Hepatitis Outbreak in US, Canada May Be Linked to Strawberry Distributor in Fresno, Among Others
Orange County’s Only Needle Exchange Program Seeks to Go Mobile
Monterey County Declares Hepatitis A Outbreak Among Homeless
California Declares Emergency in Fight Against Hepatitis A Outbreak
Experts: California Hepatitis A Outbreak May Linger
San Diego Increases Homeless Citations in Hepatitis Outbreak
San Diego Fighting a Deadly Hepatitis Outbreak Linked to Homeless Encampments
San Diego's Hepatitis A Outbreak Spurs Action in L.A., Orange County
San Diego Washing Streets With Bleach to Combat Hepatitis A Outbreak
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She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11915564":{"type":"posts","id":"news_11915564","meta":{"index":"posts_1591205157","site":"news","id":"11915564","score":null,"sort":[1654040594000]},"guestAuthors":[],"slug":"hepatitis-outbreak-in-us-canada-may-be-linked-to-strawberry-distributor-in-fresno-among-others","title":"Hepatitis Outbreak in US, Canada May Be Linked to Strawberry Distributor in Fresno, Among Others","publishDate":1654040594,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Regulators are investigating a hepatitis A outbreak across the U.S. and Canada that may be linked to fresh organic strawberries, with more than a dozen cases reported in California so far.\u003c/p>\n\u003cp>In a joint weekend statement, the U.S. Food and Drug Administration and the Public Health Agency of Canada said \u003ca href=\"https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-hepatitis-virus-strawberries-may-2022#:~:text=The%20FDA%2C%20along%20with%20CDC,as%20FreshKampo%20and%20HEB%2C%20purchased\">people fell ill after consuming FreshKampo and H-E-B brand strawberries\u003c/a>.\u003c/p>\n\u003cp>There have been 17 illnesses and 12 hospitalizations reported in the U.S., the FDA said, with 15 of those cases occurring in California.\u003c/p>\n\u003cp>The agencies said the strawberries were purchased between March 5 and April 25. They were sold at various U.S. retailers, including Aldi, Kroger, Safeway, Walmart and Trader Joe’s.\u003c/p>\n\u003cp>Mexico-based FreshKampo, which grew the strawberries, said in a statement Sunday that it is working with regulators to determine how the problem occurred. FreshKampo said the label on the containers of potentially affected strawberries would have said “Product of Mexico” or “Distributed by Meridian Foods.”\u003c/p>\n\u003cp>Meridian Fine Foods, a FreshKampo subsidiary, is based in Fresno.\u003c/p>\n\u003cp>The potentially affected strawberries are past their shelf life, but health officials say consumers who purchased them and froze them to eat later should throw them away.\u003c/p>\n\u003cp>Hepatitis A is a virus that can cause liver disease and, in rare cases, liver failure and death. Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms include fatigue, nausea, vomiting, abdominal pain and jaundice.\u003c/p>\n\u003cp>Consumers who ate the potentially affected berries in the last two weeks and have not been vaccinated against hepatitis A should immediately consult with a physician, the FDA said.\u003c/p>\n","blocks":[],"excerpt":"California has seen the most US hepatitis A cases so far in an outbreak potentially linked to organic strawberries sold in the US and Canada, regulators said.","status":"publish","parent":0,"modified":1654043054,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":273},"headData":{"title":"Hepatitis Outbreak in US, Canada May Be Linked to Strawberry Distributor in Fresno, Among Others | KQED","description":"California has seen the most US hepatitis A cases so far in an outbreak potentially linked to organic strawberries sold in the US and Canada, regulators said.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Hepatitis Outbreak in US, Canada May Be Linked to Strawberry Distributor in Fresno, Among Others","datePublished":"2022-05-31T23:43:14.000Z","dateModified":"2022-06-01T00:24:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11915564 https://ww2.kqed.org/news/?p=11915564","disqusUrl":"https://ww2.kqed.org/news/2022/05/31/hepatitis-outbreak-in-us-canada-may-be-linked-to-strawberry-distributor-in-fresno-among-others/","disqusTitle":"Hepatitis Outbreak in US, Canada May Be Linked to Strawberry Distributor in Fresno, Among Others","source":"Food","sourceUrl":"/food/","nprByline":"Dee-Ann Durbin \u003cbr /> The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11915564/hepatitis-outbreak-in-us-canada-may-be-linked-to-strawberry-distributor-in-fresno-among-others","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Regulators are investigating a hepatitis A outbreak across the U.S. and Canada that may be linked to fresh organic strawberries, with more than a dozen cases reported in California so far.\u003c/p>\n\u003cp>In a joint weekend statement, the U.S. Food and Drug Administration and the Public Health Agency of Canada said \u003ca href=\"https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-hepatitis-virus-strawberries-may-2022#:~:text=The%20FDA%2C%20along%20with%20CDC,as%20FreshKampo%20and%20HEB%2C%20purchased\">people fell ill after consuming FreshKampo and H-E-B brand strawberries\u003c/a>.\u003c/p>\n\u003cp>There have been 17 illnesses and 12 hospitalizations reported in the U.S., the FDA said, with 15 of those cases occurring in California.\u003c/p>\n\u003cp>The agencies said the strawberries were purchased between March 5 and April 25. They were sold at various U.S. retailers, including Aldi, Kroger, Safeway, Walmart and Trader Joe’s.\u003c/p>\n\u003cp>Mexico-based FreshKampo, which grew the strawberries, said in a statement Sunday that it is working with regulators to determine how the problem occurred. FreshKampo said the label on the containers of potentially affected strawberries would have said “Product of Mexico” or “Distributed by Meridian Foods.”\u003c/p>\n\u003cp>Meridian Fine Foods, a FreshKampo subsidiary, is based in Fresno.\u003c/p>\n\u003cp>The potentially affected strawberries are past their shelf life, but health officials say consumers who purchased them and froze them to eat later should throw them away.\u003c/p>\n\u003cp>Hepatitis A is a virus that can cause liver disease and, in rare cases, liver failure and death. Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms include fatigue, nausea, vomiting, abdominal pain and jaundice.\u003c/p>\n\u003cp>Consumers who ate the potentially affected berries in the last two weeks and have not been vaccinated against hepatitis A should immediately consult with a physician, the FDA said.\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11915564/hepatitis-outbreak-in-us-canada-may-be-linked-to-strawberry-distributor-in-fresno-among-others","authors":["byline_news_11915564"],"categories":["news_24114","news_457","news_8"],"tags":["news_20402","news_37","news_4469"],"featImg":"news_11915615","label":"source_news_11915564"},"news_11659999":{"type":"posts","id":"news_11659999","meta":{"index":"posts_1591205157","site":"news","id":"11659999","score":null,"sort":[1522957313000]},"guestAuthors":[],"slug":"orange-countys-only-needle-exchange-program-seeks-to-go-mobile","title":"Orange County’s Only Needle Exchange Program Seeks to Go Mobile","publishDate":1522957313,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Back in January, a permit was denied for the only needle exchange in Orange County. The reason? Santa Ana officials cited health concerns over needles scattered on the ground in the Santa Ana Civic Center, where the exchange operated a permanent location, and even among stacks of books in the city library.\u003c/p>\n\u003cp>But shutting down the \u003ca href=\"http://ocnep.org\" target=\"_blank\" rel=\"noopener\">Orange County Needle Exchange Program (OCNEP)\u003c/a> didn’t stop the use of needles. Advocates say it may have even forced some intravenous drug users to share them or use dirty ones, increasing the likelihood of blood-borne illnesses like HIV and hepatitis. In its two years of operation, OCNEP gave out about 2 million clean needles and provided safe disposal for used syringes.\u003c/p>\n\u003cp>Since then, the exchange's co-founder, Dr. Kyle Barbour, has been trying to work with the city of Santa Ana for a solution. But in the meantime he and his colleagues have taken a different tack -- if they cannot operate out of the Civic Center, they’ll take the needle exchange on the road.\u003c/p>\n\u003cp>Mobile needle exchanges can be found in big cities across the United States. In California, they operate in cities like San Francisco, Los Angeles and Oakland. But this would be the first of its kind in Orange County. According to Barbour, a mobile exchange might be even better for the organization.\u003c/p>\n\u003cp>“It’s especially important to be mobile in a suburban county like Orange,” says Barbour. “The reason for that is that a lot of the clients that we serve are very, very poor. There’s almost no public transportation infrastructure here, so getting from place to place is really hard.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Additionally, a mobile needle exchange would allow Barbour and his fellow volunteers to better tailor their services to their clients. For example, they'd be able to ensure they're not forcing clients to choose between getting to the soup kitchen in time for a meal, or visiting the exchange.\u003c/p>\n\u003cp>A mobile needle exchange also creates some logistical ease for OCNEP, sidestepping Santa Ana's permitting processes and taking the decision directly to the people of Orange County and the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>In 2012, \u003ca href=\"http://www.leginfo.ca.gov/pub/11-12/bill/asm/ab_0601-0650/ab_604_cfa_20110902_141710_sen_floor.html\">Assembly Bill 604\u003c/a> granted authority to the CDPH, Office of AIDS to permit organizations to apply directly to the CDPH for authorization to operate syringe exchange programs.\u003c/p>\n\u003cp>OCNEP’S application is currently a few weeks into a public comment period that ends on June 25.\u003c/p>\n\u003cp>Barbour says he knows conversations around needle exchanges can often be scary and fraught with misunderstandings. But he says people have to keep talking about the issue.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When you create a culture of fear and make people angry, and then blame it on a marginalized and stigmatized population like homeless people or undocumented people or people who inject drugs who are the primary targets of this sort of thing, what it does is it further marginalizes that group, destroys their lives, and makes it very hard for those of us trying to make the world a little bit better for them.\"\u003c/p>\n\n","blocks":[],"excerpt":"It would be the first of its kind in Orange County — and it might be even better for the very poor population it serves.","status":"publish","parent":0,"modified":1522975086,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":521},"headData":{"title":"Orange County’s Only Needle Exchange Program Seeks to Go Mobile | KQED","description":"It would be the first of its kind in Orange County — and it might be even better for the very poor population it serves.