Here’s what to know about a food handler’s responsibilities when a roommate’s health impacts their work. It is crucial to understand the guidelines and safety protocols that food handlers must follow to prevent the spread of illnesses, and FOODS.EDU.VN offers resources to help you stay informed. Protect your community by adhering to food safety standards and prioritizing public health.
Table of Contents:
- Understanding the Risks
- Hepatitis A and Food Handling
- When a Food Handler’s Roommate is Sick
- Minimum Isolation and Quarantine Periods
- Protecting Contacts of a Case
- Defining a Contact
- Immune Globulin Considerations
- Hepatitis A Vaccine Recommendations
- Managing Special Situations
- Child Care Settings
- Schools and Work Settings
- Hospital Protocols
- Community Residential Programs
- Specific Guidelines for Food Handlers
- Preventive Measures
- Personal Preventive Measures and Education
- International Travel Advice
- Incidence Reporting and Outbreak Management
- FAQ About Food Handlers and Illness
- FOODS.EDU.VN: Your Ultimate Resource for Food Safety
1. Understanding the Risks
When A Food Handler Misses Work Because A Roommate is sick, the primary concern is preventing the spread of infectious diseases. Food handlers have a significant responsibility to ensure that the food they prepare and serve is safe for consumption. This responsibility becomes even more critical when they or someone they live with is ill.
Infectious diseases can easily spread through contaminated food, leading to outbreaks that affect many people. Viruses like Hepatitis A and bacteria like Salmonella can be transmitted if proper hygiene practices are not followed. Therefore, understanding the risks associated with food handling and implementing strict preventive measures are essential.
The health of a food handler directly impacts public health. When a food handler is exposed to an illness, they may unknowingly carry and transmit the pathogen to the food they handle. This can occur even if the food handler is not showing symptoms themselves. The consequences of such transmission can be severe, leading to foodborne illnesses that cause discomfort, hospitalization, and even death.
According to a study by the Centers for Disease Control and Prevention (CDC), foodborne diseases cause approximately 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths in the United States each year. These statistics highlight the importance of adhering to food safety guidelines and taking necessary precautions to prevent the spread of infectious diseases.
Furthermore, certain populations are more vulnerable to foodborne illnesses, including young children, pregnant women, older adults, and individuals with weakened immune systems. Therefore, it is even more critical for food handlers to be vigilant and proactive in preventing contamination.
2. Hepatitis A and Food Handling
Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus (HAV). It is primarily transmitted through the fecal-oral route, often through contaminated food or water. Food handlers who are infected with HAV can easily spread the virus if they do not practice proper hand hygiene.
Symptoms of Hepatitis A can range from mild to severe and may include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored stools, and jaundice (yellowing of the skin and eyes). However, some people, especially children, may not show any symptoms at all.
The infectious period for Hepatitis A typically lasts from two weeks before the onset of symptoms to one week after the onset of jaundice. During this time, the virus is present in the stool and can be easily transmitted through poor hygiene practices.
Given the potential for Hepatitis A to spread through contaminated food, food handlers must take extra precautions to prevent transmission. This includes frequent and thorough handwashing, especially after using the toilet, before preparing food, and after handling raw foods.
According to the World Health Organization (WHO), Hepatitis A outbreaks are often associated with contaminated food, particularly raw or undercooked shellfish, fresh produce, and ready-to-eat foods that are handled after cooking. This underscores the importance of proper food handling practices and the need for food handlers to be vigilant about hygiene.
In the event of a Hepatitis A outbreak, public health officials may recommend vaccination or immune globulin (IG) for individuals who may have been exposed to the virus. This is especially important for food handlers and other individuals who work in high-risk settings.
3. When a Food Handler’s Roommate is Sick
When a food handler lives with someone who is sick, it presents a unique set of challenges and requires careful consideration of potential risks. The primary concern is whether the roommate’s illness could be transmitted to the food handler and subsequently to the public.
The specific steps that a food handler should take depend on the nature of the roommate’s illness and the potential for transmission. In general, the food handler should:
- Assess the Risk: Determine the type of illness the roommate has and how it is transmitted. Some illnesses, like the common cold or influenza, are primarily spread through respiratory droplets and may not pose a significant risk to food safety. However, other illnesses, like norovirus or Hepatitis A, are highly contagious and can easily spread through contaminated food.
