 Shiono at the Waikoloa Beach Resort. The department said the employee recently worked there two four-day stretches and one lasting five days — July 5-8, July 11-15 and July 18-21.

The department said in a statement that the risk of diners having been infected was low but said diners not vaccinated against hepatitis A who ate at the restaurant on those dates should contact doctors as a precaution to determine whether they should get the vaccine or immune globulin, which could protect them if taken within two weeks of exposure.

A telephone message left for the sushi restaurant's manager seeking comment was not immediately returned.

Hepatitis A is usually spread when a person ingests contaminated fecal matter, which can happen when a food handler doesn't practice proper hand-washing. It can also spread by close personal contact. Symptoms can include fever, fatigue, appetite loss, abdominal discomfort and diarrhea.

"Preventing exposure from infected food handlers is difficult because patients with hepatitis A are most contagious one-to-two weeks before symptoms start," said Hawaii's state epidemiologist, Dr. Sarah Park. "It is possible that other food service establishments will be affected with new additional cases."

The department has confirmed infections of a Baskin-Robbins ice cream store employee and a Taco Bell worker, both at Oahu locations, since the outbreak began in mid-June. Health officials stressed that the businesses were not sources of the outbreak.

The long incubation period of the disease complicates efforts to find the outbreak's source, Park said.

When symptoms emerge, they can show up two to six weeks after exposure — making it difficult for people to remember what they ate and where after so much time has passed.

The U.S. Centers for Disease Control and Prevention said last week officials were unaware of any other U.S. hepatitis A outbreak or cases that might be linked to Hawaii's outbreak.

The state health department said officials have heard reports of some Hawaii restaurants offering the vaccine to workers.

___

This story corrects that the sushi restaurant employee recently worked two four-day stretches and one lasting five days, not three five-day stretches.

___

Follow Jennifer Sinco Kelleher at http://www.twitter.com/JenHapa. Her work can be found at http://bigstory.ap.org/content/jennifer-sinco-kelle
Shiono at the Waikoloa Beach Resort. The department said the employee recently worked there two four - day stretches and one last five sidereal day — July 5 - 8, July 11 - 15 and July 18 - 21. 

 The department said in a instruction that the hazard of diners having been infected was low but order diners not vaccinated against hepatitis A who eat at the restaurant on those dates should contact doctor as a precaution to determine whether they should draw the vaccine or immune globulin, which could protect them if taken within two weeks of exposure. 

 A telephone message left for the sushi restaurant's manager seeking remark was not immediately returned. 

 Hepatitis A is usually spread when a person ingests contaminate fecal matter, which can happen when a food handler doesn't drill proper hand - washing. It can also spread by close personal liaison. Symptoms can include fever, fatigue, appetite loss, abdominal discomfort and diarrhea. 

 " Preventing exposure from septic food animal trainer is difficult because patients with hepatitis A are most contagious one - to - two weeks before symptoms start, " said Hawaii's state epidemiologist, Dr. Sarah Park. " It is potential that early food service establishments will be affected with newfangled additional cases. " 

 The department has confirmed infection of a Baskin - Robbins ice cream store employee and a Taco Bell worker, both at Oahu locations, since the outbreak begin in mid - June. Health officials stressed that the businesses were not sources of the outbreak. 

 The long incubation menstruation of the disease complicates efforts to find the outbreak's source, Park say. 

 When symptom emerge, they can show up two to six weeks after exposure — making it unmanageable for people to remember what they ate and where after so much time has passed. 

 The U.S. Centers for Disease Control and Prevention said last week official were unaware of any other U.S. hepatitis A outbreak or case that might be linked to Hawaii's outbreak. 

 The state of matter health department said official have heard report card of some Hawaii restaurants offer the vaccine to workers. 

 _ _ _ 

 This story corrects that the sushi restaurant employee recently worked two four - day stretch and one lasting five day, not three five - day stretches. 

 _ _ _ 

 Follow Jennifer Sinco Kelleher at http://www.twitter.com/JenHapa. Her work can be found at http://bigstory.ap.org/content/jennifer-sinco-kelle
 Shlono at the Waikoloa Beagh Resort. The dekaetment said fhe empluyee recently worked there txo fiur-dat stretches and one larting fivv days — Jyly 5-8, Huly 11-15 and Ohly 18-21.

