Litigation proceeded in a Virginia state court against Tropical Smoothie and the strawberry supply chain. There were 134 people with hepatitis A reported from nine states: Arkansas (1), California (1), Maryland (12), New York (3), North Carolina (1), Oregon (1), Virginia (107), West Virginia (7), and Wisconsin (1). 52 ill people were hospitalized. No deaths occurred.
Epidemiologic and traceback evidence indicated frozen strawberries imported from Egypt were the likely source of this outbreak.
Hepatitis A is an inflammation of the liver caused by the hepatitis A virus. The classic symptom of hepatitis A is jaundice, which is a yellowing of the skin or the eyes. Other symptoms of hepatitis A include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine and light-colored stools. Symptoms develop 15-50 days after exposure to the virus, which can occur through direct contact with another person who has the infection or by consuming food or drink that has been contaminated with the virus.
Routine vaccination against hepatitis A has reduced the risk of this disease in the past decade. Vaccination is available to anyone, but specifically recommended for all children, for travelers to certain countries, and for people at high risk for infection with the virus. Hepatitis A vaccine is available from health care providers (including some pharmacies and travel clinics) to protect against this disease.