Second Hepatitis A Free Vaccine Clinic Held Friday
SAN DIEGO – If you were among the San Diego County residents to receive a Hepatitis A vaccine before the end of October 2017, its time for your second dose of vaccine.
Anyone wanting that second dose or a first one can attend a free vaccination event being held at the Old Town Visitor Center, 2415 San Diego Ave., Suite 111, from 10 a.m. to 3 p.m. on Friday, April 27. Food handlers or anyone whose work involves cooking, serving or handling food are especially encouraged to get vaccinated.
Another free vaccination event will be held with the City of San Diego at the Balboa Park Recital Hall, 2130 Pan American Road W., on Thursday, May 17 from 8 to 11 a.m.
The number of new cases of hepatitis A has dropped dramatically in the region, but the outbreak has not been declared over. During the past 12 months, just under 138,000 vaccinations have been given as part of a sweeping effort to bring the local hepatitis A outbreak under control.
Hepatitis A vaccine is recommended as a two-dose series, with the second dose to be given a minimum of six months after the first dose to complete the series and assure long-term protection.
Although the first dose of the vaccine is considered to be around 95 percent effective, that protection will eventually begin to decrease, and a second shot boosts immunity for between 20 and 40 years, according to the Center for Disease Control and Prevention.
Critical Steps To Prevent Hepatitis A At
San Diego With local health officials projecting the rise in documented hepatitis A cases to continue, Mayor Kevin L. Faulconer, County Supervisor Ron Roberts, San Diego County health officials and several civic leaders joined together today as part of a Vaccination, Sanitation & Education campaign to urge the public to take appropriate precautions emphasizing vaccinations for the most at-risk individuals and making sure everyone washes their hands properly to help stop the spread of the virus.
There are a number of opportunities available for people to get free hepatitis A vaccinations and sanitary kits. If someone is interested in a vaccine, they should call 211 or go to 211sandiego.org. More information on free vaccination clinics is below.
Our county-lead health teams have been mobilized since March to deal with an unprecedented outbreak that is primarily impacting San Diego Countys homeless and substance abuse communities, County Supervisor Ron Roberts said. We need to continue our course of vaccination, sanitation and education efforts recommended by local, state and national public health officials and our own best practices.
Health officials reminded the public that while the vast majority of people will fully recover from hepatitis A if contracted, people can take very simple steps to help avoid the virus altogether.
In response to the outbreak, several actions have been taken by local officials, including:
San Diego Will Power Wash Streets Amid Hepatitis Outbreak
Today, the tents are gone. There are clusters of newly installed portable toilets open and guarded 24 hours a day. More than 60 new hand-washing stations dot the city. Workers in hazmat suits spend mornings spraying bleach onto streets and sidewalks. Armies of nurses walk through encampments and even into riverbeds and canyons to offer the highly effective hepatitis A vaccine to homeless people. And on Monday, the first city-sanctioned homeless camp with 200 four-person tents, security, showers, and bathrooms is slated to open in a parking lot near Balboa Park.
Its an extraordinary campaign to control an outbreak thats so far known to have stricken 481 and killed 17 here, mainly people who are homeless or drug users, or work with them. The city of San Diego had more than 5,600 homeless residents at last count, the fourth-largest population of any U.S. city, and many health officials fear the outbreak could worsen as new cases continue to surface.
I dont expect this is going to be solved overnight, said Dr. Jonathan Fielding, a UCLA professor who previously headed the LA County Department of Public Health. It could take a year or more.
Im not so much surprised it occurred, but surprised it didnt occur earlier. In some ways, it was the perfect storm.
Dr. Robert Schooley, University of California, San Diego
This is new territory, said Dr. Wilma Wooten, San Diego Countys public health officer. Its challenging on so many levels.
