
Hepatitis A Outbreak Continues Into Fall
Spokane County’s hepatitis A outbreak, which began in June 2019, continues to advance with new cases diagnosed every week. Primarily affecting people experiencing homelessness and/or substance abuse, 59 cases were reported as of November 17, 2019 with a 69 percent hospitalization rate and a median length of hospital stay of four days. Potentially contributing to the high hospitalization rate, at least 35 percent of cases had evidence of chronic viral hepatitis co-infection with hepatitis B and/or hepatitis C. At least 86 percent had known risk factors of homelessness and/or substance abuse.