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Orange County’s Only Needle Exchange Program Seeks to Go Mobile","datePublished":"2018-04-05T19:41:53.000Z","dateModified":"2018-04-06T00:38:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11659999 https://ww2.kqed.org/news/?p=11659999","disqusUrl":"https://ww2.kqed.org/news/2018/04/05/orange-countys-only-needle-exchange-program-seeks-to-go-mobile/","disqusTitle":"Orange County’s Only Needle Exchange Program Seeks to Go Mobile","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/04/needleexchangeWiley.mp3","nprByline":"Michelle Wiley","path":"/news/11659999/orange-countys-only-needle-exchange-program-seeks-to-go-mobile","audioDuration":99000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Back in January, a permit was denied for the only needle exchange in Orange County. The reason? Santa Ana officials cited health concerns over needles scattered on the ground in the Santa Ana Civic Center, where the exchange operated a permanent location, and even among stacks of books in the city library.\u003c/p>\n\u003cp>But shutting down the \u003ca href=\"http://ocnep.org\" target=\"_blank\" rel=\"noopener\">Orange County Needle Exchange Program (OCNEP)\u003c/a> didn’t stop the use of needles. Advocates say it may have even forced some intravenous drug users to share them or use dirty ones, increasing the likelihood of blood-borne illnesses like HIV and hepatitis. In its two years of operation, OCNEP gave out about 2 million clean needles and provided safe disposal for used syringes.\u003c/p>\n\u003cp>Since then, the exchange's co-founder, Dr. Kyle Barbour, has been trying to work with the city of Santa Ana for a solution. But in the meantime he and his colleagues have taken a different tack -- if they cannot operate out of the Civic Center, they’ll take the needle exchange on the road.\u003c/p>\n\u003cp>Mobile needle exchanges can be found in big cities across the United States. In California, they operate in cities like San Francisco, Los Angeles and Oakland. But this would be the first of its kind in Orange County. According to Barbour, a mobile exchange might be even better for the organization.\u003c/p>\n\u003cp>“It’s especially important to be mobile in a suburban county like Orange,” says Barbour. “The reason for that is that a lot of the clients that we serve are very, very poor. There’s almost no public transportation infrastructure here, so getting from place to place is really hard.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Additionally, a mobile needle exchange would allow Barbour and his fellow volunteers to better tailor their services to their clients. For example, they'd be able to ensure they're not forcing clients to choose between getting to the soup kitchen in time for a meal, or visiting the exchange.\u003c/p>\n\u003cp>A mobile needle exchange also creates some logistical ease for OCNEP, sidestepping Santa Ana's permitting processes and taking the decision directly to the people of Orange County and the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>In 2012, \u003ca href=\"http://www.leginfo.ca.gov/pub/11-12/bill/asm/ab_0601-0650/ab_604_cfa_20110902_141710_sen_floor.html\">Assembly Bill 604\u003c/a> granted authority to the CDPH, Office of AIDS to permit organizations to apply directly to the CDPH for authorization to operate syringe exchange programs.\u003c/p>\n\u003cp>OCNEP’S application is currently a few weeks into a public comment period that ends on June 25.\u003c/p>\n\u003cp>Barbour says he knows conversations around needle exchanges can often be scary and fraught with misunderstandings. But he says people have to keep talking about the issue.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When you create a culture of fear and make people angry, and then blame it on a marginalized and stigmatized population like homeless people or undocumented people or people who inject drugs who are the primary targets of this sort of thing, what it does is it further marginalizes that group, destroys their lives, and makes it very hard for those of us trying to make the world a little bit better for them.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11659999/orange-countys-only-needle-exchange-program-seeks-to-go-mobile","authors":["byline_news_11659999"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_21434","news_4469","news_1511","news_22910","news_18371","news_20583"],"featImg":"news_11660032","label":"news_72"},"news_11648643":{"type":"posts","id":"news_11648643","meta":{"index":"posts_1591205157","site":"news","id":"11648643","score":null,"sort":[1518044289000]},"guestAuthors":[],"slug":"monterey-county-declares-hepatitis-a-outbreak-among-homeless","title":"Monterey County Declares Hepatitis A Outbreak Among Homeless","publishDate":1518044289,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Monterey County is the latest county in California to declare a hepatitis A outbreak among its homeless population.\u003c/p>\n\u003cp>California has been dealing with its largest hep A outbreak since the vaccine came out more than 20 years ago.\u003c/p>\n\u003cp>Ten people in Monterey County have been diagnosed with hepatitis A, nine of them homeless. The virus infects the liver and causes flu-like symptoms. It can be deadly.\u003c/p>\n\u003cp>[contextly_sidebar id=\"yDa6FK5CZt1slwEI7C3GW3pOHDQgjbMN\"]\u003c/p>\n\u003cp>Hep A spreads when someone drinks water or eats food that’s contaminated with the feces of an infected person. So it's most common in unsanitary places, making the homeless especially vulnerable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Monterey County Health Department has been offering free vaccines to the homeless since late last year.\u003c/p>\n\u003cp>“It’s a challenge. Some homeless individuals, for a variety of reasons, may find it difficult initially to accept the offer to receive a vaccine,” says Monterey County Health Officer Dr. Edward Moreno.\u003c/p>\n\u003cp>The Health Department is now trying new ways to get homeless people to accept the shot. Moreno says they’re using an incentive that worked in San Diego County.\u003c/p>\n\u003cp>“Something as simple as a card that they can use to get a meal at one of the restaurants here in Monterey County,” he says.\u003c/p>\n\u003cp>[contextly_sidebar id=\"k30tjvALeR1LzSHDeEtDE9z3kGN5WD5G\"]\u003c/p>\n\u003cp>Beyond the vaccination, Moreno says local businesses can help stop the spread by disinfecting public bathrooms. And people should always wash their hands. Hand sanitizer doesn’t always kill the virus.\u003c/p>\n\u003cp>Within 24 hours of Monterey County declaring the outbreak, neighboring Santa Cruz County said its hep A outbreak is over.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Santa Cruz County, 76 people got hep A. One person died from the virus.\u003c/p>\n\n","blocks":[],"excerpt":"California has been dealing with its largest hepatitis A outbreak since the vaccine came out more than 20 years ago.","status":"publish","parent":0,"modified":1518044641,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":286},"headData":{"title":"Monterey County Declares Hepatitis A Outbreak Among Homeless | KQED","description":"California has been dealing with its largest hepatitis A outbreak since the vaccine came out more than 20 years ago.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Monterey County Declares Hepatitis A Outbreak Among Homeless","datePublished":"2018-02-07T22:58:09.000Z","dateModified":"2018-02-07T23:04:01.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11648643 https://ww2.kqed.org/news/?p=11648643","disqusUrl":"https://ww2.kqed.org/news/2018/02/07/monterey-county-declares-hepatitis-a-outbreak-among-homeless/","disqusTitle":"Monterey County Declares Hepatitis A Outbreak Among Homeless","source":"KAZU","sourceUrl":"http://kazu.org/","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/MontereyHepAOutbreakMahoney.mp3","nprByline":"\u003cstrong>\u003ca href=\"http://kazu.org/people/erika-mahoney\">Erika Mahoney\u003c/a>\u003c/strong>","path":"/news/11648643/monterey-county-declares-hepatitis-a-outbreak-among-homeless","audioDuration":92000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Monterey County is the latest county in California to declare a hepatitis A outbreak among its homeless population.\u003c/p>\n\u003cp>California has been dealing with its largest hep A outbreak since the vaccine came out more than 20 years ago.\u003c/p>\n\u003cp>Ten people in Monterey County have been diagnosed with hepatitis A, nine of them homeless. The virus infects the liver and causes flu-like symptoms. It can be deadly.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Hep A spreads when someone drinks water or eats food that’s contaminated with the feces of an infected person. So it's most common in unsanitary places, making the homeless especially vulnerable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Monterey County Health Department has been offering free vaccines to the homeless since late last year.\u003c/p>\n\u003cp>“It’s a challenge. Some homeless individuals, for a variety of reasons, may find it difficult initially to accept the offer to receive a vaccine,” says Monterey County Health Officer Dr. Edward Moreno.\u003c/p>\n\u003cp>The Health Department is now trying new ways to get homeless people to accept the shot. Moreno says they’re using an incentive that worked in San Diego County.\u003c/p>\n\u003cp>“Something as simple as a card that they can use to get a meal at one of the restaurants here in Monterey County,” he says.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Beyond the vaccination, Moreno says local businesses can help stop the spread by disinfecting public bathrooms. And people should always wash their hands. Hand sanitizer doesn’t always kill the virus.\u003c/p>\n\u003cp>Within 24 hours of Monterey County declaring the outbreak, neighboring Santa Cruz County said its hep A outbreak is over.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Santa Cruz County, 76 people got hep A. One person died from the virus.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11648643/monterey-county-declares-hepatitis-a-outbreak-among-homeless","authors":["byline_news_11648643"],"programs":["news_6944","news_72"],"categories":["news_457","news_6266","news_8"],"tags":["news_4469","news_4020","news_3788","news_17286"],"featImg":"news_11648644","label":"source_news_11648643"},"news_11623882":{"type":"posts","id":"news_11623882","meta":{"index":"posts_1591205157","site":"news","id":"11623882","score":null,"sort":[1508209436000]},"guestAuthors":[],"slug":"california-declares-emergency-in-fight-against-hepatitis-a-outbreak","title":"California Declares Emergency in Fight Against Hepatitis A Outbreak","publishDate":1508209436,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>California health officials will order a big batch of hepatitis A vaccine this week, after Gov. Jerry Brown declared a state of emergency to combat one of the state’s biggest outbreaks of the liver infection in two decades.\u003c/p>\n\u003cp>Hepatitis A has been racing through \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\" target=\"_blank\" rel=\"noopener\">homeless populations in San Diego\u003c/a>, Los Angeles and Santa Cruz. As of mid-October, 576 people became ill, 386 went to the hospital and 18 people died due to the outbreak.\u003c/p>\n\u003cp>“Vaccination is the most effective means to prevent additional cases,” said \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/Pages/AboutDeputyDirector.aspx\" target=\"_blank\" rel=\"noopener\">Dr. Gil Chavez\u003c/a>, state epidemiologist for the Center for Infectious Diseases at California's Public Health Department.