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Public Health Services Health And Human Services Agency County Of San Diego
- Address3177 OCEAN VIEW BLVDSAN DIEGO, CA 92113
- Hours8:00 am-11:00 am and 1:00 pm-3:00 pm, Monday-Friday
- Area Served:Southeast San Diego
- Fees:No fees
- Application Process:Call for more information Walk-in for services
- Eligibility Requirements:The following individuals are eligible to receive immunizations at County Public Health Centers:1. children and adults who do not have health insurance 2. adults whose health insurance does not include vaccines 3. persons 0-18 years who are Alaskan Native or American Indian4. persons 0-18 years who have Medi-Cal or are Medi-Cal eligible 5. persons 6 months and older in need of influenza vaccine regardless of health coverage.Individuals are not eligible for vaccines if their insurance includes vaccinations, even if there are co-pays or deductibles.. California Immunization Card. Accepts walk-ins on a first-come, first-served basis. No appointment needed but if desired, appointments can be made online at https://onlineappts.hhsa-sdcounty.org. If you have one, please bring the California Immunization Record to every visit.
- Payment/Insurance Accepted:Please contact provider for accepted forms of payment.
- ADA Access:Yes
- Transportation:Public Transit: Bus route3 UCSD Hospital – Euclid Transit Center
San Diego Paramedic Hep A Vaccination Program Underway
A three-person team of paramedics has delivered 81 vaccinations in an effort to stop the spread of the citys hepatitis A outbreak
SAN DIEGO Over the last three weeks a three-person team of San Diego paramedics has delivered 81 vaccinations in locations as diverse as Balboa Park canyons and downtown hotels.
Acting under special dispensation from the state, the team helps extend a long-running campaign of foot-team vaccinations conducted by nurses who work for the county health department in an effort to stop the spread of the citys hepatitis A outbreak which saw its death total hit 20 this week.
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Who Should Get The Hepatitis A Virus Vaccine
As part of the ongoing effort to prevent future outbreaks, the following persons are recommended to receive hepatitis A vaccine:
- People who are homeless.
- Users of illegal drugs.
- Men who have sex with men.
- People with chronic liver disease, such as cirrhosis, hepatitis B, or hepatitis C.
- Anyone who is concerned about hepatitis A virus exposure and wants to be immune.
The vaccine is also recommended for the following individuals:
- Children are routinely vaccinated between their first and second birthdays . Older children and adolescents can get the vaccine after 23 months.
- People traveling to countries where hepatitis A is common.
- Those being treated with clotting-factor concentrates.
- Adults who have not been vaccinated previously and want to be protected against hepatitis A can also get the vaccine.
Booster Shots For Immunocompromised Individuals
Currently, CDC is recommending that moderately to severely immunocompromised people receive an additional dose of the COVID-19 vaccine. When making the recommendation, the CDC provided a very specific list of conditions for people who should receive the additional dose.
Appointments are not necessary, but are available if preferred. It is recommended that you bring your physical vaccination card with you.
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How Did San Diego Get Its Hepatitis Outbreak Under Control
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On a sunny mid-September morning, men and women in white lab coats and dark business suits gathered before a phalanx of television cameras near San Diego Bay to address the nations largest hepatitis A outbreak in decades.
Though the public health crisis had been identified more than six months earlier, it was the first time that medical and elected leaders stood together in public, symbolically taking joint responsibility for a viral scourge that took root among the regions homeless residents.
The results were nearly instantaneous.
A week prior to that day, Sept. 19, 2017, the county had vaccinated 27,307 people against hepatitis A since the outbreak had been identified in March. A week after, the vaccination total shot past 52,000.
It took half a year to inoculate 27,000, but only two weeks to nearly double that total.
Given that just a single dose of the hepatitis A vaccine is 90 percent effective at preventing infection, this sudden vaccination acceleration was a key result of the complex public health campaign against a virus that killed 20 people and infected 578 throughout San Diego County.
Today, more than 120,000 vaccinations have been administered, and no new case of outbreak-related hepatitis A has been detected since Jan. 3.
Theres no denying that vaccination uptake increased significantly after local leadership started speaking in a unified and direct manner to the public about the severity of the problem.
Thats a tricky question.
Vive Tu Vida Get Up Get Moving
¡Vive tu vida! Get Up! Get Moving!® events are for people of all ages and sizes and feature fun and excitement for the whole family. Join FHCSD for this FREE event at Memorial Community Park on Saturday, October 16, 2021.
