Figure.

Number of episodes in which food handlers reported to be infected with hepatitis A virus worked while infectious and transmitted the virus to restaurant patrons, United States, 1993–2011^a

^a“States with ≥10 HAV infections per 100,000 population per year during 1987–1997” includes Alaska, Arizona, Arkansas, California, Colorado, Idaho, Missouri, Montana, Nevada, New Mexico, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, and Wyoming. “States with <10 HAV infections per 100,000 population per year” includes all other states.

^bRecommendations refer to the guidelines for immunization of high-risk groups in 1996. Source: Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP) [published erratum appears in MMWR Morb Mortal Wkly Rep 1997;46:588]. MMWR Recomm Rep 1996;45(RR-15):1-3.

^cRecommendations refer to the guidelines for infant vaccination made in 1999 for states with ≥10 cases of hepatitis A virus per 100,000 population. Source: Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 1999;48(RR-12):1-37.

^dRecommendations refer to the guidelines for infant hepatitis A vaccination in all states in 2006. Source: Fiore AE, Wasley A, Bell BP. Prevention of hepatitis A through active or passive immunization. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-7):1-23.

HAV = hepatitis A virus