\u003c/p>\n\u003cp>The state has received 81,000 doses of the vaccine free of charge from the Centers for Disease Control and Prevention, Chavez said, representing a big chunk of the federal government’s total supply for the year. And it’s not enough.\u003c/p>\n\u003cp>“It's been very clear that our continued requests for additional vaccine is running into the limit of what they can share with California,” Chavez said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/HepAStateEmergencyDembosky.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/vaccine1.jpg1-e1508205432659.jpg\" Title=\"California Declares Emergency in Fight Against Hepatitis A Outbreak\" program=\"The California Report\"]\u003c/p>\n\u003cp>The governor’s emergency proclamation, issued Friday, allows the state to draw money from the general budget to order more vaccines directly from manufacturers.\u003c/p>\n\u003cp>“We believe that if we procure our own vaccine, we will have more control over the vaccine supply and who gets vaccination,” Chavez said. “We have the capacity to use as much vaccine as we can get our hands on.”\u003c/p>\n\u003cp>Hepatitis A is a viral infection that attacks the liver, causing fever, nausea and abdominal discomfort, followed by yellowing of the skin. It is typically spread when an infected person doesn’t wash their hands after using the bathroom, then touches food or public surfaces.\u003c/p>\n\u003cp>It has spread quickly among drug users and in crowded homeless communities that lack public restrooms and sinks, growing into the largest person-to-person hepatitis A outbreak in the state since a vaccine was developed 22 years ago, according to the governor’s emergency proclamation.\u003c/p>\n\u003cp>Several counties, including Sacramento, \u003ca href=\"https://ww2.kqed.org/news/2017/09/18/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county/\" target=\"_blank\" rel=\"noopener\">Orange\u003c/a> and San Francisco, have been pro-actively offering vaccinations at shelters, drop-in centers, food pantries and tent encampments.\u003c/p>\n\u003cp>“We do not have an outbreak of hepatitis A in San Francisco and we want to keep it that way,” said Dr. Tomas Aragon, the city’s health officer. “The best way to prevent that is by vaccinating as many people as we can who are at risk.”\u003c/p>\n\u003cp>There is no increased risk of infection in the general population, Chavez said. The state usually sees about 150 cases of hepatitis A per year, mainly among people who travel to, or are visiting from, countries where the virus is common.\u003c/p>\n\u003cp>The hep A vaccine has been routinely recommended for children in California since 1999, meaning most kids and teens are protected against the disease. Otherwise, good sanitation and thorough hand-washing is the best protection.\u003c/p>\n\u003cp>Though the hep A vaccine is normally administered in two doses that are six months apart, Chavez said even getting only the first dose can prevent infection for up to 20 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The first dose is one that gives you a very, very high level of immunity,” he said. “We believe that if we are able to get only one dose in people that that will be sufficient to contain the outbreak.”\u003c/p>\n\n","blocks":[],"excerpt":"Hepatitis A has been racing through homeless populations in San Diego, Los Angeles and Santa Cruz. As of mid-October, 18 people have died in the outbreak.","status":"publish","parent":0,"modified":1508352319,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":618},"headData":{"title":"California Declares Emergency in Fight Against Hepatitis A Outbreak | KQED","description":"Hepatitis A has been racing through homeless populations in San Diego, Los Angeles and Santa Cruz. As of mid-October, 18 people have died in the outbreak.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Declares Emergency in Fight Against Hepatitis A Outbreak","datePublished":"2017-10-17T03:03:56.000Z","dateModified":"2017-10-18T18:45:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11623882 https://ww2.kqed.org/news/?p=11623882","disqusUrl":"https://ww2.kqed.org/news/2017/10/16/california-declares-emergency-in-fight-against-hepatitis-a-outbreak/","disqusTitle":"California Declares Emergency in Fight Against Hepatitis A Outbreak","path":"/news/11623882/california-declares-emergency-in-fight-against-hepatitis-a-outbreak","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/HepAStateEmergencyDembosky.mp3","audioDuration":101000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California health officials will order a big batch of hepatitis A vaccine this week, after Gov. Jerry Brown declared a state of emergency to combat one of the state’s biggest outbreaks of the liver infection in two decades.\u003c/p>\n\u003cp>Hepatitis A has been racing through \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\" target=\"_blank\" rel=\"noopener\">homeless populations in San Diego\u003c/a>, Los Angeles and Santa Cruz. As of mid-October, 576 people became ill, 386 went to the hospital and 18 people died due to the outbreak.\u003c/p>\n\u003cp>“Vaccination is the most effective means to prevent additional cases,” said \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/Pages/AboutDeputyDirector.aspx\" target=\"_blank\" rel=\"noopener\">Dr. Gil Chavez\u003c/a>, state epidemiologist for the Center for Infectious Diseases at California's Public Health Department.\u003c/p>\n\u003cp>The state has received 81,000 doses of the vaccine free of charge from the Centers for Disease Control and Prevention, Chavez said, representing a big chunk of the federal government’s total supply for the year. And it’s not enough.\u003c/p>\n\u003cp>“It's been very clear that our continued requests for additional vaccine is running into the limit of what they can share with California,” Chavez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"src":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/HepAStateEmergencyDembosky.mp3","image":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/vaccine1.jpg1-e1508205432659.jpg","title":"California Declares Emergency in Fight Against Hepatitis A Outbreak","program":"The California Report","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor’s emergency proclamation, issued Friday, allows the state to draw money from the general budget to order more vaccines directly from manufacturers.\u003c/p>\n\u003cp>“We believe that if we procure our own vaccine, we will have more control over the vaccine supply and who gets vaccination,” Chavez said. “We have the capacity to use as much vaccine as we can get our hands on.”\u003c/p>\n\u003cp>Hepatitis A is a viral infection that attacks the liver, causing fever, nausea and abdominal discomfort, followed by yellowing of the skin. It is typically spread when an infected person doesn’t wash their hands after using the bathroom, then touches food or public surfaces.\u003c/p>\n\u003cp>It has spread quickly among drug users and in crowded homeless communities that lack public restrooms and sinks, growing into the largest person-to-person hepatitis A outbreak in the state since a vaccine was developed 22 years ago, according to the governor’s emergency proclamation.\u003c/p>\n\u003cp>Several counties, including Sacramento, \u003ca href=\"https://ww2.kqed.org/news/2017/09/18/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county/\" target=\"_blank\" rel=\"noopener\">Orange\u003c/a> and San Francisco, have been pro-actively offering vaccinations at shelters, drop-in centers, food pantries and tent encampments.\u003c/p>\n\u003cp>“We do not have an outbreak of hepatitis A in San Francisco and we want to keep it that way,” said Dr. Tomas Aragon, the city’s health officer. “The best way to prevent that is by vaccinating as many people as we can who are at risk.”\u003c/p>\n\u003cp>There is no increased risk of infection in the general population, Chavez said. The state usually sees about 150 cases of hepatitis A per year, mainly among people who travel to, or are visiting from, countries where the virus is common.\u003c/p>\n\u003cp>The hep A vaccine has been routinely recommended for children in California since 1999, meaning most kids and teens are protected against the disease. Otherwise, good sanitation and thorough hand-washing is the best protection.\u003c/p>\n\u003cp>Though the hep A vaccine is normally administered in two doses that are six months apart, Chavez said even getting only the first dose can prevent infection for up to 20 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The first dose is one that gives you a very, very high level of immunity,” he said. “We believe that if we are able to get only one dose in people that that will be sufficient to contain the outbreak.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11623882/california-declares-emergency-in-fight-against-hepatitis-a-outbreak","authors":["3205"],"programs":["news_6944","news_72"],"categories":["news_457","news_8"],"tags":["news_4469","news_20305","news_17996","news_21800","news_19960"],"featImg":"news_107772","label":"news_72"},"news_11621472":{"type":"posts","id":"news_11621472","meta":{"index":"posts_1591205157","site":"news","id":"11621472","score":null,"sort":[1507478402000]},"guestAuthors":[],"slug":"experts-california-hepatitis-a-outbreak-may-linger","title":"Experts: California Hepatitis A Outbreak May Linger","publishDate":1507478402,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>The \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\">hepatitis A outbreak in California\u003c/a> that has claimed 17 lives may not have peaked and could take a year or more to abate, health officials said Thursday.\u003c/p>\n\u003cp>The contagious, liver-damaging illness has infected at least 568 people since November, mainly in San Diego, Santa Cruz and Los Angeles counties.\u003c/p>\n\u003cp>People without symptoms can carry the illness, and health officials suspect that transients in San Diego County spread it through other homeless populations around the state.\u003c/p>\n\u003cp>More than 480 cases of the illness, including all 17 deaths, have occurred in San Diego County, which declared a public health emergency last month.\u003c/p>\n\u003cp>There have been 70 cases in Santa Cruz County, 12 in Los Angeles County and five elsewhere in the state, the \u003ca href=\"http://www.latimes.com/local/california/la-me-ln-hepatitis-outbreaks-20171006-htmlstory.html\">Los Angeles Times reported\u003c/a> Thursday, citing state and county health departments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some communities have begun vaccinating homeless people, but such preventative efforts may not immediately halt the outbreak.\u003c/p>\n\u003cp>It's not unusual for outbreaks to last more than a year, said Dr. Monique Foster, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>[contextly_sidebar id=\"oTelrZZFLGSUBpjfowW4HpbRlA28jy5C\"]Hepatitis A spreads when someone comes in contact with an infected person's feces — sometimes when hands are not properly washed after going to the bathroom or by changing diapers. The virus can then spread through food, objects, sex or sharing drug paraphernalia.\u003c/p>\n\u003cp>San Diego has responded to the emergency by power-washing streets and installing hand-washing stations. The city says it will open an encampment for the homeless equipped with tents, showers, restrooms, food security and social services.