Dr. Amesh Adalja at the Johns Hopkins Center for Health Security said the Indiana recommendation is “an easy measure that can minimize risk.” He also said the average derby guest isn’t at high risk for contamination.
The greatest risk as shown in recent U.S. hepatitis A outbreaks is primarily to the homeless population with limited access to clean bathing and toilet facilities. Also at higher risk are illicit-drug users.
The hepatitis A virus is spread by what the CDC calls the “fecal-oral” route, involving contact with people and surfaces contaminated by feces that is then transferred orally.
Hepatitis A can cause a liver infection with symptoms appearing from two to six weeks after it is contracted. Symptoms include: fever, fatigue, nausea, vomiting, joint pain, jaundice (yellow skin and eyes), and dark yellow urine.