- Consult with a Healthcare Professional: Seek advice from a healthcare provider or public health official to determine the appropriate course of action. They can provide guidance on whether the food handler needs to be tested for the illness and whether they should stay home from work.
- Inform the Employer: Notify the employer about the situation and follow their policies regarding sick leave and employee health. Employers have a responsibility to protect their employees and the public from potential health risks.
- Practice Strict Hygiene: Regardless of the roommate’s illness, the food handler should practice strict hygiene measures, including frequent and thorough handwashing, especially after contact with the roommate or shared surfaces.
- Monitor for Symptoms: Closely monitor themselves for any symptoms of illness and stay home from work if they develop any symptoms.
In some cases, it may be necessary for the food handler to stay home from work for a certain period to prevent potential transmission. This is especially true if the roommate has a highly contagious illness that can be easily spread through contaminated food.
According to the Food and Drug Administration (FDA), food handlers should be excluded from work if they have certain symptoms or have been diagnosed with certain illnesses, including:
- Diarrhea
- Vomiting
- Jaundice
- Sore throat with fever
- Infected cuts or wounds on the hands or wrists
Additionally, food handlers should be excluded from work if they have been diagnosed with certain illnesses, such as:
- Salmonella
- Shigella
- E. coli O157:H7
- Hepatitis A
- Norovirus
These guidelines are in place to protect public health and prevent the spread of foodborne illnesses.
4. Minimum Isolation and Quarantine Periods
Understanding the minimum isolation and quarantine periods is crucial for preventing the spread of infectious diseases, especially in settings where food is handled. These periods are based on the incubation period and the duration of infectivity for various illnesses.
Isolation refers to the separation of individuals who are known to be infected with a contagious disease from those who are not infected. The purpose of isolation is to prevent the spread of the disease to others.
Quarantine refers to the separation and restriction of movement of individuals who have been exposed to a contagious disease but are not yet showing symptoms. The purpose of quarantine is to monitor these individuals for the development of symptoms and to prevent them from spreading the disease if they become infected.
The specific isolation and quarantine periods vary depending on the illness. For example, for Hepatitis A, the following guidelines typically apply:
- Minimum Period of Isolation of Patient:
- Food handlers should not work until 7 days after the onset of jaundice or two weeks after the onset of symptoms.
- At home, the patient should modify activities to prevent transmission until the end of the infectious period or one week after the onset of symptoms.
- The patient should not prepare food for others and should practice good handwashing after toileting.
- Minimum Period of Quarantine of Contacts:
- Generally, no quarantine is required for contacts of a Hepatitis A case, provided they receive post-exposure prophylaxis (PEP) within 14 days of exposure.
These guidelines are based on the understanding of how Hepatitis A is transmitted and the period during which an infected individual is most likely to spread the virus.
It is important to note that these are minimum guidelines, and public health officials may recommend longer isolation or quarantine periods in certain situations, such as during an outbreak.
According to a study published in the Journal of Infectious Diseases, the effectiveness of isolation and quarantine measures depends on several factors, including the timeliness of implementation, the compliance of individuals, and the characteristics of the disease. The study found that early and strict implementation of isolation and quarantine measures can significantly reduce the spread of infectious diseases.
5. Protecting Contacts of a Case
Protecting contacts of a case of Hepatitis A is a critical step in preventing the spread of the virus. Contacts are defined as individuals who have had close contact with an infected person during their infectious period. This can include household members, sexual partners, and individuals who have shared illicit drugs with the case.
The primary strategy for protecting contacts is through post-exposure prophylaxis (PEP), which involves administering either Hepatitis A vaccine or immune globulin (IG) to individuals who have been exposed to the virus.
Hepatitis A vaccine is preferred over IG for PEP for persons aged 1-40 years. The effectiveness of vaccine for PEP has been studied only in this age group, but there is evidence that HAV vaccine is immunogenic in older people. Therefore, public health officials may also recommend HAV vaccine for persons 41-59 years of age. For persons greater than 59 years of age, vaccine may be administered simultaneously with IG to potentially provide longer-term protection. IG should be used for children under the age of 12 months.