\u003c/p>\n\u003cp>Santa Cruz County has distributed nearly 1,400 doses of vaccine, However, more cases are likely because it can take up to 50 days for infected people to show symptoms, said Jessica Randolph, the county's public health manager.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I don't think the worst is over,\" she told the Times.\u003c/p>\n\n","blocks":[],"excerpt":"A health crisis among homeless Californians will likely continue, according to experts.","status":"publish","parent":0,"modified":1507484448,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":317},"headData":{"title":"Experts: California Hepatitis A Outbreak May Linger | KQED","description":"A health crisis among homeless Californians will likely continue, according to experts.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Experts: California Hepatitis A Outbreak May Linger","datePublished":"2017-10-08T16:00:02.000Z","dateModified":"2017-10-08T17:40:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11621472 https://ww2.kqed.org/news/?p=11621472","disqusUrl":"https://ww2.kqed.org/news/2017/10/08/experts-california-hepatitis-a-outbreak-may-linger/","disqusTitle":"Experts: California Hepatitis A Outbreak May Linger","source":"Associated Press","sourceUrl":"https://www.ap.org/en-us/","nprByline":"\u003cstrong>Associated Press\u003c/strong>","path":"/news/11621472/experts-california-hepatitis-a-outbreak-may-linger","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\">hepatitis A outbreak in California\u003c/a> that has claimed 17 lives may not have peaked and could take a year or more to abate, health officials said Thursday.\u003c/p>\n\u003cp>The contagious, liver-damaging illness has infected at least 568 people since November, mainly in San Diego, Santa Cruz and Los Angeles counties.\u003c/p>\n\u003cp>People without symptoms can carry the illness, and health officials suspect that transients in San Diego County spread it through other homeless populations around the state.\u003c/p>\n\u003cp>More than 480 cases of the illness, including all 17 deaths, have occurred in San Diego County, which declared a public health emergency last month.\u003c/p>\n\u003cp>There have been 70 cases in Santa Cruz County, 12 in Los Angeles County and five elsewhere in the state, the \u003ca href=\"http://www.latimes.com/local/california/la-me-ln-hepatitis-outbreaks-20171006-htmlstory.html\">Los Angeles Times reported\u003c/a> Thursday, citing state and county health departments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some communities have begun vaccinating homeless people, but such preventative efforts may not immediately halt the outbreak.\u003c/p>\n\u003cp>It's not unusual for outbreaks to last more than a year, said Dr. Monique Foster, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Hepatitis A spreads when someone comes in contact with an infected person's feces — sometimes when hands are not properly washed after going to the bathroom or by changing diapers. The virus can then spread through food, objects, sex or sharing drug paraphernalia.\u003c/p>\n\u003cp>San Diego has responded to the emergency by power-washing streets and installing hand-washing stations. The city says it will open an encampment for the homeless equipped with tents, showers, restrooms, food security and social services.\u003c/p>\n\u003cp>Santa Cruz County has distributed nearly 1,400 doses of vaccine, However, more cases are likely because it can take up to 50 days for infected people to show symptoms, said Jessica Randolph, the county's public health manager.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I don't think the worst is over,\" she told the Times.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11621472/experts-california-hepatitis-a-outbreak-may-linger","authors":["byline_news_11621472"],"programs":["news_6944","news_72"],"categories":["news_457","news_6266","news_8"],"tags":["news_1930","news_4469","news_4020"],"featImg":"news_11621523","label":"source_news_11621472"},"news_11619820":{"type":"posts","id":"news_11619820","meta":{"index":"posts_1591205157","site":"news","id":"11619820","score":null,"sort":[1506640601000]},"guestAuthors":[],"slug":"san-diego-increases-homeless-citations-in-hepatitis-outbreak","title":"San Diego Increases Homeless Citations in Hepatitis Outbreak","publishDate":1506640601,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>The city of San Diego issued citations and cleared a downtown street where hundreds of homeless people regularly camp during ongoing efforts to sanitize neighborhoods to control the spread of hepatitis A.\u003c/p>\n\u003cp>Officers are asking homeless people to leave the street and nearby blocks where tarps and tents have regularly lined sidewalks and an area near a freeway on-ramp, police Lt. Scott Wahl said Wednesday. Those who refuse are given citations and those who resist further are arrested. Police over the past two weeks have been issuing about 50 citations a week — up from 30 a week before the crackdown, Wahl said.\u003c/p>\n\u003cp>He said he did not have figures on how many have been arrested. Some, he said, have been taken to mental health services if they showed signs of distress.\u003c/p>\n\u003cp>[contextly_sidebar id=\"Dxu9H3QcRNqJQ35WTm30SVl4jePK3IoW\"]\u003c/p>\n\u003cp>The crackdown was necessary to increase the effectiveness of cleaning efforts that include the power-washing of streets and installation of hand-washing stations, Wahl said. San Diego County is battling an epidemic of hepatitis A, a contagious liver disease that has killed 17 people and infected 461 people, including more than 300 who had to be hospitalized.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The problem is we're not yet on top of this outbreak, and we cannot have people going back in and re-infecting areas we've just cleaned,\" Wahl said. \"The vast majority of the homeless who were there have complied when asked to leave. But if they don't, people will be cited. This is about saving lives.\"\u003c/p>\n\u003cp>The region's homeless population, which often lacks adequate access to restrooms or showers, has been hit the hardest since the outbreak started last November.\u003c/p>\n\u003cp>It was unclear where the homeless people who were along the downtown street have gone. Many suspected they scattered to other parts of the city.\u003c/p>\n\u003cp>Bob McElroy of the nonprofit Alpha Project said he's working on opening a camping area in the short term and providing small tents for 200 people near downtown, along with restrooms and showers and washing facilities. His organization and two other service providers for the homeless are also working with the city to erect three massive commercial-grade tents starting in December that would house hundreds.\u003c/p>\n\u003cp>Hepatitis A spreads when someone comes in contact with an infected person's feces, sometimes when hands are not properly washed after going to the bathroom or changing diapers, and the virus is then spread through food or objects. It can also be spread through sex or by sharing drug paraphernalia.\u003c/p>\n\u003cp>Health officials say the incubation period ranges from 15 to 50 days, and symptoms include fever, malaise, dark urine, anorexia, nausea and abdominal discomfort, followed by jaundice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>San Diego County public health nurses have been teaming up with police and visiting areas where the homeless are camped to offer vaccinations against hepatitis A. The city also has been installing restrooms and washing stations in areas frequented by the homeless.\u003c/p>\n\n","blocks":[],"excerpt":"City clears downtown street where hundreds of homeless regularly camp during ongoing efforts to sanitize neighborhoods to control spread of the disease.","status":"publish","parent":0,"modified":1506640601,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":492},"headData":{"title":"San Diego Increases Homeless Citations in Hepatitis Outbreak | KQED","description":"City clears downtown street where hundreds of homeless regularly camp during ongoing efforts to sanitize neighborhoods to control spread of the disease.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Diego Increases Homeless Citations in Hepatitis Outbreak","datePublished":"2017-09-28T23:16:41.000Z","dateModified":"2017-09-28T23:16:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11619820 https://ww2.kqed.org/news/?p=11619820","disqusUrl":"https://ww2.kqed.org/news/2017/09/28/san-diego-increases-homeless-citations-in-hepatitis-outbreak/","disqusTitle":"San Diego Increases Homeless Citations in Hepatitis Outbreak","source":"Associated Press","nprByline":"\u003cstrong>Julie Watson\u003cbr>Associated Press\u003c/strong>","path":"/news/11619820/san-diego-increases-homeless-citations-in-hepatitis-outbreak","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The city of San Diego issued citations and cleared a downtown street where hundreds of homeless people regularly camp during ongoing efforts to sanitize neighborhoods to control the spread of hepatitis A.\u003c/p>\n\u003cp>Officers are asking homeless people to leave the street and nearby blocks where tarps and tents have regularly lined sidewalks and an area near a freeway on-ramp, police Lt. Scott Wahl said Wednesday. Those who refuse are given citations and those who resist further are arrested. Police over the past two weeks have been issuing about 50 citations a week — up from 30 a week before the crackdown, Wahl said.\u003c/p>\n\u003cp>He said he did not have figures on how many have been arrested. Some, he said, have been taken to mental health services if they showed signs of distress.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The crackdown was necessary to increase the effectiveness of cleaning efforts that include the power-washing of streets and installation of hand-washing stations, Wahl said. San Diego County is battling an epidemic of hepatitis A, a contagious liver disease that has killed 17 people and infected 461 people, including more than 300 who had to be hospitalized.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The problem is we're not yet on top of this outbreak, and we cannot have people going back in and re-infecting areas we've just cleaned,\" Wahl said. \"The vast majority of the homeless who were there have complied when asked to leave. But if they don't, people will be cited. This is about saving lives.\"\u003c/p>\n\u003cp>The region's homeless population, which often lacks adequate access to restrooms or showers, has been hit the hardest since the outbreak started last November.\u003c/p>\n\u003cp>It was unclear where the homeless people who were along the downtown street have gone. Many suspected they scattered to other parts of the city.\u003c/p>\n\u003cp>Bob McElroy of the nonprofit Alpha Project said he's working on opening a camping area in the short term and providing small tents for 200 people near downtown, along with restrooms and showers and washing facilities. His organization and two other service providers for the homeless are also working with the city to erect three massive commercial-grade tents starting in December that would house hundreds.\u003c/p>\n\u003cp>Hepatitis A spreads when someone comes in contact with an infected person's feces, sometimes when hands are not properly washed after going to the bathroom or changing diapers, and the virus is then spread through food or objects. It can also be spread through sex or by sharing drug paraphernalia.