Michigan continues to fight the largest hepatitis A outbreak in the nation with 838 cases to-date and a hospitalization rate of over 80%. During June through August 2018, the Michigan Department of Health and Human Services (MDHHS) is running a media campaign referring the public to their physician to talk about their risk or to seek vaccination. There are specific actions physicians can take to help control the hepatitis A outbreak.
Screen patients for high-risk factors. In addition to the ACIP Guidelines below, screen patients for the following high risk factors and vaccinate accordingly:
- Persons who use injection and non-injection illegal drugs
- Men who have sex with men
- Persons who are homeless or in transient living conditions
- Persons who have been recently incarcerated
- Persons with chronic liver disease
Offer vaccination through your practice. Physicians may purchase private vaccine directly from GlaxoSmithKline (GSK) and Merck by contacting the manufacturer via website or by calling to place an order.
Refer patients to the local health department for vaccination. If you are unable to purchase private hepatitis A vaccine for high-risk patients, please refer them to their local health department for the hepatitis A vaccine. Local health departments have the vaccine available at little or no cost to the individual who is uninsured or underinsured.
Clinical Resource. Henry Ford Hospital established a hepatitis A hotline with infectious disease experts available 24 hours per day.
- Non-urgent questions can be submitted at www.henryford.org/HIVconsult
- For urgent questions, health care professionals should contact the 24-hour consultation line by calling 313-575-0332.
For up-to-date information and guidance regarding the Michigan hepatitis A outbreak, please visit the MDHHS hepatitis A outbreak website: http://www.michigan.gov/hepatitisaoutbreak.