PEP should be administered as soon as possible and within 14 days of last exposure to an infectious case. Persons who receive immune globulin and for whom Hepatitis A vaccine is recommended for other reasons should receive a dose of Hepatitis A vaccine to provide long-term protection at the same time they receive IG.
The safety of Hepatitis A vaccination during pregnancy has not been determined; however, because Hepatitis A vaccine is produced from inactivated Hepatitis A virus, the theoretic risk to the developing fetus is expected to be low. The risk associated with vaccination should be weighed against the risk for Hepatitis A in pregnant women who might be at high risk for exposure to Hepatitis A.
In addition to PEP, it is important to educate contacts about the symptoms of Hepatitis A and the importance of practicing good hygiene, including frequent handwashing with soap and water. They should also be advised to seek medical attention if they develop any symptoms of Hepatitis A.
According to the CDC, the effectiveness of PEP in preventing Hepatitis A depends on several factors, including the timeliness of administration and the immune status of the individual. The CDC recommends that all contacts of a Hepatitis A case receive PEP as soon as possible, regardless of their vaccination status.
6. Defining a Contact
Defining a “contact” is crucial in managing and controlling the spread of infectious diseases like Hepatitis A. A contact is someone who has been exposed to an infected individual and is therefore at risk of contracting the disease. The definition of a contact can vary depending on the specific disease and the context of the exposure.
For Hepatitis A, a contact is typically defined as:
- All household members of the infected individual
- Sexual contacts
- Persons who have shared illicit drugs with the case
- Food handling employees who work with the case
- Anyone consuming uncooked foods or foods handled after cooking prepared by an infectious case that had diarrhea or poor hygienic practices at the time of food preparation
- Other household-like contacts (e.g., baby sitter that comes in routinely)
This definition is based on the understanding of how Hepatitis A is transmitted and the types of interactions that are most likely to result in exposure to the virus.
It is important to note that the definition of a contact may be broader in certain situations, such as during an outbreak or in high-risk settings like child care centers or food processing plants. In these cases, public health officials may expand the definition of a contact to include individuals who may have had less direct contact with the infected person but are still at risk of exposure.
Accurate identification of contacts is essential for implementing effective control measures, such as post-exposure prophylaxis (PEP) and education about hygiene and symptom monitoring.
According to the WHO, contact tracing is a key strategy for controlling the spread of infectious diseases. Contact tracing involves identifying and locating individuals who have been in contact with an infected person and providing them with information and support to prevent further transmission.
7. Immune Globulin Considerations
Immune globulin (IG) is a solution of antibodies derived from human plasma. It is used to provide passive immunity against certain infectious diseases, including Hepatitis A. IG works by providing the recipient with antibodies that can neutralize the virus and prevent infection.
While Hepatitis A vaccine is generally preferred for post-exposure prophylaxis (PEP) in individuals aged 1-40 years, IG may be used in certain situations, such as:
- Children under the age of 12 months
- Individuals who have contraindications to the Hepatitis A vaccine
- Individuals who are older than 59 years (may be administered simultaneously with the vaccine)
However, there are certain considerations to keep in mind when using IG:
- Contraindications: IG should not be given to persons with known immunoglobulin A (IgA) deficiency or persons with severe thrombocytopenia or any blood coagulation disorder which would contraindicate intramuscular injections.
- Caution: Caution should be used in giving IG to a patient with a history of anaphylactic reactions to immune globulins. IG is not recommended for persons who have clinical symptoms strongly indicative of Hepatitis A.
- Interference with Immunizations: Immune globulin may interfere with immunizations for measles, mumps, rubella, and chickenpox. These live attenuated vaccines should not be given for at least three (3) months after administration of IG. Also, if it is necessary to administer IG within the 2 weeks following MMR or varicella vaccine, the vaccine should be repeated. The repeat dose of MMR or varicella vaccine should not be given sooner than three (3) months after IG.
It is important to consult with a healthcare professional before administering IG to determine if it is the appropriate course of action and to discuss any potential risks or contraindications.
According to the CDC, IG is highly effective in preventing Hepatitis A if administered within 14 days of exposure. However, its effectiveness decreases over time, and it is not recommended for PEP if more than 14 days have elapsed since the last exposure.
