In San Diego California, the county Health and Human Services Agency published new weekly totals, which add one to the number of deaths recorded since the health crisis started in November 2016. The running tally of confirmed cases also continues to increase, reaching 536 from a previous total of 516 – including 20 deaths. On September 15th the county notified the public that a worker at World Famous restaurant in Pacific Beach had tested positive.
In Michigan, since August 2016, there have been 457 confirmed cases of hepatitis A – including 18 deaths. These have occurred in Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw, and Wayne counties. Of the confirmed cases, 85 percent of patients were hospitalized. On October 30th, Little Caesars Pizza store and Firewater Bar and Grill employees were implicated. Cardamom restaurant was implicated on October 5th.