ADPH recommends hepatitis A vaccine for all food workers


CONTACT: Burnestine Taylor, M.D.
(334) 206-5325
CONTACT: Ron Dawsey
(334) 206-5375

The Alabama Department of Public Health (ADPH), Immunization Division, encourages food service owners and managers to consider requiring hepatitis A vaccine for all food workers. While food workers are not at a higher risk than other workers, some fall into high-risk groups and would place customers at risk if they became infected.

Hepatitis A virus is commonly spread because of poor hand hygiene which allows the transfer of small amounts of stool containing the virus. Thorough handwashing after going to the bathroom and vaccination are the best ways to prevent spread of hepatitis A.

Since September 2018, Alabama has been investigating and trying to stop a statewide hepatitis A outbreak which continues to spread. As of August 14, there were 132 confirmed outbreak-related cases in at least 25 Alabama counties. There have been multiple confirmed cases in food workers, a fact which should concern every restaurant owner and manager.

If a food worker is infectious when working and fails to follow proper hand hygiene, hepatitis A virus can be spread to coworkers and customers. For the latest numbers and location of outbreak-related cases, please go to

If it is determined that there has been a potential exposure to customers, this will require intensive public health efforts. In most cases of food-associated exposures through infected food handlers, the restaurant’s name will be released to the public to assist in the identification and notification of persons with potential exposure for the purposes of vaccinating those who have not been vaccinated.

While this is not a requirement, ADPH is strongly encouraging food service owners and managers to consider hepatitis A vaccinations in addition to educating employees on proper handwashing, including training consisting of observation in doing it.

In addition, food workers should

  • Never touch ready-to-eat foods with bare hands
  • Never work while they are sick with stomach (gastrointestinal) illnesses.

For more information about hepatitis A disease and vaccine, go to

County health departments throughout Alabama provide a wide range of confidential and professional services. Contact your local county health department for additional information.

Mission: To promote, protect, and improve Alabama’s health

Vision: Healthy People. Healthy Communities. Healthy Alabama.