8. Hepatitis A Vaccine Recommendations
Hepatitis A vaccine is a safe and effective way to prevent Hepatitis A infection. It is recommended for certain groups of people who are at increased risk of contracting the virus.
Persons routinely recommended to receive Hepatitis A vaccine include:
- Children at 12 – 23 months of age
- Travelers to high or intermediate risk countries
- Men who have sex with other men
- Persons who use illegal drugs
- Persons who have clotting factor disorders
- Those who work with Hepatitis A-infected primates or with Hepatitis A virus in a laboratory setting
- Susceptible persons who have chronic liver disease
- Susceptible persons who either are awaiting or have received liver transplants
- Any person one year old or older who wants protection from Hepatitis A
The Hepatitis A vaccine is typically administered in two doses, given 6 months apart. The first dose provides protection for about one year, while the second dose provides long-term protection.
According to the WHO, Hepatitis A vaccine is highly effective in preventing Hepatitis A infection. Studies have shown that the vaccine is more than 95% effective in preventing the disease.
In addition to the routine recommendations, Hepatitis A vaccine may also be recommended for individuals who have been exposed to the virus as part of post-exposure prophylaxis (PEP). In these cases, the vaccine should be administered as soon as possible and within 14 days of exposure.
It is important to note that the Hepatitis A vaccine is not a live vaccine and is therefore safe for individuals with weakened immune systems. However, individuals who have a severe allergy to any component of the vaccine should not receive it.
9. Managing Special Situations
Managing special situations involving Hepatitis A requires specific protocols to prevent outbreaks and protect vulnerable populations. These situations often involve settings where the risk of transmission is higher due to close contact or shared resources.
10. Child Care Settings
Child care settings are particularly vulnerable to Hepatitis A outbreaks due to the close proximity of children and the potential for poor hygiene practices. When a confirmed case of Hepatitis A occurs in a child care setting, the following steps should be taken:
- Notification: Parents and staff must be notified immediately. Hepatitis A fact sheets should be provided to ensure everyone understands the risks and preventive measures.
- Post-Exposure Prophylaxis (PEP): Hepatitis A vaccine or immune globulin (IG) should be administered to all previously unvaccinated staff members and attendees of child care or homes if:
- One or more cases of Hepatitis A are recognized in children or employees. In centers that do not provide care to children who wear diapers, PEP need only be administered to classroom contacts of the index case.
- Cases are recognized in two or more households of center attendees. In centers that do not provide care to children who wear diapers, PEP need only be administered to classroom contacts of the index case.
- Outbreak Management: When an outbreak occurs (i.e., Hepatitis A cases in three or more families), PEP should also be considered for members of households that have children (center attendees) in diapers.
- Hygiene Enforcement: Enforce policies about hand hygiene (with children and staff) and disinfection of objects and environmental surfaces with appropriate bleach solutions or other solutions that state they kill HAV.
- Reporting: Ensure all parents and staff notify the health department if any person in their household is diagnosed with Hepatitis A.
Exclusion Guidelines:
People who are sick with Hepatitis A can return to the program no less than two weeks after the illness started or one week after the onset of jaundice.
11. Schools and Work Settings
In elementary or secondary schools and other work settings, Hepatitis A post-exposure prophylaxis is not routinely indicated when a single case occurs and the source of the infection is outside the setting. However, careful hygienic practices should be emphasized, including the availability of hand hygiene supplies.
Hepatitis A vaccine or IG should be administered to persons who have had close contact with the index case if an epidemiologic investigation indicates HAV transmission has occurred among students in a school.
12. Hospital Protocols
When a person who has Hepatitis A is admitted to a hospital, staff members should be using standard precautions, which should prevent exposure. Routine administration of Hepatitis A post-exposure prophylaxis should not be needed. Instead, careful hygienic practices should be emphasized.
Hepatitis A vaccine or IG should be administered to persons who have close contact with index patients if an epidemiologic investigation indicates HAV transmission has occurred among patients or between patients and staff members in a hospital.
If a hospital staff member is diagnosed with Hepatitis A and is considered a food handler, then the food handler guidelines must be followed. Cases who are healthcare providers should not work until 7 days after the onset of jaundice or two weeks after the onset of symptoms.