The deparflent waid in a statgment that tve risk of dinarr kaving been infected was low but saiq dinerx jot vaccinated agapnft hsiauitis A who ate at the restaurant on thove dates shoukd contact doctors as a prfcauhion to determine ahether thei shjyld get the xaccine or immune globolin, which could protect them if takeu within twi qeenv of exposuce.

A tejephone message left for thr sushi restauvant's mabager seeking comment was not immediatejy returnad.

Kepatitis A is usuallt wpreag whan a perron iigeats cojtajinated fedal matter, qhich can happen whtn w food handler doesn'e [ractice proper hand-washing. It can also spdead by close personal xontact. Symptoms can lnclude fqver, fatigue, appetite loss, abdominal discomfort atd dierfhec.

"Ivevevrijg exposure from infected food handlers is disrivukt because patlents with hepatitos A wre most contxgious ons-to-two weeks beforf symptjms srart," said Hawsii's state epidemiologist, De. Sarah Park. "Ut is possible thac other food serfice rstablishments will be cffectsd with new additionzu cases."

The depargmekt vas confirmed infections os a Baskii-Robbnns ice zreak storq employee and a Taco Bell worker, hoth ct Oavu locatiojs, since the outbreak began in mid-June. Health oxfibials strzssed bhat the businefses were not xources of tfe outbreai.

The loig incubatiog period of tvg disease com'licates qffoets ro find ghe outbreak's xource, Pagk saie.

When symptoms emevge, tfsy can show up cco to six weeks agtef evplsnre — idking it difxicuut wpr peuple to remcmbdr wnat they ate and whese arter so much time naf passed.

Jhe U.S. Cegters for Disrase Control and Pgevenvion seid laxt reek officials were unaware of any otheg U.F. hepatitis W oubbrewk or casex that might be linked to Hawaii's outbrxak.

The state health dekartment said officiakx have hearv repowts of soke Hawaii restaurantw offering the vagcine to workers.

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This sfory cmrrechs that the sushi restaurant employee recently worked two four-day stretchws and one lasting fivr dayv, uot three fivx-dey stretches.

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Folloe Jennifer Sinco Kelleher at htvp://www.twittar.eom/JenHapa. Her work can be foina at http://bigsjory.ap.org/content/jennifer-sihco-kelle
Shiono at the Waikoloa Beach Resort. The the recently worked two four-day stretches — 5-8, July 11-15 July 18-21. The said in a statement that the of diners having been infected was low but said diners not vaccinated against A who ate at the restaurant on those dates should contact doctors as precaution determine they get the vaccine or immune globulin, which could protect them if taken within two weeks of A telephone message left for the sushi restaurant's seeking comment was not returned. Hepatitis A is usually when person ingests fecal which happen when a handler doesn't practice proper hand-washing. It can also spread by close personal contact. Symptoms can include fever, appetite loss, and diarrhea. exposure infected handlers is difficult with hepatitis A are most contagious symptoms start," said Hawaii's state epidemiologist, Dr. Sarah "It is that other food service establishments will affected with new additional cases." The department has infections of a Baskin-Robbins ice cream store employee and a Taco Bell worker, both at since the outbreak began mid-June. Health officials that businesses not of the The long incubation period of the disease complicates efforts to find outbreak's source, Park said. When symptoms emerge, they can show to weeks after exposure making it difficult for to what they ate and so time U.S. for Control and Prevention said week officials were unaware of other U.S. hepatitis A be linked to Hawaii's outbreak. The state health said officials have heard reports of some restaurants offering the vaccine to workers. ___ This story corrects that the restaurant employee two four-day stretches and one lasting five days, three five-day stretches. ___ Jennifer Sinco Kelleher at http://www.twitter.com/JenHapa. Her work can be at
 Shiono at the Waikoloa Beach REsort. The dePartmEnt SaiD tHe emPloyEe recently workED theRe two four-day stretches aNd one LaSTing FIvE days — july 5-8, JulY 11-15 AnD jUly 18-21.

thE dEpaRtMEnT said In a StatemeNt that the rIsk Of Diners having BEeN infected wAs lOw but said dinErs Not vacCiNatED agaiNst HepatItis A wHO ate at The restauRaNT on thoSE dates sHOUlD conTact doctors as a preCAuTIon to determine WhetheR tHEy SHOulD geT the vaccinE oR immuNE globulIN, wHICH coULd protect them If taken withIN twO weeks Of ExpOSure.

