Medical Advisory - Heightened Surveillance for Hepatitis A

Released June 29, 2017

​Issued by: M. Mustafa Hirji, MD MPH FRCPC Associate Medical Officer of Health


  • ​​A case of Hepatitis A has been diagnosed in an employee of a restaurant by Toronto Public Health
  • Anyone who consumed food or beverages at O'Grady's on Church restaurant located at 518 Church St. in Toronto between June 7 and June 23 may have been exposed
  • While the risk is low, individuals who consumed food or beverages from this restaurant during these dates should watch for signs and symptoms, practice thorough hand washing and consider contacting their health care provider as they may be eligible for vaccination
  • There are no cases at this time in Niagara
  • Please be on heightened surveillance for any additional cases of Hepatitis A

Clinical Presentation

  • Average incubation period 28 to 30 days (range 15-50 days)
  • Infection often manifests as an asymptomatic or mild illness in childhood
  • Symptoms in adults can include
    • ​Fever
    • Malaise / anorexia
    • Nausea
    • Abdominal discomfort
    • Followed in a few days by jaundice

Diagnosis and Management

  • If your patient has consumed food or beverages at O'Grady's on Church restaurant located at 518 Church St. in Toronto between June 7 and June 23, they should call the Infectious Disease program at Niagara Region Public Health (NRPH) to discuss the potential for vaccination
  • NRPH will hold a free hepatitis A vaccine clinic on July 4th for eligible contacts who consumed food or beverages at this restaurant during this time period. If publicly funded hepatitis A vaccine is available in your office setting, it can be administered to eligible contacts.
  • The hepatitis A vaccine is most effective when received within 14 days of exposure

For further information, please contact NRPH, Infectious Disease program at 1-888-505-6074 or 905-688-8248 ext. 7330 Monday to Friday 08:30 am to 4:30 pm, after hours 905-984-3690.

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