13. Community Residential Programs
Actions taken in response to a case of HAV in a community residential program should be handled on a case-by-case basis. Management of contacts will depend on the level of hygiene of the case and the type of facility. Roommates should be given Hepatitis A vaccine or IG as soon as possible and within 14 days of last exposure.
If Hepatitis A occurs in a staff member of a residential program, the case should be considered a food handler if there was an opportunity to feed, distribute medication, prepare foods, or perform oral hygiene during the 2 weeks prior to symptom onset and 1 week after symptom onset. Consult with an epidemiologist for further guidance.
14. Specific Guidelines for Food Handlers
A confirmed case of Hepatitis A in a food handler is a public health emergency and requires that the risk for both co-workers and the public be assessed immediately. A food handler is defined as any person directly preparing or handling food, including a patient care or child care provider, or homemaker.
If a food handler is a laboratory-confirmed case of Hepatitis A, all other food handling employees in the facility must receive Hepatitis A vaccine or IG as soon as possible, unless the contact can produce documentation of Hepatitis A virus (HAV) vaccination or can show serologic immunity to HAV disease. Even after receiving Hepatitis A vaccine or IG, they should wash hands correctly and protect READY-TO-EAT FOOD from contamination introduced by bare hand contact for the next 6 weeks to prevent the spread of infection.
In order to determine if the public needs to be notified of possible exposure to HAV, a complete food handling history of the case for the 2 weeks before and one week after symptom onset needs to be done. This history should include consistency of correct handwashing procedure, presence of diarrhea, dates worked, job duties, foods prepared, and whether gloves or other barrier protection were used by the food handler.
Cases who are food handlers should not work until 7 days after the onset of jaundice or two weeks after the onset of symptoms.
Hepatitis A vaccine or IG administration to patrons is usually not recommended, but can be considered if:
- During the time when the food handler was likely to be infectious, they had diarrhea or poor hygienic practices and directly handled foods served uncooked or handled foods after cooking, and
- Patrons can be identified and treated within 2 weeks after the exposure.
- In settings where repeated exposures to HAV might have occurred (e.g., institutional cafeterias), stronger consideration for more widespread Hepatitis A vaccine IG use may be warranted.
15. Preventive Measures
Preventive measures are crucial in controlling the spread of Hepatitis A and other infectious diseases. These measures include personal hygiene practices, vaccination, and food safety practices.
16. Personal Preventive Measures and Education
Individuals can avoid exposure to the virus by taking the following measures:
- Hand Hygiene: Wash hands thoroughly with soap and water, especially before handling or eating food, after toilet use, and after changing diapers.
- Sanitary Disposal: In child care or residential programs, dispose of feces in a sanitary manner.
- Safe Sexual Practices: Avoid sexual practices that may permit fecal-oral transmission. Latex barrier protection should be emphasized as a way to prevent the spread of HAV to a case’s sexual partners and other pathogens.
- Vaccination: Consider vaccination of those at high risk of contracting Hepatitis A.
17. International Travel Advice
Travelers to areas where Hepatitis A is endemic should receive Hepatitis A vaccine before travel. The first dose of Hepatitis A vaccine should be administered as soon as travel is considered. One dose of single-antigen Hepatitis A vaccine administered at any time before departure may provide adequate protection for most healthy individuals.
For optimal protection, older adults, immunocompromised persons, and persons with chronic liver disease or other chronic medical conditions who are traveling to an area where the risk of transmission is high less than two weeks after the initial dose may also be administered IG, but at a different anatomic injection site.
Completion of the vaccine series according to the licensed schedule is necessary for long-term protection. However, contraindications to the vaccine may preclude individuals from receiving it.
In addition, travelers should pay attention to what they eat and drink:
- “Boil it, cook it, peel it, or forget it.”
- Drink only bottled or boiled water, keeping in mind that bottled carbonated water is safer than non-carbonated water.
- Ask for drinks without ice unless the ice is made from bottled or boiled water.
- Avoid Popsicles and flavored ices that may have been made with contaminated water.
- Eat foods that have been thoroughly cooked and are still hot and steaming.
- Avoid raw vegetables and fruits that cannot be peeled.
- Peel your own raw fruits or vegetables and do not eat the peelings.
- Avoid foods and beverages from street vendors.