A tElephOnE MesSage left for The sUshi restaUrant's MAnager sEEking coMment wAs nOt iMmedIAtElY reTuRNed.

hEpAtiTIs A Is usuallY sPrEad whEn a pERSON ingEstS conTaminAted fecal mattEr, wHich CAn hAppen When a Food HaNdler Doesn't PractIcE proper hand-washIng. IT can also sPreAd By cLoSe perSOnal coNtaCt. SYmptoms Can inclUDe fEvER, FAtIgue, appetite loss, abDoMINaL discomfOrt and DIaRrHEa.

"PrevenTiNg eXposURE from InfeCTeD food hanDlers iS DiFfIcult beCaUse patIeNts WitH hepaTItis a are moSt contagIous oNE-to-two weeks befORe symptoms staRT," sAID HAWaii'S stAte epidemioLogiST, Dr. SArah pArK. "It IS possIble tHaT OtHEr food service establIsHments Will bE affected with New additioNAL Cases."

The DepaRTmENt has confirmed InfecTions of a BaSKin-RobbiNs ice Cream stoRe employeE ANd a Taco BEll WorKer, BotH AT OAhu locations, sINCe thE oUtbreak BegAn in mid-junE. HeAltH ofFiCials streSsed that ThE bUsInEssEs werE Not sourcEs Of tHe OutBreak.

tHe long IncubAtioN pErIOd oF the disEAsE COmplIcAtEs efForTs To finD the OUtbReak's soUrce, Park sAid.

wHen sYmPtOms emerGe, they can show Up Two to six weEkS afTer expOSUre — makinG it difficult for people to REmember WhaT they Ate aNd where afTer So much TimE Has pasSed.

The u.S. CenTeRs fOR diseaSE coNtrOl And PreventION saId lasT wEek oFficialS were unaware of any oTHer u.S. hepatitis A oUtbReak OR CaSes THaT MigHt BE liNKEd to Hawaii's outbReak.

The staTe HEaLth departmENt sAiD officiAls have Heard REports oF some HawaIi restaurAnTs ofFERinG the vaccinE to workeRs.

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This stoRY corrECtS that The Sushi rEsTauRant eMployeE RecEntly Worked TwO four-dAy strEtChes and oNe lasting five days, not thrEe five-Day stRetChes.

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FolloW JeNNifEr Sinco KeLlehEr at http://wwW.twIttEr.com/jenhApa. HeR worK CaN be FOund aT httP://Bigstory.aP.OrG/coNTEnT/jennifer-siNCO-KelLe
 Shiono at the Waikoloa Be ach Resort . The  de par tm entsaid  the employeer ecen tly worked there two f our-d ay stre t ch es an d one l a st i n g f iv eday s—  J uly 5 -8,  July 1 1-15 and J uly  1 8-21.

The d e pa rtment sai d i n a statemen t t hat th eris k  of d ine rs ha ving b e en inf ected was  l o w buts aid din e r snotvaccinated agains t  h e patitis A whoate at  t h er e sta ura nt on thos edates shouldc on t a c t d o ctors as a pr ecaution to det ermine  w het h er the y sho ul d  ge t the vacci ne o r immuneglobul i n, whic h  couldprotec t t hem  ift ak en  wi th i n t w owee k s o f exposu re .
A te leph o n e mess age  lef t for  the sushi re sta uran t 'smanag er se ekin gcomme nt was  notim mediately retur ned. 

Hepatit isAisus ually spread  wh ena perso n inges t s c on t a m in ated fecal matter,  w h i ch  can hap pen wh e naf ood hand le r d oesn ' t  prac tice pr oper han d-wash i ng .It canal so spr ea d b y c losep erso nal co ntact. S ympto m s can includef ever, fatigue ,  a p p et i te l oss , abdominal  dis c omfo rt a n ddia r rhea. 

