Hepatitis A—On the Upswing
We all know that the leading cause of foodborne illness is norovirus, but there is another virus that should also be of concern to everyone–hepatitis A. According to the Centers for Disease Control and Prevention, since 2016 29 states have reported nearly 25,000 hepatitis A illnesses with 60% requiring hospitalization and 244 deaths. The number of cases increased nearly 70% between 2016 and 2017. This uptick in cases is cause for concern for everyone–state and local health departments, healthcare professionals, individuals, and for those of us in foodservice.
So just what is hepatitis A? It is a virus that is carried by humans and animals. Like other viruses, hepatitis A requires a living host in order to grow. People can contract hepatitis A from water, food, or a contaminated surface. Those at most risk are individuals who use drugs, experience unstable housing or homelessness, are incarcerated, or have chronic liver disease. Hepatitis A results in liver disease, noted by the appearance of jaundice at advanced stages of the disease. Typically there are no long-term effects of hepatitis A but an individual can continue to be a carrier for some time.
What can you do to prevent getting the viral liver disease? Like many other battles, the best defense is a good offense. The best strategy is to get vaccinated for the virus. Consult a physician about the use of vaccination as a preventative measure. If you know you have come in contact with a person with hepatitis A or live in an area experiencing an outbreak, we strongly encourage you to consider having a conversation with your physician. If you have been exposed, the vaccine is effective for up to two weeks following the exposure.
When epidemiologists examine investigation reports, the cause of the hepatitis A incident or outbreak cannot always be identified. One example of a current hepatitis A outbreak was tracked back to blackberries (although we don’t know if it was due to water, human contact, or something else). Blackberries sold in two stores in six Midwestern states resulted in 18 people contracting hepatitis A. The distributor services 11 states, so more states may be involved. The berries were sold in September 2019, but as late as mid-November two new cases were identified. You might wonder why it took from September until November for cases to be identified in a product that is perishable. Two reasons may explain: first, some people may have frozen the berries for use later. (Contrary to popular thinking, freezing does not kill viruses or bacteria, it simply slows growth). Second, it may take up to 50 days or more for symptoms to appear in a person and for the virus to be identified. Because of the possibility of freezing, additional cases are expected before the outbreak is over.
Hepatitis A causes a serious illness, and it is important to understand what it is and how to mitigate its impact. Be sure to read our second blog this month to get more information on mitigation strategies that can be used in retail foodservices, and in our personal lives. Also, be sure to tune in to the January SafeBites webinar on January 21 to learn more. Risk nothing!
Food Recalls: Another Important Reason to Have a Sound Traceability Program in your Foodservice Operation
Earlier in the month, I discussed a bit about the proposed traceability rules that may be coming out soon. One result of implementing the proposed rule and improving overall food traceability in your operation is the ability of those in the food chain to quickly identify and pull product involved in a food recall.
Food Traceability in Foodservice Operations: An Essential, and Soon-to-be Required, Component of your Food Safety Plan
In June, I discussed the importance of having a solid food defense plan, and I provided you some resources for developing or strengthening your food defense plan. As I was writing those blogs, my mind kept turning toward food traceability. While they are distinctly different concepts, food traceability goes hand-in-hand with a food defense program. I would argue for your food defense plan to be effective, you must have an effective internal food traceability program, where you can trace the product back to the supplier (backward traceability), but also be able to trace the product from the supplier to the guest who was served the product (forward traceability).
Food Defense Plan Resources – at just the right price…
Earlier in the month, I discussed the importance of having a solid food defense plan in place for your foodservice operation. Even if the first version of your plan is not perfect, it is a start. Having plans down on paper will force you to think through the process and ensure the vulnerable points where opportunities exist for possible contamination within the operation are mitigated.
Don’t Turn a Blind Eye to Your Food Defense Practices
Late last week, as I mindlessly scrolled through Twitter, I ran across a Tweet suggesting the #IceCreamChallenge from summer 2019 was the real cause of the Coronavirus spread. Of course, the Tweet was made tongue in cheek, but it did cause me to reflect on that challenge, which had a short life on social media in the summer of 2019.
