TABLE 1.

Summary of Hepatitis A Cases Among Food Handlers and Response of DOHMH—New York City, 2013

Case	Case Report Month	Occupation	Concerning Investigation Results	Postexposure Prophylaxis Recommended	DOHMH Public Notification	DOHMH PODa Established (Only Hepatitis A Vaccine Offered)	Number Who Received Postexposure Prophylaxis (Type)	Associated Cases or Clusters
1	Feb	Cook, adult residential treatment facility	HR; RE; BHC	Yes	No	No	16 (vaccine) 20 (IG)	No
2	Apr	Pastry chef, restaurant	HR; BHC	Yes	Yes	Yes	489 (vaccine)	No
3	May	Deli worker, grocery store	HR	No	No	No		Yesb
4	Aug	Fruit preparer, grocery store	HR; BHC	Yes	Yes	Yes	2068 (vaccine)	No
5	Sep	Host or manager, restaurant	HR; BHC	No	Yes	Yes	3053 (vaccine)	Yesc
6	Dec	Busboy, restaurant	None	No	No	No		No

Abbreviations: BHC, bare hand contact with high-risk foods observed; DOHMH, Department of Health and Mental Hygiene; HR, ill worker handled high-risk foods; IG, immunoglobulin; POD, point of dispensing; RE, risk of repeated exposure.

^aTemporary emergency sites set up rapidly and operated by New York City DOHMH. These sites are designed to distribute or administer prophylaxis to substantial populations after a biological attack or the emergence of an infectious disease. Only hepatitis A vaccine was offered as postexposure prophylaxis at the PODs in 2013.

^bFour likely secondary cases identified among deli patrons.

^cEight additional cases identified with same exposure period as case 5. A secondary case and a tertiary case were identified; both were family members of an original patron. The first was a household contact who refused vaccination during the initial case investigation, and the tertiary was not identified as a contact in the secondary case investigation.