\u003c/p>\n\u003cp>Health officials say the incubation period ranges from 15 to 50 days, and symptoms include fever, malaise, dark urine, anorexia, nausea and abdominal discomfort, followed by jaundice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>San Diego County public health nurses have been teaming up with police and visiting areas where the homeless are camped to offer vaccinations against hepatitis A. The city also has been installing restrooms and washing stations in areas frequented by the homeless.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11619820/san-diego-increases-homeless-citations-in-hepatitis-outbreak","authors":["byline_news_11619820"],"programs":["news_6944","news_72"],"categories":["news_457","news_6266","news_8"],"tags":["news_4469","news_4020","news_4486","news_17286"],"featImg":"news_11616759","label":"source_news_11619820"},"stateofhealth_361156":{"type":"posts","id":"stateofhealth_361156","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"361156","score":null,"sort":[1506375405000]},"guestAuthors":[],"slug":"san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments","title":"San Diego Fighting a Deadly Hepatitis Outbreak Linked to Homeless Encampments","publishDate":1506375405,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>An outbreak of \u003ca href=\"https://www.cdc.gov/hepatitis/hav/afaq.htm\" target=\"_blank\" rel=\"noopener noreferrer\">hepatitis A\u003c/a> in San Diego County that has killed 16 people and sickened hundreds of others since November \u003ca href=\"http://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/community_epidemiology/dc/Hepatitis_A.html\" target=\"_blank\" rel=\"noopener noreferrer\">continues\u003c/a> unabated, as health officials rush to deploy containment strategies.\u003c/p>\n\u003cp>“This is an unprecedented outbreak,” said Dr. Wilma Wooten, the public health officer for San Diego County. “This is new territory.”\u003c/p>\n\u003cp>Of the 444 people in San Diego County known to have contracted the liver‐attacking virus since November, about 65 percent are homeless or use illicit drugs, according to Wooten. She declared a public health emergency on Sept. 1.\u003c/p>\n\u003cp>Hepatitis A is an acute illness of the liver, but it does not cause chronic liver disease (as is the case with \u003ca href=\"https://www.cdc.gov/hepatitis/resources/professionals/pdfs/abctable.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">hepatitis B and C\u003c/a>.) Hepatitis A isn't normally fatal, but it can be if the patient has other infections, including hepatitis B or C.\u003c/p>\n\u003cp>The California Department of Public Health says the spread of the virus in San Diego County is the largest outbreak in the U.S. that is unrelated to a contaminated food product since 1995 (when a vaccine for hepatitis A was introduced in the United States).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Other California communities are grappling with outbreaks of hepatitis A as well. The disease has sickened 69 people in Santa Cruz County since last April. Many affected there are homeless or use illicit drugs, according to the \u003ca href=\"http://www.santacruzhealth.org/HSAHome/HSADivisions/PublicHealth/Communi%20cableDiseaseControl/HepatitisA.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Cruz County Health Services Agency\u003c/a>. On Sept. 19, the County of Los Angeles \u003ca href=\"http://publichealth.lacounty.gov/acd/Diseases/HepA.htm\" target=\"_blank\" rel=\"noopener noreferrer\">announced\u003c/a> a local outbreak after 10 cases were identified among its homeless population.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Health officials linked four of the L.A. cases to the San Diego outbreak and one to the Santa Cruz County outbreak. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_361174\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361174\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/09/SD-homeless-13-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Tents set up by homeless residents crowd portions of downtown San Diego, where a hepatitis A virus has killed 16 people and sickened nearly 450 others. \u003ccite>(Alan Horowitch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Hepatitis A is usually spread when a person ingests fecal matter -- even in microscopic amounts -- from contact with objects, food or drinks contaminated by feces or stool from an infected person,” according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Known as the “fecal‐oral” route of spread, this typically occurs when an infected person doesn’t wash their hands after going to the bathroom and then touches objects or food. In crowded homeless communities -- many of which lack public restrooms and sinks -- the virus is often spread through such person‐to‐person contact.\u003c/p>\n\u003cp>It can also spread through sexual contact with an infected person, according to the CDC.\u003c/p>\n\u003cp>For the California counties now grappling with outbreaks, slowing the spread isn’t easy. The long incubation period of the virus -- between 15 to 50 days -- and the transient nature of the homeless population make it challenging for public health agencies to find, educate and vaccinate people after an outbreak begins.\u003c/p>\n\u003cp>What’s more, the California Department of Public Health said it has no protocol to guide cities and counties on how best to deal with outbreaks associated with poor or limited sanitation, because those routes of transmission are “very rare” in the United States.\u003c/p>\n\u003cp>But the state said it it's working on gathering information from the CDC, and is working with the San Diego public health authorities to identify effective strategies.\u003c/p>\n\u003cp>Wooten said San Diego is using a variety of approaches to stem the spread.\u003c/p>\n\u003cp>“This outbreak has really resulted in us needing to be creative,” she said.\u003c/p>\n\u003cp>One approach: pairing public health workers with homeless outreach teams who have long‐established ties to those living on the streets, in the canyons and in the wildlands of San Diego County.\u003c/p>\n\u003cfigure id=\"attachment_361172\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361172\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/09/SD-homeless-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Larissa Wimberly, supervisor of outreach for the nonprofit Alpha Project in San Diego County, at a homeless encampment along a riverbed in National City. \u003ccite>(Alan Horowitch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We go into the canyons, we go everywhere,” said Amy Gonyeau, chief operating officer for the \u003ca href=\"https://www.alphaproject.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Alpha Project\u003c/a>, a nonprofit that provides homeless services. “We go out every day. We have our own vehicles and vans … we educate people on what’s going on.”\u003c/p>\n\u003cp>On a recent morning, an Alpha Project team delivered hygiene kits -- consisting of soap, hand sanitizer and other toiletries packaged in a large plastic bag -- to a crowded encampment in downtown San Diego’s East Village.\u003c/p>\n\u003cp>“It looks like a war zone,” said Alpha Project's outreach supervisor, Larissa Wimberly. “There’s people out here with HIV, people out here with cancer, there’s people out here with heart issues. There are people who are just old and feeble and they’re not eating right. It’s really sad.”\u003c/p>\n\u003cp>Tents and shopping carts crowded the sidewalks in this section of downtown, one largely hidden from the city’s tourists and residents.\u003c/p>\n\u003cp>Wimberly explained that many who live here relieve themselves among the tents and carts.\u003c/p>\n\u003cp>“It’s everywhere,” she said of the human excrement. “It’s just really bad right now.”\u003c/p>\n\u003cp>So bad that the city -- under the direction of the county health department -- has begun power-washing heavily soiled sections of downtown sidewalks and streets with a bleach solution.\u003c/p>\n\u003cp>That follows the installation, earlier this month, of about 40 portable hand‐washing stations throughout the downtown areas hardest hit by the virus.\u003c/p>\n\u003cp>In addition, the county’s public health workers have been coming to the encampments to offer the hepatitis A vaccinations to the homeless.\u003c/p>\n\u003cp>Leslie, a 42‐year‐old homeless woman, was among the victims of the virus. She asked that her last name not be used.\u003c/p>\n\u003cp>Leslie said she's been camping out on San Diego’s streets for five years and became ill last spring.\u003c/p>\n\u003cp>“It was awful,” she said. “My skin was yellow, my pee -- my urine -- it looked like chocolate milk. And everything just hurt. I was achy all the time and tired. I couldn’t sleep enough.”\u003c/p>\n\u003cp>Leslie was hospitalized and it took more than two months for her to fully recover, but she said she’s grateful to have escaped with her life.\u003c/p>\n\u003cp>Some have criticized the more than two-month delay between the county announcing plans for hand-washing stations in downtown areas where the homeless live, and their eventual installation earlier this month.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Since that announcement, 11 people are dead and the number of hepatitis A cases has more than doubled,” the San Diego Union-Tribune editorial board wrote on Sept. 1. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Well you know, we can’t just roll them out because we don’t have jurisdiction over city property,” Wooten said of the sinks installed in downtown. “So we had to work through that process.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Wooten said the county made a decision to first test a few sinks in a small pilot program, and that was necessary. “We wanted to see if people would use them,” she said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego, too, denied any unnecessary delays in handling the outbreak and is now working to expand the number of available public restrooms downtown, said Katie Keach, spokeswoman for the city.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Countywide, nearly 23,000 people have received vaccinations against the virus, including about a third who are homeless or use illegal drugs. Vaccination is considered the key line of defense against hepatitis A -- normally a mild illness that can become severe in those who are already suffering from other health problems, Wooten said.\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The Centers for Disease Control and Prevention recommends all children receive the two-part hepatitis A vaccine at 1 year of age. But California and most other states \u003ca href=\"https://www2a.cdc.gov/nip/schoolsurv/schImmRqmtReport.asp\" target=\"_blank\" rel=\"noopener noreferrer\">do not include\u003c/a> it in the required vaccinations for children entering kindergarten. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"Spread of the virus in the county is largest outbreak in U.S. that is unrelated to a contaminated food product since 1995.","status":"publish","parent":0,"modified":1506377624,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1316},"headData":{"title":"San Diego Fighting a Deadly Hepatitis Outbreak Linked to Homeless Encampments | KQED","description":"Spread of the virus in the county is largest outbreak in U.S. that is unrelated to a contaminated food product since 1995.