MICHIGAN (WJRT) (10/31/2017) - The Michigan Department of Health and Human Services has activated the state's emergency operations center as a Hepatitis A outbreak in Mid-Michigan and Southeast Michigan grows.
So far, 18 people have died since August 2016 and there have been more than 450 reported cases. Public health officials are trying to stop it from spreading further.
Hepatitis A cases have been reported in 11 Michigan counties: Huron, Ingham, Lapeer, Livingston, Macomb, Monroe, Oakland, Sanilac, St. Clair, Washtenaw and Wayne.
The illness is spread from person to person or through contaminated food. Symptoms include abdominal pain, nausea, diarrhea, fever and jaundice.
Public health officials are urging vaccinations for people most at risk of infection, including people with a history of substance abuse, gay men, food handlers, health care workers and people with liver disease.