COVID-19 vaccines will be available. Individuals who complete their second dose can receive a $50 electronic gift card.
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Free Hepatitis A Vaccination Offered To Beachgoers
Surfers and bodyboarders come to Imperial Beach to catch the best waves. But if they swim in contaminated waters, theyre at risk for catching something else.
Hepatitis A, along with other disease-causing pathogens, can flourish along South Bay beaches as northbound ocean currents funnel polluted water from the Tijuana River into the Imperial Beach surf.
Thats why, for the first time, health workers teamed up with environmental protection advocates Saturday to offer free hepatitis A vaccination to interested beachgoers.
Jim Knox, 61, started surfing at Imperial Beach even before the pier was built in 1963. He was one of 75 people who signed up for inoculation.
Knox said everyone should take advantage of the opportunity.
Ive never gotten sick from the water, but Ive been lucky. I know plenty of other surfers who have gotten hepatitis A, said Knox, who was shuttled to the nearby Imperial Beach Health Center for his shot after registering with recruiters. I think is an excellent idea for everyone because I know not everyone stays out of the water when theyre supposed to.
Three years ago, San Diego State University researchers reported that hepatitis A was present in 80 percent of water samples taken off the Imperial Beach Pier.
In a 2007 survey, the nonprofit environmental group Wildcoast a co-sponsor of Saturdays event found that three out of five regular ocean users in Imperial Beach reported illnesses caused by water contamination.
Hepatitis A Outbreak In San Diego County Is Officially Over
The County has announced that the hepatitis A outbreak which resulted in 592 cases and 20 deaths has officially ended.
The conclusion is based on the fact that it has been 100 days since the onset of illness of the last outbreak-associated case, which is two incubation cycles for hepatitis A. Two incubation cycles with no new outbreak-related cases is generally considered sufficient time to declare the outbreak over.
San Diego County officials identified the outbreak in March 2017, and were able to later trace some cases back to November 2016. The County declared a local health emergency on September 1, 2017, which ended on January 23, 2018.
Vaccination events started in March 2017 and remain ongoing in order to prevent another outbreak. Through October 3, 2018, more than 203,850 hepatitis A vaccines have been given in response to the outbreak through healthcare providers and County vaccination events. Although one shot is enough to contain the outbreak, the County continues to work with partner organizations to identify and offer vaccinations for all recommended groups.
The response to the outbreak featured a number of new or untried strategies, such as sending foot-teams of nurses with homeless outreach workers and law enforcement to give vaccinations to at-risk individuals where they were residing. The County worked with cities and provided sanitation protocols to clean areas frequently used by homeless, and deployed handwashing stations in public areas.
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Race Against Time To Stop Hepatitis A Virus From Spreading In San Diego
SAN DIEGO — Southern California is battling an outbreak of hepatitis A, which attacks the liver and is highly contagious.
San Diego has had more than 400 cases and 16 deaths. Lines are long and constant at pop-up clinics in the area, where hundreds of people waited to get free hepatitis A vaccines.
City workers have been out in full force, bleaching down sidewalks and benches.
“This outbreak could last for at least another six months,” said Dr. Nick Yphantides, who is San Diego’s chief medical officer.
There’s a desperate race against time to stop the hepatitis A virus from spreading, especially among the area’s homeless and drug users.
“It’s not as easy as just saying, ‘Hey, get vaccinated,'” Yphantides said. “The nature of some of these members of this population are such that they are inaccessible, and frankly, some of them have their reluctances in dealing with government.”
Hepatitis A spreads when someone comes in direct contact with an infected person’s human waste.
“We’re going to have more additional shelters to help get people off the street, get them the help they need,” said San Diego Mayor Kevin Faulconor.
Stephen Zolezzi, president of San Diego’s Food and Beverage Association, which represents 1,200 businesses, believes the city should have been doing more long before this outbreak.