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"San Diego Fighting a Deadly Hepatitis Outbreak Linked to Homeless Encampments","datePublished":"2017-09-25T21:36:45.000Z","dateModified":"2017-09-25T22:13:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"361156 https://ww2.kqed.org/stateofhealth/?p=361156","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/","disqusTitle":"San Diego Fighting a Deadly Hepatitis Outbreak Linked to Homeless Encampments","audioUrl":"http://www.kqed.org/.stream/anon/radio/tcr/2017/09/20170922tcroneillhepa.mp3","nprByline":"Stephanie O’Neill","path":"/stateofhealth/361156/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An outbreak of \u003ca href=\"https://www.cdc.gov/hepatitis/hav/afaq.htm\" target=\"_blank\" rel=\"noopener noreferrer\">hepatitis A\u003c/a> in San Diego County that has killed 16 people and sickened hundreds of others since November \u003ca href=\"http://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/community_epidemiology/dc/Hepatitis_A.html\" target=\"_blank\" rel=\"noopener noreferrer\">continues\u003c/a> unabated, as health officials rush to deploy containment strategies.\u003c/p>\n\u003cp>“This is an unprecedented outbreak,” said Dr. Wilma Wooten, the public health officer for San Diego County. “This is new territory.”\u003c/p>\n\u003cp>Of the 444 people in San Diego County known to have contracted the liver‐attacking virus since November, about 65 percent are homeless or use illicit drugs, according to Wooten. She declared a public health emergency on Sept. 1.\u003c/p>\n\u003cp>Hepatitis A is an acute illness of the liver, but it does not cause chronic liver disease (as is the case with \u003ca href=\"https://www.cdc.gov/hepatitis/resources/professionals/pdfs/abctable.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">hepatitis B and C\u003c/a>.) Hepatitis A isn't normally fatal, but it can be if the patient has other infections, including hepatitis B or C.\u003c/p>\n\u003cp>The California Department of Public Health says the spread of the virus in San Diego County is the largest outbreak in the U.S. that is unrelated to a contaminated food product since 1995 (when a vaccine for hepatitis A was introduced in the United States).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Other California communities are grappling with outbreaks of hepatitis A as well. The disease has sickened 69 people in Santa Cruz County since last April. Many affected there are homeless or use illicit drugs, according to the \u003ca href=\"http://www.santacruzhealth.org/HSAHome/HSADivisions/PublicHealth/Communi%20cableDiseaseControl/HepatitisA.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Cruz County Health Services Agency\u003c/a>. On Sept. 19, the County of Los Angeles \u003ca href=\"http://publichealth.lacounty.gov/acd/Diseases/HepA.htm\" target=\"_blank\" rel=\"noopener noreferrer\">announced\u003c/a> a local outbreak after 10 cases were identified among its homeless population.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Health officials linked four of the L.A. cases to the San Diego outbreak and one to the Santa Cruz County outbreak. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_361174\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361174\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/09/SD-homeless-13-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-13-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Tents set up by homeless residents crowd portions of downtown San Diego, where a hepatitis A virus has killed 16 people and sickened nearly 450 others. \u003ccite>(Alan Horowitch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Hepatitis A is usually spread when a person ingests fecal matter -- even in microscopic amounts -- from contact with objects, food or drinks contaminated by feces or stool from an infected person,” according to the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Known as the “fecal‐oral” route of spread, this typically occurs when an infected person doesn’t wash their hands after going to the bathroom and then touches objects or food. In crowded homeless communities -- many of which lack public restrooms and sinks -- the virus is often spread through such person‐to‐person contact.\u003c/p>\n\u003cp>It can also spread through sexual contact with an infected person, according to the CDC.\u003c/p>\n\u003cp>For the California counties now grappling with outbreaks, slowing the spread isn’t easy. The long incubation period of the virus -- between 15 to 50 days -- and the transient nature of the homeless population make it challenging for public health agencies to find, educate and vaccinate people after an outbreak begins.\u003c/p>\n\u003cp>What’s more, the California Department of Public Health said it has no protocol to guide cities and counties on how best to deal with outbreaks associated with poor or limited sanitation, because those routes of transmission are “very rare” in the United States.\u003c/p>\n\u003cp>But the state said it it's working on gathering information from the CDC, and is working with the San Diego public health authorities to identify effective strategies.\u003c/p>\n\u003cp>Wooten said San Diego is using a variety of approaches to stem the spread.\u003c/p>\n\u003cp>“This outbreak has really resulted in us needing to be creative,” she said.\u003c/p>\n\u003cp>One approach: pairing public health workers with homeless outreach teams who have long‐established ties to those living on the streets, in the canyons and in the wildlands of San Diego County.\u003c/p>\n\u003cfigure id=\"attachment_361172\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361172\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/09/SD-homeless-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/09/SD-homeless-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Larissa Wimberly, supervisor of outreach for the nonprofit Alpha Project in San Diego County, at a homeless encampment along a riverbed in National City. \u003ccite>(Alan Horowitch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We go into the canyons, we go everywhere,” said Amy Gonyeau, chief operating officer for the \u003ca href=\"https://www.alphaproject.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Alpha Project\u003c/a>, a nonprofit that provides homeless services. “We go out every day. We have our own vehicles and vans … we educate people on what’s going on.”\u003c/p>\n\u003cp>On a recent morning, an Alpha Project team delivered hygiene kits -- consisting of soap, hand sanitizer and other toiletries packaged in a large plastic bag -- to a crowded encampment in downtown San Diego’s East Village.\u003c/p>\n\u003cp>“It looks like a war zone,” said Alpha Project's outreach supervisor, Larissa Wimberly. “There’s people out here with HIV, people out here with cancer, there’s people out here with heart issues. There are people who are just old and feeble and they’re not eating right. It’s really sad.”\u003c/p>\n\u003cp>Tents and shopping carts crowded the sidewalks in this section of downtown, one largely hidden from the city’s tourists and residents.\u003c/p>\n\u003cp>Wimberly explained that many who live here relieve themselves among the tents and carts.\u003c/p>\n\u003cp>“It’s everywhere,” she said of the human excrement. “It’s just really bad right now.”\u003c/p>\n\u003cp>So bad that the city -- under the direction of the county health department -- has begun power-washing heavily soiled sections of downtown sidewalks and streets with a bleach solution.\u003c/p>\n\u003cp>That follows the installation, earlier this month, of about 40 portable hand‐washing stations throughout the downtown areas hardest hit by the virus.\u003c/p>\n\u003cp>In addition, the county’s public health workers have been coming to the encampments to offer the hepatitis A vaccinations to the homeless.\u003c/p>\n\u003cp>Leslie, a 42‐year‐old homeless woman, was among the victims of the virus. She asked that her last name not be used.\u003c/p>\n\u003cp>Leslie said she's been camping out on San Diego’s streets for five years and became ill last spring.\u003c/p>\n\u003cp>“It was awful,” she said. “My skin was yellow, my pee -- my urine -- it looked like chocolate milk. And everything just hurt. I was achy all the time and tired. I couldn’t sleep enough.”\u003c/p>\n\u003cp>Leslie was hospitalized and it took more than two months for her to fully recover, but she said she’s grateful to have escaped with her life.\u003c/p>\n\u003cp>Some have criticized the more than two-month delay between the county announcing plans for hand-washing stations in downtown areas where the homeless live, and their eventual installation earlier this month.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Since that announcement, 11 people are dead and the number of hepatitis A cases has more than doubled,” the San Diego Union-Tribune editorial board wrote on Sept. 1. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Well you know, we can’t just roll them out because we don’t have jurisdiction over city property,” Wooten said of the sinks installed in downtown. “So we had to work through that process.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Wooten said the county made a decision to first test a few sinks in a small pilot program, and that was necessary. “We wanted to see if people would use them,” she said. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">San Diego, too, denied any unnecessary delays in handling the outbreak and is now working to expand the number of available public restrooms downtown, said Katie Keach, spokeswoman for the city.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Countywide, nearly 23,000 people have received vaccinations against the virus, including about a third who are homeless or use illegal drugs. Vaccination is considered the key line of defense against hepatitis A -- normally a mild illness that can become severe in those who are already suffering from other health problems, Wooten said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The Centers for Disease Control and Prevention recommends all children receive the two-part hepatitis A vaccine at 1 year of age. But California and most other states \u003ca href=\"https://www2a.cdc.gov/nip/schoolsurv/schImmRqmtReport.asp\" target=\"_blank\" rel=\"noopener noreferrer\">do not include\u003c/a> it in the required vaccinations for children entering kindergarten. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/361156/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments","authors":["byline_stateofhealth_361156"],"categories":["stateofhealth_11","stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_3170","stateofhealth_719","stateofhealth_2519","stateofhealth_3171"],"featImg":"stateofhealth_361173","label":"stateofhealth"},"news_11617583":{"type":"posts","id":"news_11617583","meta":{"index":"posts_1591205157","site":"news","id":"11617583","score":null,"sort":[1505770086000]},"guestAuthors":[],"slug":"san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county","title":"San Diego's Hepatitis A Outbreak Spurs Action in L.A., Orange County","publishDate":1505770086,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>As San Diego County health officials work to combat a hepatitis A outbreak that has killed 16 people and sent nearly 300 to the hospital, public health officials in Los Angeles and Orange counties say they're taking steps to prevent the virus from spreading northward.