--- title: "Final report names D'Angelo as main source of hepatitis A" date: 2002-12-31T00:24:00-08:00 author: admin canonical_url: "https://marlerclark.com/news_events/final-report-names-dangelo-as-main-source-of-hepatitis-a" section: Case News Additional --- [All News](/news_events) / [](https://marlerclark.com/news_events) / # Final report names D'Angelo as main source of hepatitis A **Improper food handling by a manager at the sub shop was cited as the likely cause in the state's report, which also said no cases were traced to Rudy's Country Store.**A majority of 46 Bristol County residents who contracted hepatitis A during a regional outbreak late last year were exposed to the virus at a Swansea D'Angelo shop, according to a final report by the Massachusetts Department of Public Health. The report also determined that "improper food handling" was the likely cause of the outbreak and a D'Angelo manager was probably the "source." The spread of hepatitis A in the region in November and early December affected a total of 52 people, including at least five who were hospitalized. It also forced hospitals to immunize more than 1,700 who were deemed at risk. Throughout the crisis, health authorities publicized a running count of sick people who had eaten food from the D'Angelo franchise in the Swansea Place shopping plaza on Route 6. But the state hasn't cited the shop as a site of exposure until now. The report was compiled by three state epidemiologists who turned it over to health department officials on March 1. The D'Angelo franchise informed the state on Oct. 25 that a manager had tested positive for hepatitis A, says the report, which does not identify the employee by name. However, it says the manager was a Rhode Island resident who worked in two local D'Angelo shops, the one in Swansea and another in Seekonk. The manager, a corporate trainer, told investigators that he was a diligent hand-washer who wore gloves when he occasionally prepared food. He had worked at both locations while he was infectious from Oct. 3 to Oct. 24, the report says. "The risk of transmission to patrons was thought to be low since bare-hand contact with ready-to-eat foods was denied," the report says. "Thus, no public notice was released for patrons." Hepatitis A is the mildest form of hepatitis infection. It is rarely fatal. Still, its symptoms -- fever, fatigue, loss of appetite, nausea and jaundice -- can be uncomfortable, and serious for people with weak immune systems. Exposure to the virus is "fecal-oral," meaning that if people with hepatitis A fail to wash themselves properly after defecating, they can easily transmit the virus to others by touching food, or through close personal contact. On Nov. 20, the Southcoast hospitals network reported seven hepatitis A cases to the state. Local health boards were notified and the state began its investigation. Meanwhile, the caseload grew. On Dec. 11, state epidemiologists initiated a case-control study, focusing their work on Bristol County residents who had symptoms between Oct. 18 and Nov. 29 and who tested positive before Dec. 11. A total of 46 people fell within this group. Of these, 76 percent reported having eaten at the D'Angelo shop, the report says. In early December, it was too late to immunize anyone who had been exposed at the D'Angelo shop in October and early November. But health authorities were immunizing scores of people who ate certain foods from Rudy's Country Store on Wilbur Avenue in Swansea. Two Rudy's employees had tested postive for the virus after eating at the D'Angelo shop. However, the state has not traced any hepatitis cases back to Rudy's, the report says. Bill Chicarelli, a spokesman for D'Angelo, said yesterday that he was not aware of the state's report. "I think what we're dealing with is still a level of speculation," he said. After listening to the report's summary, he said the language was not "definitive." The Swansea D'Angelo