Status Of City Services
Floors 2-6 of City Hall have been permanently closed to the public. All City business is now conducted on the 1st floor of City Hall in the new Project Assistance Center. Reception has also been relocated to the left as guests enter. Those wishing to conduct City business can now check in at Reception and will then be directed into the Project Assistance Center to meet with a staff member of the appropriate department for assistance.
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San Diego Declares Health Emergency Amid Hepatitis A Outbreak
A nurse loads a syringe with a vaccine against hepatitis at a free immunization clinic for students before the start of the school year, in Lynwood, California in 2013.hide caption
A nurse loads a syringe with a vaccine against hepatitis at a free immunization clinic for students before the start of the school year, in Lynwood, California in 2013.
San Diego’s homeless population has been hit hardest by the highly contagious hepatitis A virus.
The outbreak, which began in November, has spread after vaccination and educational programs in the city failed to reduce the infection rate. The virus attacks the liver.
The public health declaration bolsters the county Health and Human Services Agency’s ability to request state assistance to fund new sanitation measures. Areas with high concentrations of homeless people will receive dozens of portable hand-washing stations. Health workers will also use bleached-spiked water for power-washing contaminated surfaces.
Dr. Wilma Wooten, the San Diego Public Health Officer who signed the declaration into law on Friday, says the sanitation precautions are modeled after similar programs in other Southern California cities – including Los Angeles.
“We know that L.A. has had no local cases of hepatitis A related to the strain that we’re seeing here in San Diego,” she said. “It makes sense that, if they’re doing it there and they haven’t had any cases, it could be beneficial here as well.”
San Diego Paramedics To Start Administering Hep A Vaccines
Standing on a city sidewalk on a recent morning, Capt. Michael De Guzman said that the experience has been singularly different than what he has experienced throughout his career.
Usually, he said, paramedics are called after a medical problem has occurred. Someone has fallen down due to a heart attack or asthma or a gunshot wound, and paramedics arrive to stabilize the patient and transport them to a hospital.
But in this case, paramedics are taking preventive action.
Getting to reach out ahead of time, for me that has been pretty cool, De Guzman said.
State law usually does not allow paramedics to vaccinate their patients. But, on Oct. 4 under an emergency request from the county, the California Emergency Medical Services Authority granted a temporary expansion of paramedics scope of practice, allowing them to administer hepatitis A vaccine while the outbreak continues.
To date, the city has only one paramedic team, made up of De Guzman, Capt. Cory Beckwith, a paramedic and Capt. Jodie Pierce, a paramedic and registered nurse.
It is Pierces presence on this team that allows it to do its work. The temporary extension of vaccination powers requires oversight by an R.N. even though everyone involved knows very well how to give shots and each has received four hours of training from the health department in how to maintain the vaccine, which must be kept cold at all times, and in how to check and update the countys electronic vaccination registry.
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Her Office Is Skid Row: A Doctor Tends To The Staggering Needs Of The Homeless
That dedication is evident among more than nurses and doctors. Bobenrieth points to tiny Christina Huynh homeless people call her The Hammer a bathroom attendant who unlocks the doors, enforces the two-minute time limit, and, since the outbreak began, has been disinfecting the bathrooms three to four times during her shift.
I dont dilute the bleach, she said. I spray so much I get dizzy. But I have to.
Overall, the county has vaccinated more than 54,000 people at risk of hepatitis on the streets and at clinics, social service agencies, the central library, jails, and emergency rooms. The campaign has reached so many people that health workers find they are talking to many folks who already have Band-Aids on their upper arms.
While the conditions were ripe here for a hepatitis A outbreak, its arrival still came as a surprise. There have been very few outbreaks of the virus other than a handful related to contaminated imported foods since the hepatitis A vaccine became available in 1999, and fewer still since 2006, when it became a universally recommended childhood vaccine, said Dr. Monique Foster, a medical epidemiologist who runs the division of viral hepatitis for the Centers for Disease Control and Prevention.
The disease causes mild to serious illness and is spread by the ingestion of even microscopic amounts of infected feces. Symptoms include extreme fatigue, diarrhea, yellow skin and eyes, and urine so dark it looks like Coca-Cola.