\u003c/p>\n\u003cp>\"We are very concerned about an outbreak\" given the extensive travel between San Diego and Los Angeles, said Dr. Sharon Balter, director of the L.A. County Department of Public Health's acute communicable disease control program. \u003c/p>\n\u003cp>The San Diego outbreak, which has infected more than 400 people, has spread primarily among homeless people and illicit drug users. People who provide services to these populations have also been infected.\u003c/p>\n\u003cp>Vaccinating homeless people and their service providers is critical to preventing the outbreak from spreading, said officials in Orange and L.A. counties. \u003c/p>\n\u003cp>[contextly_sidebar id=\"gdgfw5jBYBYQfzWdbxMe6awQhymkom3V\"]\u003c/p>\n\u003cp>In Orange County, public health nurses are encouraging homeless people to get vaccinated through their primary medical providers and administering vaccinations at shelter clinics, food pantries and parks. More than 300 people have been vaccinated so far, according to the Orange County Health Care Agency. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>L.A. County public health officials said they have vaccinated more than 1,000 people to date.\u003c/p>\n\u003cp>Officials in both counties are also educating service providers and shelter employees about how to spot and prevent hepatitis A.\u003c/p>\n\u003cp>\"The important thing to let people know is that it is very, very important to wash your hands after you go to the bathroom and before you eat, and to maintain good sanitation if that's possible,\" Balter said.\u003c/p>\n\u003cp>Hepatitis A is a highly contagious liver infection caused by a virus. It's usually transmitted through contaminated food or water. It can cause liver disease, lasting a few weeks to months. In some cases, it can be fatal.\u003c/p>\n\u003cp>The disease can cause fever, fatigue, nausea, loss of appetite, jaundice, stomach pain, vomiting, dark urine, pale stools and diarrhea. Some of those infected don't develop symptoms. \u003c/p>\n\u003cfigure id=\"attachment_11617591\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/09/LAHomelessMan-800x545.jpg\" alt=\"A homeless man stands at his encampment on a downtown sidewalk in Los Angeles.\" width=\"800\" height=\"545\" class=\"size-medium wp-image-11617591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-800x545.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-160x109.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-1020x695.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-1180x804.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-960x655.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-240x164.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-375x256.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-520x355.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A homeless man stands at his encampment on a downtown sidewalk in Los Angeles. \u003ccite>(FREDERIC J. BROWN/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Diego, county nurses and health care providers have provided hepatitis A vaccinations to more than 21,000 people since the outbreak began, said Craig Sturak, spokesman for the San Diego County Health and Human Services Agency.\u003c/p>\n\u003cp>San Diego officials are also \u003ca href=\"https://ww2.kqed.org/news/2017/09/13/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak/\" target=\"_blank\">spraying sidewalks with bleach-infused water\u003c/a> and have installed 43 hand-washing stations in areas where the homeless congregate, he said.\u003c/p>\n\u003cp>There have been 38 cases of hepatitis A in L.A. County so far this year, and none on Skid Row, according to the county Department of Public Health. At least a few of those who got sick were infected in San Diego, Balter said. \u003c/p>\n\u003cp>Over the last five years, there were between 34 and 60 cases annually in L.A. County.\u003c/p>\n\u003cp>There have been 13 cases of hepatitis A in Orange County so far this year, according to the Health Care Agency. Of those, one had a history of homelessness and contracted the virus after spending time in San Diego. That individual's symptoms have since resolved. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There were between 15 and 25 cases of hepatitis A reported annually in Orange County between 2012 and 2016.\u003c/p>\n\n","blocks":[],"excerpt":"Vaccinating homeless people and their service providers is critical to preventing the outbreak from spreading, said officials.","status":"publish","parent":0,"modified":1505777043,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":542},"headData":{"title":"San Diego's Hepatitis A Outbreak Spurs Action in L.A., Orange County | KQED","description":"Vaccinating homeless people and their service providers is critical to preventing the outbreak from spreading, said officials.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Diego's Hepatitis A Outbreak Spurs Action in L.A., Orange County","datePublished":"2017-09-18T21:28:06.000Z","dateModified":"2017-09-18T23:24:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11617583 https://ww2.kqed.org/news/?p=11617583","disqusUrl":"https://ww2.kqed.org/news/2017/09/18/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county/","disqusTitle":"San Diego's Hepatitis A Outbreak Spurs Action in L.A., Orange County","source":"KPCC","sourceUrl":"http://www.scpr.org/","nprByline":"\u003cstrong>\u003ca href=\"http://www.scpr.org/about/people/staff/rebecca-plevin\">Rebecca Plevin\u003c/a>\u003c/strong>","path":"/news/11617583/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As San Diego County health officials work to combat a hepatitis A outbreak that has killed 16 people and sent nearly 300 to the hospital, public health officials in Los Angeles and Orange counties say they're taking steps to prevent the virus from spreading northward.\u003c/p>\n\u003cp>\"We are very concerned about an outbreak\" given the extensive travel between San Diego and Los Angeles, said Dr. Sharon Balter, director of the L.A. County Department of Public Health's acute communicable disease control program. \u003c/p>\n\u003cp>The San Diego outbreak, which has infected more than 400 people, has spread primarily among homeless people and illicit drug users. People who provide services to these populations have also been infected.\u003c/p>\n\u003cp>Vaccinating homeless people and their service providers is critical to preventing the outbreak from spreading, said officials in Orange and L.A. counties. \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In Orange County, public health nurses are encouraging homeless people to get vaccinated through their primary medical providers and administering vaccinations at shelter clinics, food pantries and parks. More than 300 people have been vaccinated so far, according to the Orange County Health Care Agency. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>L.A. County public health officials said they have vaccinated more than 1,000 people to date.\u003c/p>\n\u003cp>Officials in both counties are also educating service providers and shelter employees about how to spot and prevent hepatitis A.\u003c/p>\n\u003cp>\"The important thing to let people know is that it is very, very important to wash your hands after you go to the bathroom and before you eat, and to maintain good sanitation if that's possible,\" Balter said.\u003c/p>\n\u003cp>Hepatitis A is a highly contagious liver infection caused by a virus. It's usually transmitted through contaminated food or water. It can cause liver disease, lasting a few weeks to months. In some cases, it can be fatal.\u003c/p>\n\u003cp>The disease can cause fever, fatigue, nausea, loss of appetite, jaundice, stomach pain, vomiting, dark urine, pale stools and diarrhea. Some of those infected don't develop symptoms. \u003c/p>\n\u003cfigure id=\"attachment_11617591\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/09/LAHomelessMan-800x545.jpg\" alt=\"A homeless man stands at his encampment on a downtown sidewalk in Los Angeles.\" width=\"800\" height=\"545\" class=\"size-medium wp-image-11617591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-800x545.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-160x109.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-1020x695.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-1180x804.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-960x655.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-240x164.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-375x256.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/09/LAHomelessMan-520x355.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A homeless man stands at his encampment on a downtown sidewalk in Los Angeles. \u003ccite>(FREDERIC J. BROWN/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Diego, county nurses and health care providers have provided hepatitis A vaccinations to more than 21,000 people since the outbreak began, said Craig Sturak, spokesman for the San Diego County Health and Human Services Agency.\u003c/p>\n\u003cp>San Diego officials are also \u003ca href=\"https://ww2.kqed.org/news/2017/09/13/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak/\" target=\"_blank\">spraying sidewalks with bleach-infused water\u003c/a> and have installed 43 hand-washing stations in areas where the homeless congregate, he said.\u003c/p>\n\u003cp>There have been 38 cases of hepatitis A in L.A. County so far this year, and none on Skid Row, according to the county Department of Public Health. At least a few of those who got sick were infected in San Diego, Balter said. \u003c/p>\n\u003cp>Over the last five years, there were between 34 and 60 cases annually in L.A. County.\u003c/p>\n\u003cp>There have been 13 cases of hepatitis A in Orange County so far this year, according to the Health Care Agency. Of those, one had a history of homelessness and contracted the virus after spending time in San Diego. That individual's symptoms have since resolved. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There were between 15 and 25 cases of hepatitis A reported annually in Orange County between 2012 and 2016.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11617583/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county","authors":["byline_news_11617583"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_4469","news_4486","news_17286"],"affiliates":["news_7055"],"featImg":"news_11617585","label":"source_news_11617583"},"news_11616758":{"type":"posts","id":"news_11616758","meta":{"index":"posts_1591205157","site":"news","id":"11616758","score":null,"sort":[1505343181000]},"guestAuthors":[],"slug":"san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak","title":"San Diego Washing Streets With Bleach to Combat Hepatitis A Outbreak","publishDate":1505343181,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>San Diego has started washing its downtown streets with bleach in an effort to combat an outbreak of Hepatitis A that has killed at least 15 people and infected nearly 400.\u003c/p>\n\u003cp>The infectious disease has largely infected homeless people in the city, and part of the issue is an apparent shortage of public restrooms in areas where the population congregates.\u003c/p>\n\u003cp>Hepatitis A was first identified in the area in early March, \u003ca href=\"http://www.countynewscenter.com/local-public-health-emergency-for-hepatitis-a-outbreak-ratified-by-board-of-supervisors/\" target=\"_blank\">according to the county\u003c/a>, and was declared a public health emergency earlier this month.