shop has been closed for several months. Chicarelli said the closure is due to a scheduled remodeling of the facility and the shop should reopen in late April or early May. ### Other Lawsuits [Raw Farms linked to another Raw Milk Cheese E.coli Outbreak - 9 People sickened - Company refuses to recall product](https://marlerclark.com/raw-farms-linked-to-another-raw-milk-cheese-e-coli-outbreak-7-people-sickened) [Salmonella linked to Live it Up hits 97](https://marlerclark.com/salmonella-linked-to-live-it-up) [64 with Salmonella tied to Oysters](https://marlerclark.com/64-with-salmonella-tied-to-oysters) [Vega Farms Salmonella Outbreak Sickens 63](https://marlerclark.com/vega-farms-salmonella-outbreak-sickens-63) [By Heart Infant Formula tied to Botulism Outbreak spikes to 51](https://marlerclark.com/by-heart-infant-formula-tied-to-botulism-outbreak) [Green Supplement causes Salmonella Outbreak](https://marlerclark.com/green-supplement-causes-salmonella-outbreak) [10 with E. coli linked to Cheese](https://marlerclark.com/3-with-e-coli-linked-to-cheese) [Kroger and Walmart Pasta Listeria Outbreak](https://marlerclark.com/kroger-and-walmart-pasta-listeria-outbreak) [Salmonella Outbreak tied to Metabolic Meals](https://marlerclark.com/salmonella-outbreak-tied-to-metabolic-meals) [Giardia Outbreak hits Kentucky - El Tapatio Mexican restaurant suspected as the source](https://marlerclark.com/giardia-outbreak-hits-madisonville-kentucky-el-tapatio-mexican-restaurant-suspected-as-the-source) [Kentucky Salmonella outbreak linked to Ramsey’s Diners and Missy’s Pies](https://marlerclark.com/kentucky-salmonella-outbreak-linked-to-ramseys-diners-and-missys-pies) [Sycamore Pool in Chico California Contaminated with E.coli - Two teens in ICU](https://marlerclark.com/sycamore-pool-in-chico-california-contaminated-with-e-coli-two-teens-in-icu) ### Lawsuit updates about foodborne illnesses [Reactive Arthritis Lawsuit Updates](/news_events/case-news?illness=reactive-arthritis&year=all) [E. coli Lawsuit Updates](/news_events/case-news?illness=e-coli&year=all) [Guillain-Barre Syndrome Lawsuit Updates](/news_events/case-news?illness=guillain-barre-syndrome&year=all) [Salmonella Lawsuit Updates](/news_events/case-news?illness=salmonella&year=all) [Hemolytic Uremic Syndrome Lawsuit Updates](/news_events/case-news?illness=hemolytic-uremic-syndrome&year=all) [Listeria Lawsuit Updates](/news_events/case-news?illness=listeria&year=all) [Irritable Bowel Syndrome Lawsuit Updates](/news_events/case-news?illness=irritable-bowel-syndrome&year=all) [Hepatitis A Lawsuit Updates](/news_events/case-news?illness=hepatitis-a&year=all) [Norovirus Lawsuit Updates](/news_events/case-news?illness=norovirus&year=all) [Botulism Lawsuit Updates](/news_events/case-news?illness=botulism&year=all) [Campylobacter Lawsuit Updates](/news_events/case-news?illness=campylobacter&year=all) [Shigella Lawsuit Updates](/news_events/case-news?illness=shigella&year=all) [Cyclospora Lawsuit Updates](/news_events/case-news?illness=cyclospora&year=all) ### Lawsuits updates by year [Foodborne Illness Lawsuits in 1998](https://marlerclark.com/news_events/case-news?illness=all&year=1998) [Foodborne Illness Lawsuits in 1999](https://marlerclark.com/news_events/case-news?illness=all&year=1999) [Foodborne Illness Lawsuits in 2000](https://marlerclark.com/news_events/case-news?illness=all&year=2000) [Foodborne Illness Lawsuits in 2001](https://marlerclark.com/news_events/case-news?illness=all&year=2001) [Foodborne Illness Lawsuits in 2002](https://marlerclark.com/news_events/case-news?illness=all&year=2002) [Foodborne Illness Lawsuits in 2003](https://marlerclark.com/news_events/case-news?illness=all&year=2003) [Foodborne Illness Lawsuits in 2004](https://marlerclark.com/news_events/case-news?illness=all&year=2004) [Foodborne Illness Lawsuits in 2005](https://marlerclark.com/news_events/case-news?illness=all&year=2005) [Foodborne Illness Lawsuits in 