Southeast Michigan Hepatitis A 2016-2018 Outbreak Summary

Epi Summary for Hepatitis A Cases in Southeast MI (City of Detroit, Calhoun, Eaton, Genesee, Grand Traverse, Ingham, Isabella, Lapeer,
Livingston, Macomb, Monroe, Oakland, St. Clair, Sanilac, Shiawassee, Washtenaw & Wayne)*
for Confirmed Cases Referred August 1, 2016-January 24, 2018†
2nd Half Q1 Q2 Q3 Q4
Jan-18 Total
CY2016 CY2017 CY2017 CY2017 CY2017
Total # of Cases (by Onset) 58 72 66 231 256 32 715
# Primary Confirmed Cases w/ Outbreak
21 33 40 152 151 10 407
Strains
# Primary Confirmed Cases w/out 36 30 21 54 75 21 237
sequencing
# Secondary Confirmed Cases 1 9 5 25 30 1 71
Female, n (%) 20 (34.5) 25 (34.7) 24 (36.4) 91 (39.4) 75 (29.3) 10 (31.3) 245 (34.3)
Hospitalized, n (%) 49 (84.5) 60 (83.3) 57 (86.4) 188 (81.4) 200 (78.1) 28 (87.5) 582 (81.4)
Min Age (years) 24 21 22 <1 1 22 <1
Max Age (years) 83 86 86 87 90 87 90
Median Age (years) 44.5 44 39 41 40 40 41
Deaths, n (%) 4 (6.9) 5 (6.9) 4 (6.1) 7 (3.0) 4 (1.6) 0 (0.0) 24 (3.4)
Data below excludes secondary cases
No Substance Abuse + No
32 (56.1) 20 (31.7) 17 (27.9) 75 (36.4) 102 (45.1) 12 (38.7) 258 (40.1)
Homeless/Transient Living, n (%)
Documented Substance Abuse, n (%) 19 (33.3) 38 (60.3) 38 (62.3) 105 (51.0) 100 (44.2) 15 (48.4) 315 (48.9)
Homeless/Transient Living, n (%) 9 (15.8) 9 (14.3) 12 (19.7) 19 (9.2) 25 (11.1) 0 (0.0) 74 (11.5)
History of Hepatitis B, n (%) 3 (5.3) 3 (4.8) 1 (1.6) 6 (2.9) 3 (1.3) 0 (0.0) 16 (2.5)
History of Hepatitis C, n (%) 10 (17.5) 15 (23.8) 23 (37.7) 73 (35.4) 51 (22.6) 3 (9.7) 175 (27.2)
MSM, n (%) -Data includes only male cases 1 (2.7) 1 (2.4) 2 (5.0) 9 (6.9) 46 (27.2) 4 (18.2) 63 (14.3)
Correctional Facility Inmates, n (%) 1 (1.8) 3 (4.8) 5 (8.2) 22 (10.7) 17 (7.5) 1 (3.2) 49 (7.6)
Healthcare Worker, n (%) 1 (1.8) 0 (0.0) 1 (1.6) 6 (2.9) 9 (4.0) 2 (6.5) 19 (3.0)
Food Worker, n (%) 2 (3.5) 2 (3.2) 2 (3.3) 8 (3.9) 11 (4.9) 2 (6.5) 27 (4.2)
Cases Lost to Follow-up 14 (24.6) 19 (30.2) 20 (32.8) 55 (26.7) 25 (11.1) 2 (6.5) 135 (21.0)
*Also includes individual cases from Allegan, Clare, Clinton, Eaton, Hillsdale, Huron, Ionia, Kent, Leelanau, Mecosta, Newaygo & Van Buren Counties and a MDOC Facility
(Jackson County) that were found to have the outbreak strain when tested by CDC
†Analysis excludes cases that have been submitted to CDC and found to be PCR Negative, have a different strain from the outbreak strains, or have international travel in
the 2-6 weeks prior to illness onset.
‡ Source of data: MDSS

Report is a preliminary ad hoc analysis. Information to be considered DRAFT.

 Southeast Michigan Hepatitis A 2016-2018 Outbreak Summary

Confirmed Hepatitis A Cases Referred

Aug 1, 2016-Jan 24, 2018 meeting the
SE MI Hep A Case Definition
County (or City) Total Cases
City of Detroit 159
Allegan 1
Calhoun 3
Clare 1
Clinton 1
Eaton 3
Genesee 10
Grand Traverse 4
Hillsdale 1
Huron 1
Ingham 13
Ionia 1
Isabella 8
Kent 1
Lapeer 5
Leelanau 1
Livingston 6
Macomb 206
Mecosta 1
Monroe 14
Newaygo 1
Oakland 96
Sanilac 6
Shiawassee 3
St. Clair 29
Van Buren 1
Washtenaw 14
Wayne 124
Other* 1
Total 715
*Jackson MDOC

Report is a preliminary ad hoc analysis. Information to be considered DRAFT.