Chattanooga Times Free Press

Possible hepatitis A exposure in jails focus of investigat­ion

- STAFF REPORT

Local health officials say some women who were held in the Hamilton County Jail and Silverdale Detention Center last week might have been exposed to hepatitis A.

In a statement released Monday, the Chattanoog­a-Hamilton County Health Department said women who were held at the jail from Thursday afternoon to Friday or those at Silverdale on Friday were most at risk. Officials said a woman who was only in the temporary female holding areas and not mixed in with the general jail population­s at either facility was possibly infected.

The health department is offering free hepatitis A vaccines to any women who were in the temporary holding areas of either of those facilities during those dates and times. In order for the vaccine to be most effective for these individual­s, it should be given soon and no later than Friday, according to the release. A special clinic will be available all week from 8 a.m.-4 p.m. at the Adult/Internatio­nal Travel Clinic of the Third Street health department main campus. Clients do not need to bring proof of the incarcerat­ion or other documents.

The vaccine, which is free, is also available at four other health centers around the county on a walk-in basis between 8 a.m.-4 p.m.: ›

Birchwood Health Center, 5625 Highway 60, Birchwood, 423-961-0446 ›

Homeless Health Care Center, 730 E. 11th St., Chattanoog­a, 423-265-5708 ›

Ooltewah Health Center, 5520 High St., Ooltewah, 423-238-4269 ›

Sequoyah Health Center, 9527 W. Ridge Trail Road, Soddy-Daisy, 423-842-3031

Hepatitis A is a vaccine-preventabl­e contagious liver disease caused by the hepatitis A virus.

Symptoms include fever, fatigue, nausea, loss of appetite, vomiting, abdominal pain, dark colored urine, clay- colored stools, joint pain, or jaundice (yellowing of the skin and eyes). It can range from a mild

illness lasting a few weeks to a severe illness lasting several months. Although rare, hepatitis A can cause death in some people.

Hepatitis A usually spreads when a person unknowingl­y ingests the virus from objects, food, or drinks contaminat­ed by small, undetected amounts of stool from an infected person. It can also spread from close personal contact with an infected person such as through sex or caring for someone who is ill. The best way to prevent hepatitis A is through vaccinatio­n. Other preventive measures include thorough hand washing before preparing or eating food and after changing diapers or going to the bathroom. Caring for someone who is ill with the disease or living in close quarters with them are also risk factors.

Most adults have not been vaccinated against hepatitis A. The vaccine has only been routine for children entering kindergart­en in the past few years.

As of Friday, 12 cases of hepatitis A have been reported in Hamilton County since May 2018. Normally, the county has 0-1 cases per year.

In the current multistate hepatitis A outbreak, the disease is occurring mainly among people who are homeless, those who use injection and non-injection drugs, men who have sex with men, and their direct contacts.

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