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A
Hepatitis A
Should you as a restaurant
owner or manager be concerned?
Did
you know?
- An outbreak of hepatitis A can cost your restaurant
more than $100,000.
- A hepatitis A outbreak occurred in a mid-west city that
lasted for more than 2 years. It was directly linked to one employee at a fast-food
restaurant.
- When a food handling employee at a restaurant is infected
with hepatitis A, the restaurant is required to notify the community.
What
is hepatitis A?
Hepatitis A is an infection of the liver that
causes fever, fatigue, loss of appetite, abdominal pain, and jaundice
(yellowing of the skin, eyes and darkening of urine.) Adults are usually more ill than
children. The illness can last from two weeks to six months.
How
is hepatitis A spread?
Hepatitis A is spread through the
"fecal-oral" route of transmission. This means that someone infected with
hepatitis A can spread this disease if they do not wash their hands after toileting and
proceed to prepare or handle food for other people, share food or cigarettes with other
people, or touch other people.
Who
gets hepatitis A?
Anyone can get hepatitis A. People who live
with or have sexual contact with people with the disease are at highest risk of
contracting it. It also spreads easily in daycare settings where many children are in
diapers and cannot wash their own hands. Anyone who eats food prepared by an infected
person can also get hepatitis A.
Why
is this a concern in the restaurant industry?
Generally, the restaurant industry is not a
major player in outbreaks of hepatitis A. However, one food handling employee with
hepatitis A can potentially infect dozens of other people, including your patrons and
other employees. If your restaurant is responsible for even one case, the negative
publicity, legal costs, and loss of revenue from having to close your doors can be
devastating.
What can we do to prevent hepatitis A at our restaurant?
One of the best ways of preventing hepatitis A
from spreading is by strict adherence to personal hygiene. This includes restricting
ill employees from handling food and enforcing hand washing of all employees before
handling food and after toileting. Excluding an employee from work with symptoms, however,
may be too late - a person is contagious with hepatitis A two weeks before symptoms ever
develop. There is a vaccine that protects against hepatitis A which would eliminate the
risk of this type of foodborne illness.
Should
I have my staff vaccinated?
There is no right answer. One needs to assess
the pros and cons of vaccinating restaurant employees.
PROs:
- The cost of an hepatitis A outbreak far exceeds the costs of
vaccinating staff.
- This greatly reduces the risk of a hepatitis A outbreak in
your restaurant.
- This is one more measure you can take to protect your
patrons from foodborne illness.
- This demonstrates to the community that you are committed to
food safety.
- You will be providing long term protection for your
employees from this disease.
CONs:
- The cost may be prohibitive depending on the number of
employees vaccinated.
- Since it takes 6 months to fully vaccinate an individual, a
high turnover rate means you would be vaccinating your competitors employees.
- This leads to a false sense of security against other illnesses.
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