18. Incidence Reporting and Outbreak Management
If the number of reported cases in a city/town is higher than usual, or if an outbreak is suspected, investigate clustered cases in the area or institution to determine the source of infection and mode of transmission. A common vehicle (such as food or association with a child care center) should be sought, and applicable preventive or control measures should be instituted. Control of person-to-person transmission requires special emphasis on personal cleanliness and sanitary disposal of feces. Consult with an epidemiologist for further guidance.
19. FAQ About Food Handlers and Illness
1. What should a food handler do if their roommate has Hepatitis A?
If a food handler’s roommate has Hepatitis A, they should immediately inform their employer and consult with a healthcare provider. They may need to get vaccinated or receive immune globulin (IG) as post-exposure prophylaxis and should not work until cleared by a health professional.
2. Can a food handler work if they live with someone who has a cold?
Generally, a food handler can work if they live with someone who has a common cold, provided they themselves are not experiencing any symptoms and practice strict hygiene measures.
3. What are the symptoms of Hepatitis A that a food handler should watch for?
Food handlers should watch for symptoms like fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, clay-colored stools, and jaundice (yellowing of the skin and eyes).
4. How long is a food handler with Hepatitis A contagious?
A food handler with Hepatitis A is typically contagious from two weeks before the onset of symptoms to one week after the onset of jaundice.
5. What is post-exposure prophylaxis (PEP) for Hepatitis A?
PEP for Hepatitis A involves administering either the Hepatitis A vaccine or immune globulin (IG) to individuals who have been exposed to the virus to prevent infection.
6. Should a food handler get vaccinated against Hepatitis A?
Yes, Hepatitis A vaccination is highly recommended for food handlers due to their increased risk of exposure and potential to spread the virus through food.
7. What hygiene practices should a food handler follow if a family member is sick?
A food handler should follow strict hygiene practices, including frequent handwashing, using gloves when handling food, and disinfecting surfaces regularly if a family member is sick.
8. When can a food handler return to work after having Hepatitis A?
A food handler can return to work no sooner than 7 days after the onset of jaundice or two weeks after the onset of symptoms, provided they have been cleared by a healthcare professional.
9. What is the role of the health department in managing Hepatitis A cases involving food handlers?
The health department assesses the risk, arranges for prophylaxis if needed, and helps determine if the public needs to be notified of possible exposure to HAV, and provides guidance on preventing further spread.
10. Are there specific guidelines for food handlers working in childcare settings?
Yes, food handlers in childcare settings must adhere to strict hygiene and exclusion guidelines to prevent the spread of Hepatitis A, including administering post-exposure prophylaxis to staff and attendees if a case is identified.
20. FOODS.EDU.VN: Your Ultimate Resource for Food Safety
Navigating the complexities of food safety can be daunting, but FOODS.EDU.VN is here to help. We provide comprehensive resources on food handling, hygiene practices, and infectious disease prevention, ensuring you have the knowledge to protect yourself and others. Whether you’re a food handler, employer, or simply someone interested in food safety, our website offers valuable insights and practical guidance.
Explore FOODS.EDU.VN today and discover:
- Detailed articles on foodborne illnesses and their prevention.
- Step-by-step guides on proper handwashing and food handling techniques.
- Information on vaccine recommendations and post-exposure prophylaxis.
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Understanding the Importance of Food Safety
Food safety is not just a set of rules, but a critical practice that protects public health. FOODS.EDU.VN emphasizes the significance of adhering to these guidelines to prevent the spread of foodborne illnesses.
Essential Hygiene Practices
Proper handwashing is the first line of defense against foodborne illnesses. FOODS.EDU.VN provides clear, step-by-step instructions to ensure effective hygiene practices.
Knowing the Risks of Hepatitis A
Hepatitis A is a serious concern for food handlers. FOODS.EDU.VN offers in-depth information on the virus, its transmission, and how to prevent its spread.
The Benefits of Vaccination
Vaccination is a key preventive measure for food handlers. FOODS.EDU.VN provides resources on recommended vaccines and their benefits.
Maintaining Safe Work Environments
FOODS.EDU.VN offers guidance on creating and maintaining safe work environments to protect both employees and customers.
Travel Safety Tips
For food handlers traveling abroad, FOODS.EDU.VN provides essential tips to stay safe and prevent exposure to Hepatitis A.
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