A food service worker with an acute Hepatitis A infection has been identified in Cumberland County, according to the Maine Center for Disease Control and Prevention (Maine CDC). The worker served food while infectious from Sept. 29 to Oct. 11, 2014. Officials did not disclose the name of the Cumberland County restaurant that employed the infected food service worker. A public health assessment by Maine CDC of the employee’s illness and food and beverage preparation practices determined that patrons of the unnamed restaurant might be at risk for Hepatitis A infection. The agency was notified of the illness beyond the 14-day window of opportunity for post-exposure prophylaxis to be effective. Maine CDC said health care providers are encouraged to remain vigilant for Hepatitis A infection in persons with consistent symptoms. The fecal-oral route, commonly through consumption of contaminated food or water, transmits the Hepatitis A virus. Persons will begin to exhibit symptoms 15-50 days after exposure to the virus. A person is considered infectious approximately two weeks prior to symptom onset until one week after onset of symptoms. Exposed persons can receive post-exposure prophylaxis up to 14 days after exposure. Prophylaxis includes Hepatitis A vaccine for individuals 12 months to 40 years or immune globulin (IG) for individuals younger than than 12 months or 41 years of age and older (vaccine can be given to individuals 41 and older if IG is unavailable). Healthcare providers should consider testing for Hepatitis A if patients present with any of the following symptoms: fever, jaundice, nausea, clay-colored stool, dark urine, malaise, abdominal discomfort, or anorexia. Maine requires all suspected and confirmed cases of Hepatitis A to be reported to the state’s disease reporting and consultation line at 1-800-821-5821 on a 24/7 basis.