title: Hepatitis A in a food worker and subsequent prophylaxis of restaurant patrons.
abstract: A laboratory-confirmed case of hepatitis A was reported to Tri-County Health Department (TCHD) in Colorado, and the infected person was subsequently determined to have been a food worker at a local restaurant during the period of infectiousness. After conducting a public health risk assessment, TCHD decided to offer immune globulin (IG) to potentially exposed restaurant patrons. A two-day clinic in Adams County, Colorado, administered IG to 693 individuals. Planning, implementation, and evaluation of this clinic used a total of 900 staff hours and had a financial cost of dollar48,300. No additional restaurant employees became ill, and no secondary cases of hepatitis A were reported within the community. The mass-prophylaxis clinic was an important public health measure taken to prevent the potential spread of illness. The experience also provided relevant hands-on emergency-preparedness training that can be applied in other settings.
authors.affiliation: Tri-County Health Department, Greenwood Village, CO 80111, USA. jpatnaik@tchd.prg
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Patnaik
authors.forename: Laura
authors.initials: L
authors.lastname: Dippold
authors.forename: Richard L
authors.initials: RL
authors.lastname: Vogt
mesh_terms: D003120:Colorado / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control; D006506:Hepatitis A / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D007136:Immunoglobulins / Q000008:administration & dosage; D012147:Restaurants; D018570:Risk Assessment
chemical_list: D007136:Immunoglobulins