2006](https://marlerclark.com/news_events/case-news?illness=all&year=2006) [Foodborne Illness Lawsuits in 2007](https://marlerclark.com/news_events/case-news?illness=all&year=2007) [Foodborne Illness Lawsuits in 2008](https://marlerclark.com/news_events/case-news?illness=all&year=2008) [Foodborne Illness Lawsuits in 2009](https://marlerclark.com/news_events/case-news?illness=all&year=2009) [Foodborne Illness Lawsuits in 2010](https://marlerclark.com/news_events/case-news?illness=all&year=2010) [Foodborne Illness Lawsuits in 2011](https://marlerclark.com/news_events/case-news?illness=all&year=2011) [Foodborne Illness Lawsuits in 2012](https://marlerclark.com/news_events/case-news?illness=all&year=2012) [Foodborne Illness Lawsuits in 2013](https://marlerclark.com/news_events/case-news?illness=all&year=2013) [Foodborne Illness Lawsuits in 2014](https://marlerclark.com/news_events/case-news?illness=all&year=2014) [Foodborne Illness Lawsuits in 2015](https://marlerclark.com/news_events/case-news?illness=all&year=2015) [Foodborne Illness Lawsuits in 2016](https://marlerclark.com/news_events/case-news?illness=all&year=2016) [Foodborne Illness Lawsuits in 2017](https://marlerclark.com/news_events/case-news?illness=all&year=2017) [Foodborne Illness Lawsuits in 2018](https://marlerclark.com/news_events/case-news?illness=all&year=2018) [Foodborne Illness Lawsuits in 2019](https://marlerclark.com/news_events/case-news?illness=all&year=2019) [Foodborne Illness Lawsuits in 2020](https://marlerclark.com/news_events/case-news?illness=all&year=2020) [Foodborne Illness Lawsuits in 2021](https://marlerclark.com/news_events/case-news?illness=all&year=2021) [Foodborne Illness Lawsuits in 2022](https://marlerclark.com/news_events/case-news?illness=all&year=2022) [Foodborne Illness Lawsuits in 2023](https://marlerclark.com/news_events/case-news?illness=all&year=2023) [Foodborne Illness Lawsuits in 2024](https://marlerclark.com/news_events/case-news?illness=all&year=2024) [Foodborne Illness Lawsuits in 2025](https://marlerclark.com/news_events/case-news?illness=all&year=2025) [Foodborne Illness Lawsuits in 2026](https://marlerclark.com/news_events/case-news?illness=all&year=2026) ##### Get Help #### Affected by an outbreak or recall? The team at Marler Clark is here to answer all your questions. Find out if you’re eligible for a lawsuit, what questions to ask your doctor, and more. [ Get a free consultation ](https://marlerclark.com/contact) ##### Related Resources ###### [E. coli](https://marlerclark.com/foodborne-illnesses/e-coli-landing) ... ###### [E. coli Food Poisoning](https://marlerclark.com/foodborne-illnesses/e-coli/e-coli-food-poisoning) What is E. coli and how does it cause food poisoning? Escherichia coli (E. coli) is a highly studied, common species of bacteria that belongs to the family Enterobacteriaceae, so... ###### [E. coli O157:H7](https://marlerclark.com/foodborne-illnesses/e-coli/e-coli-o157h7) E. coli O157:H7 is a foodborne pathogen that causes food poisoning. E. coli O157:H7 is the most commonly identified and the most notorious Shiga toxin-producing E. coli (STEC) serotype in... ###### [Non-O157 STEC](https://marlerclark.com/foodborne-illnesses/e-coli/non-o157-stec) Non-O157 Shiga Toxin-Producing E. coli can also cause food poisoning. E. coli O157:H7 may be the most notorious serotype of Shiga toxin-producing E. coli (STEC), but there are at least... ###### [Sources of E. coli](https://marlerclark.com/foodborne-illnesses/e-coli/sources-of-e-coli) Where do E. coli O157:H7 and non-O157 Shiga toxin-producing E. coli (STEC) come from? The primary reservoirs, or ultimate sources, of E. coli O157:H7 and non-O157 STEC in nature are... ##### Outbreak Database #### Looking for a comprehensive list of outbreaks? The team at Marler Clark is here to answer all your questions. Find out if you’re eligible for a lawsuit, what questions to ask your doctor, and more. [ View Outbreak Database ](https://outbreakdatabase.com)