Would you like some hepatitis A with your burger? According to Bill Marler on Food Safety News, that’s essentially the question restaurant workers from suburban New York to Moose Jaw, up in Saskatchewan, should be asking customers when they fail to get vaccinated. And it’s high time they do, he says. Last week alone, restaurants in these regions and others issued hepatitis A warnings to their customers due to infected workers.

“Absent vaccinations of food handlers, combined with an effective and rigorous hand-washing policy, there will continue to be more hepatitis A outbreaks,” warns Marler. He says the illness is the only food-borne one that is preventable with a vaccine. “According to the U.S. Centers for Disease Control and Prevention (CDC), since the inception of the vaccine, rates of infection have declined 92 percent,” explains Marler.

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