The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Westbrook food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.

The individual worked during their infectious period at Legends Rest Taproom and Paper City BBQ, both located at 855 Main St., Westbrook on the following dates:

• January 14
• January 17-21
• January 24-28
• January 31
• February 2-4

Anyone who dined in or ordered takeout from these locations during these dates could be at risk for hepatitis A infection. The proprietors are working closely with the Maine CDC, and there is no concern about ongoing exposure outside these dates.

You can prevent getting hepatitis A with a vaccine, and those exposed to hepatitis A can avoid getting sick if they get the vaccine within 14 days of the exposure. The hepatitis A vaccine is a two-dose series. After one dose, at least 94 out of 100 people become immune to the hepatitis A virus for several years. Getting the second dose ensures long-term protection.

Individuals who were potentially exposed should:

1. Discard any leftover food bought at Legends Rest Tap Room and Paper City BBQ during the dates listed above.
2. If eligible, get vaccinated.
   • If you ate or drank from these restaurants during these dates, get a hepatitis A vaccine within 14 days of the last time eating or drinking there.
   • If more than 14 days have passed, people who have not previously been vaccinated may still get the vaccine at any time to protect against future exposures.
   • Individuals who worked in the restaurants during these dates should get a hepatitis A vaccine within 14 days of their last date worked.
   • Ask your healthcare provider if you need hepatitis A immune globulin (IG) and the hepatitis A vaccine; certain people may need both.
   • If you are already vaccinated for hepatitis A, you are already protected. You do not need to get any additional hepatitis A vaccine doses now.
3. If you ate, drank, or worked at these restaurants during any of these dates, watch for symptoms of hepatitis A for up to 50 days from the last day you were there. If you experience any of the symptoms listed below, seek medical attention.
   • feeling tired
   • low or no appetite
   • stomach pain
   • nausea
   • diarrhea
   • dark-colored urine
   • jaundice (yellowing of the skin and eyes)
   • fever
   • joint pain

Symptoms begin to show 15–50 days after exposure to the virus and can range from mild to severe. People who get very ill may need to go to a hospital, and their symptoms can last several months. Most children younger than six years old have mild or no symptoms.

Cases of hepatitis A in Maine have remained elevated since an initial increase in 2019. People at increased risk of becoming infected should protect themselves with a hepatitis A vaccine. For more information on hepatitis A, visit www.cdc.gov/hepatitis/hav/.