\u003c/p>\n\u003cp>A letter from San Diego County health officials stated that Hepatitis A is being spread though contact with a \"fecally contaminated environment,\" as well as person-to-person transmission.\u003c/p>\n\u003cp>The county issued a directive on Aug. 31 demanding that the city carry out street washing and expand public restroom access, adding that \"failure to immediately follow this directive will endanger public health and safety.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"z1sdVpe9e2hm3H4stsxaL4zLyWelG9VJ\"]\u003c/p>\n\u003cp>On Friday, the city said it would \"fully comply with the directive,\" targeting areas in downtown frequented by homeless people at risk of contracting Hepatitis A.\u003c/p>\n\u003cp>Contractors started spraying down areas Monday with the diluted household bleach solution, continued Wednesday, and are set to hit the final zone of downtown by Friday, according to a city spokesperson.\u003c/p>\n\u003cp>The procedure, as prescribed by the county, involves first spraying down hazardous items such as human waste or needles, waiting 10 minutes, removing the contaminated items, then spraying the area again with bleach. After that, it calls for pressure-washing the area with water.\u003c/p>\n\u003cp>It is set to be repeated every two weeks, with weekly \"spot maintenance,\" according to county guidelines.\u003c/p>\n\u003cp>San Diego County did not immediately respond to an NPR query about whether it is satisfied with the city's response.\u003c/p>\n\u003cp>Mike Saag, a \u003ca href=\"https://www.uab.edu/medicine/id/staff/faculty/73-michael-s-saag\" target=\"_blank\">professor of medicine at the University of Alabama at Birmingham \u003c/a>focused on infectious diseases, tells NPR that he finds San Diego's street washing approach reasonable for stemming the spread of Hepatitis A: \"If there's a sanitation problem, then the thing to do is clean up the area, and bleach is probably the best disinfectant that we have for this type of viral infections.\"\u003c/p>\n\u003cp>He adds that \"once Hepatitis A starts to be transmitted in a community like this, it's kind of hard to stop.\" The most effective tactic is immunization, he says, and San Diego County says it is has provided at least 19,000 immunizations against the disease.\u003c/p>\n\u003cp>\"The issue is getting people, especially those who might be living on the street, into care and getting the series (of shots),\" Saag adds.\u003c/p>\n\u003cp>[contextly_sidebar id=\"ZKQKEPM8yVaN5ZOTBF6lHxh3IhRZ1uqE\"]\u003c/p>\n\u003cp>There have also been more than 250 mass vaccination events and nurses have deployed to areas with large homeless populations, according to the county. Dozens of hand-washing stations have been installed, with more on the way.\u003c/p>\n\u003cp>San Diego's homeless population has skyrocketed -- the number of people living on downtown streets is up some 27 percent to nearly 1,300, \u003ca href=\"http://www.sandiegouniontribune.com/news/homelessness/sd-me-homeless-count-20170419-story.html\" target=\"_blank\">according to The San Diego Union-Tribune\u003c/a>. It's particularly visible due to the 104 percent increase in the number of tents and hand-built structures, the newspaper adds.\u003c/p>\n\u003cp>A lack of affordable housing is contributing to the problem -- \"77 percent of unsheltered people said they became homeless in San Diego,\" the \u003cem>Union-Tribune\u003c/em> reports.\u003c/p>\n\u003cp>Councilwoman Lorie Zapf recently \u003ca href=\"http://www.kpbs.org/news/2017/sep/11/city-of-san-diego-to-wash-down-streets-sidewalks/\" target=\"_blank\">told member station KPBS\u003c/a> that she is concerned about the amount of waste in her area as a result of illegal encampments.\u003c/p>\n\u003cp>\"I went down there myself in July and what I saw with my own eyes was an insane amount of trash,\" Zapf said. \"I saw human feces, meth cookers, syringes, stolen property -- and all of this will flow right to the ocean if it is not cleaned up, and it will spread Hepatitis A virus.\"\u003c/p>\n\u003cp>Hepatitis A is considered highly contagious, \u003ca href=\"https://www.cdc.gov/hepatitis/hav/havfaq.htm#general\" target=\"_blank\">according to the CDC\u003c/a>, and attacks the liver. Its prevalence in the U.S. has declined by 95 percent since 1995, when the vaccine was first introduced. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n","blocks":[],"excerpt":"The disease has killed at least 15 people and infected nearly 400 in the city, and it's hitting the homeless population the hardest.","status":"publish","parent":0,"modified":1505345843,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":676},"headData":{"title":"San Diego Washing Streets With Bleach to Combat Hepatitis A Outbreak | KQED","description":"The disease has killed at least 15 people and infected nearly 400 in the city, and it's hitting the homeless population the hardest.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Diego Washing Streets With Bleach to Combat Hepatitis A Outbreak","datePublished":"2017-09-13T22:53:01.000Z","dateModified":"2017-09-13T23:37:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11616758 https://ww2.kqed.org/news/?p=11616758","disqusUrl":"https://ww2.kqed.org/news/2017/09/13/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak/","disqusTitle":"San Diego Washing Streets With Bleach to Combat Hepatitis A Outbreak","source":"NPR","sourceUrl":"http://www.npr.org/","nprImageCredit":"Susan Murphy","nprByline":"Merrit Kennedy","nprImageAgency":"KPBS","nprStoryId":"550674476","nprApiLink":"http://api.npr.org/query?id=550674476&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/thetwo-way/2017/09/13/550674476/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak?ft=nprml&f=550674476","nprRetrievedStory":"1","nprPubDate":"Wed, 13 Sep 2017 17:02:00 -0400","nprStoryDate":"Wed, 13 Sep 2017 17:02:33 -0400","nprLastModifiedDate":"Wed, 13 Sep 2017 17:02:33 -0400","path":"/news/11616758/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Diego has started washing its downtown streets with bleach in an effort to combat an outbreak of Hepatitis A that has killed at least 15 people and infected nearly 400.\u003c/p>\n\u003cp>The infectious disease has largely infected homeless people in the city, and part of the issue is an apparent shortage of public restrooms in areas where the population congregates.\u003c/p>\n\u003cp>Hepatitis A was first identified in the area in early March, \u003ca href=\"http://www.countynewscenter.com/local-public-health-emergency-for-hepatitis-a-outbreak-ratified-by-board-of-supervisors/\" target=\"_blank\">according to the county\u003c/a>, and was declared a public health emergency earlier this month.\u003c/p>\n\u003cp>A letter from San Diego County health officials stated that Hepatitis A is being spread though contact with a \"fecally contaminated environment,\" as well as person-to-person transmission.\u003c/p>\n\u003cp>The county issued a directive on Aug. 31 demanding that the city carry out street washing and expand public restroom access, adding that \"failure to immediately follow this directive will endanger public health and safety.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>On Friday, the city said it would \"fully comply with the directive,\" targeting areas in downtown frequented by homeless people at risk of contracting Hepatitis A.\u003c/p>\n\u003cp>Contractors started spraying down areas Monday with the diluted household bleach solution, continued Wednesday, and are set to hit the final zone of downtown by Friday, according to a city spokesperson.\u003c/p>\n\u003cp>The procedure, as prescribed by the county, involves first spraying down hazardous items such as human waste or needles, waiting 10 minutes, removing the contaminated items, then spraying the area again with bleach. After that, it calls for pressure-washing the area with water.\u003c/p>\n\u003cp>It is set to be repeated every two weeks, with weekly \"spot maintenance,\" according to county guidelines.\u003c/p>\n\u003cp>San Diego County did not immediately respond to an NPR query about whether it is satisfied with the city's response.\u003c/p>\n\u003cp>Mike Saag, a \u003ca href=\"https://www.uab.edu/medicine/id/staff/faculty/73-michael-s-saag\" target=\"_blank\">professor of medicine at the University of Alabama at Birmingham \u003c/a>focused on infectious diseases, tells NPR that he finds San Diego's street washing approach reasonable for stemming the spread of Hepatitis A: \"If there's a sanitation problem, then the thing to do is clean up the area, and bleach is probably the best disinfectant that we have for this type of viral infections.\"\u003c/p>\n\u003cp>He adds that \"once Hepatitis A starts to be transmitted in a community like this, it's kind of hard to stop.\" The most effective tactic is immunization, he says, and San Diego County says it is has provided at least 19,000 immunizations against the disease.\u003c/p>\n\u003cp>\"The issue is getting people, especially those who might be living on the street, into care and getting the series (of shots),\" Saag adds.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>There have also been more than 250 mass vaccination events and nurses have deployed to areas with large homeless populations, according to the county. Dozens of hand-washing stations have been installed, with more on the way.\u003c/p>\n\u003cp>San Diego's homeless population has skyrocketed -- the number of people living on downtown streets is up some 27 percent to nearly 1,300, \u003ca href=\"http://www.sandiegouniontribune.com/news/homelessness/sd-me-homeless-count-20170419-story.html\" target=\"_blank\">according to The San Diego Union-Tribune\u003c/a>. It's particularly visible due to the 104 percent increase in the number of tents and hand-built structures, the newspaper adds.\u003c/p>\n\u003cp>A lack of affordable housing is contributing to the problem -- \"77 percent of unsheltered people said they became homeless in San Diego,\" the \u003cem>Union-Tribune\u003c/em> reports.\u003c/p>\n\u003cp>Councilwoman Lorie Zapf recently \u003ca href=\"http://www.kpbs.org/news/2017/sep/11/city-of-san-diego-to-wash-down-streets-sidewalks/\" target=\"_blank\">told member station KPBS\u003c/a> that she is concerned about the amount of waste in her area as a result of illegal encampments.\u003c/p>\n\u003cp>\"I went down there myself in July and what I saw with my own eyes was an insane amount of trash,\" Zapf said. \"I saw human feces, meth cookers, syringes, stolen property -- and all of this will flow right to the ocean if it is not cleaned up, and it will spread Hepatitis A virus.\"\u003c/p>\n\u003cp>Hepatitis A is considered highly contagious, \u003ca href=\"https://www.cdc.gov/hepatitis/hav/havfaq.htm#general\" target=\"_blank\">according to the CDC\u003c/a>, and attacks the liver. Its prevalence in the U.S. has declined by 95 percent since 1995, when the vaccine was first introduced. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11616758/san-diego-washing-streets-with-bleach-to-combat-hepatitis-a-outbreak","authors":["byline_news_11616758"],"programs":["news_72"],"categories":["news_19906","news_457","news_8"],"tags":["news_4469","news_4020","news_4486","news_17286"],"affiliates":["news_7054","news_253"],"featImg":"news_11616759","label":"source_news_11616758"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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