitis A cases in Michigan. Unfortunately, local
epidemiologists are unable to pinpoint the exact point of origin for this particular outbreak. There are some commonalities associated with those
who have been affl icted with the infection. As of last week, there were 398 cases reported in the Tri-County area and sadly, 15 of those individuals
have died.
What is Hepatitis A and how could you contract it?
Hepatitis A as a very contagious viral disease that affects the liver and can lead to liver failure. The virus is generally found within the feces of
infected individuals. It is frequently transmitted through contaminated food and water, but can also be sexually transmitted or contracted through
injection of illegal drugs. Symptoms commonly begin two weeks to as long as two months after initial exposure and include the usual host of
vague symptoms such as nausea and vomiting, abdominal pain, fatigue, loss of appetite and weight loss. The symptoms most classic to advanced
cases of Hepatitis (A or B) include yellowing of the skin or eyes (otherwise known as jaundice) or very dark colored urine.
Who is most at risk of getting Hepatitis A?
Healthcare workers, food handlers, those who use or inject illegal drugs or participate in casual sexual practices and people who have recently
been incarcerated are at the highest risk. The Gay community is also disproportionately represented in a higher risk
category. Anyone who has not been vaccinated for Hepatitis A is potentially at risk as well.
What should I do to protect myself and my family?
Getting vaccinated and practicing good personal hygiene and proper sanitation are the best ways to protect yourself
and your family. Hepatitis A is a vaccine preventable disease. Pediatricians now routinely vaccinate children for Hepatitis
A along with all the other typical childhood vaccines. However, this practice only began within the last 15 years, many
adults have not been vaccinated and there is now a focus on increasing vaccinations with the adult population. The Lakes
Urgent Care staff strongly urges that all adults and children be vaccinated against hepatitis A. Contact your primary care
physician, pediatrician or local health department to obtain the vaccine, which is a series of 2 injections given 6 months
apart. Protection after the 2 vaccines is nearly 100%. Lakes Urgent Care can also provide the vaccination.
For more health information, visit the Ask Dr. Vieder page at LakesUrgentCare.com
Dr. Sanford Vieder, DO, FACOEP, Medical Director at Lakes Urgent Care, West Bloomfi eld / Livonia
jn
November 2 • 2017
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