Alabama’s Hepatitis A Outbreak Report

April 10, 2019

Hepatitis A Outbreak Overview

 Time frame: September 1, 2018 to present

 Outbreak-associated cases: 51
 Case contacts interviewed: 477
 Outbreak counties: Jackson and DeKalb
 Non-outbreak counties with cases: Marshall,
Etowah, Cherokee, Jefferson, and
Montgomery
Demographics of Cases

 Median age: 40 years old

 Sex: Male (66.7%)
 Race: White (92.2%)
 Ethnicity: Non-Hispanic (90.2%)
 Cases are similar in each county

Number of Cases, by Week — Jackson, DeKalb, Marshall, Etowah, Cherokee, Jefferson,

and Montgomery County

Hepatitis A vaccine administration in adults has increased over 10,000% in the two
outbreak counties
December 2017 – April 2018 December 2018 – April 2019

6 11 552 1194

Jackson DeKalb Jackson DeKalb

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 Risk group percentages in DeKalb Percent of risk groups per case
and Jackson

*Risk factors outside the risk groups include

household contact of known case

Less than half of Alabama’s cases are hospitalized, as compared to other states

62.0%

49.0%
67.0% 68.2%

This time last year: 14 cases Resources

Sept 2018 to date: 51 cases
9/1/2017 – 4/10/2018: 14
 Hepatitis A Fact Sheet: https://
www.alabamapublichealth.gov/
09/1/2018 – 4/10/2019: 51
immunization/assets/hepatitisaflyer.pdf
 Hepatitis A Flyer: https://
www.alabamapublichealth.gov/
immunization/assets/hepatitis_a_flyer.pdf
 Hepatitis A Poster: https://
www.alabamapublichealth.gov/
immunization/assets/hepatitis_a_poster.pdf
 Hepatitis A Family Friendly Flyer: https://
www.alabamapublichealth.gov/
immunization/assets/
HepatitisAFamilyFriendlyFlyer.pdf

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Alabama’s Hepatitis A Outbreak Report, April 10, 2019