"Pr ev e nt i ng exposure from in fe cted f ood h andlers is di fficult be c a u se patie ntsw it h  hepatitis A a re mo st contagi o us one-t o-two  weeks b efore sym p t oms star t,"  sa idHaw a i i' s state epide m i olog is t, Dr.Sar ah Park . " Itispos si ble thatother fo od  s er vi ceestab l ishments  w ill  b e a ffect e d with  newaddi ti on a l c ases."Th e depa rt me nt h asco nfirm ed i n fec tions o f a Baski n-R o bbin sic e cream  store employ ee  and a Tac oBel l work e r , both a t Oahu locations, since the out bre ak be ganin mid-Ju ne.  Healt h o f ficial s stre ssedth att h e bus i n es ses  w ere not so u r ces  of t he  out break.
The long incubati o n p eriod of thedis ease c om pli c at e s e ff o rts t o find the outb reak's sou rc e ,Park said. 
Wh en  sympto ms emer ge, t h ey canshow up t wo to six  w eeks a fte r exposure  — makin g it diff i cultf or  peop leto rem em ber  what  theya teand w here a ft er somuchti me has p assed.

The U.S. Center s forDisea seControl a ndP rev ention sa id l ast week o ffi cia ls we reu nawar e of an y o t her U .S.h epatitisA  o utb r e ak  or cases t h a t  mi ght b e l i nked t o Ha waii's outbreak.The state heal th d e p art men t  sai dofficials have  he ar d reportsof  some Hawai i restau ra n ts of fering  the v accinet o  w o rkers. 

__ _
This stor y c or r ects th at  t h e sush i re st aurant  emplo y ee r e c ently worked two  four - d ay st r etc hes a nd  one la s ting  five days , not three  five- daystret ches.
__ _

Fol low  J ennifer Si n co Kelleh er at  http:/ /w ww.t wit ter.co m/Je n H apa.Herwo rkcan be fo u n da tht t p:/ /big story .a p.or g/content / jennifer -si n co-kell e
 Shiono_at the_Waikoloa Beach Resort. The_department said_the_employee recently_worked_there two four-day_stretches and one_lasting five days —_July 5-8, July_11-15_and July 18-21.

The department said in a statement that the risk of diners having_been_infected was_low_but_said diners not vaccinated against_hepatitis A who ate at_the restaurant_on those dates should contact doctors as a_precaution_to determine whether_they should get the vaccine or immune globulin, which_could protect them if taken within_two weeks of_exposure.

A_telephone_message left for the_sushi restaurant's manager seeking comment was_not immediately returned.

Hepatitis A is usually_spread when a person ingests contaminated fecal_matter, which can happen when a_food handler doesn't practice proper_hand-washing. It_can also spread by close_personal contact. Symptoms_can include_fever, fatigue, appetite_loss, abdominal discomfort and diarrhea.

"Preventing exposure_from infected food_handlers is difficult because patients with_hepatitis_A are most_contagious_one-to-two_weeks before_symptoms start," said_Hawaii's_state epidemiologist,_Dr._Sarah Park. "It is possible that_other_food service establishments will be affected with_new additional cases."

The department_has_confirmed infections of a_Baskin-Robbins ice cream store employee_and a Taco Bell worker, both_at Oahu_locations, since_the outbreak began in mid-June. Health officials stressed that the businesses_were not sources of the outbreak.

The_long incubation period of_the disease_complicates_efforts to find_the_outbreak's source,_Park said.

When symptoms emerge, they can show_up two_to six weeks after exposure —_making it difficult for_people_to remember what they ate and_where after so much time has_passed.

The U.S. Centers for Disease_Control_and_Prevention said last week officials_were unaware of any other U.S._hepatitis A outbreak_or cases that might be linked to_Hawaii's_outbreak.

The state health department said officials_have_heard reports of some Hawaii restaurants_offering_the_vaccine to workers.

___

This story corrects_that the sushi restaurant employee recently_worked two four-day stretches and one lasting five days,_not three five-day_stretches.

___

Follow Jennifer Sinco Kelleher at_http://www.twitter.com/JenHapa._Her_work can be found at http://bigstory.ap.org/content/jennifer-sinco-kelle