Emed Pain Management Blog

Emed Pain Management Blog

Last Thursday, Florida declared a public health emergency based on the rapidly growing number of Hepatitis A cases. Below are some facts and tips on how to protect yourself and stay safe:


The number of Hepatitis A cases in Florida has exploded in 2019, with this year’s 2,034 cases nearly four times the 548 cases reported in all of 2018, according to the Health Department. And there are five more months to be accounted for in 2019.

In 2014, just five years ago, there were only 106 cases in the state, the health department’s figures show.


Groups who are most at risk, according to the Centers for Disease Control and Prevention, include:

▪ People over 60 years old

▪ People with chronic liver disease, including cirrhosis, hepatitis B, or hepatitis C

▪ People with compromised immune systems, including people with HIV or AIDS

▪ People who have unstable housing or are homeless

▪ Drug users

▪ Inmates

Symptoms can include yellowing skin, fever, diarrhea, fatigue and loss of appetite. According to the Centers for Disease Control and Prevention, hepatitis A is “usually transmitted person-to-personthrough the fecal-oral route or consumption of contaminated food or water.”


Florida’s outbreak coincides with a national surge in cases.

Since the Hepatitis A outbreak was first identified in 2016, there have been 22,566 reported cases in 25 states as of July 26, the CDC reports. Of those, 13,352 cases, or 59 percent, resulted in hospitalizations and 221 people died.

According to the CDC, the five states with the highest number of cases are:

Kentucky: 4,793 (As of July 13)

Ohio: 3,220 (As of July 22)

West Virginia: 2,528 (As of July 3)

Florida: 2,220 (As of June 30)

Tennessee: 2.022 (As of July 19)


“All individuals should wash their hands with soap and water for at least 20 seconds,” the Florida Health Department advisory said.

Hand sanitizers do not kill the virus, the Health Department said, and private showers and restrooms should also be consistently sanitized.

In addition to hand washing, health officials urge people to get vaccinated.

One dose of single-antigen hepatitis A vaccine provides up to 95% protection in healthy individuals for up to 11 years, the CDC reports.


The CDC recommends the following groups should be vaccinated:

▪ All children at age 1 year

▪ Travelers to countries where hepatitis A is common

▪ Family and caregivers of adoptees from countries where hepatitis A is common

▪ Men who have sexual encounters with other men

▪ People who use injection and non-injection drugs

▪ People with chronic liver disease

▪ People with clotting-factor disorders

▪ People experiencing homelessness

▪ People who work with HAV-infected primates or with HAV in a research laboratory setting

▪ People with direct contact with others who have hepatitis A

▪ Anyone wishing to obtain immunity (protection)