The Hawaii State Department of Health (DOH) has been notified of imported frozen raw tuna or ahi cubes distributed by Tropic Fish Hawaii, LLC on Oahu that tested positive for hepatitis A. The product, imported from Indonesia, was used to prepare poke sold between April 27 – May 1 by food establishments on Oahu.

The imported frozen fish was used to prepare poke sold at Times Supermarket and Shima’s locations in Aiea, Kailua, Kaneohe, Kunia, Liliha, Mililani, Waipahu, and Waimanalo. The product was also used to prepare food served or sold by GP Hawaiian Food Catering, the Crab Shack Kapolei (also known as Maile Sunset Bar & Grill in Kapolei), Aloha Sushi at 3131 N. Nimitz, and the ABC store at 205 Lewers St. Customers who purchased and consumed the product and are not vaccinated for hepatitis A are advised to consult with their doctor about vaccination.

“Times Supermarket and Tropic Fish notified the department as soon as they learned of the test results on the imported fish,” said Peter Oshiro, chief of the DOH Food Safety Program. “All of the product is being traced, collected and held by the distributor. Fortunately, in this case, Tropic Fish Hawaii kept excellent records and has been contacting all retailers and pulling the product quickly.”

“Because it generally takes two weeks for those infected to develop symptoms of hepatitis A, vaccination or immune globulin can still provide some protection against the disease for those who may have been exposed in the last week,” said Dr. Sarah Park, state epidemiologist. “We remind those who received their first dose of hepatitis A vaccination during an earlier outbreak on Oahu to obtain their second dose for long term immunity.”

Persons who consumed poke from the affected food establishments between April 28 and May 1 may have been exposed to hepatitis A and are advised to:

Symptoms of hepatitis A infection usually appear 2–6 weeks after exposure and include fever, fatigue, loss of appetite, abdominal discomfort, dark urine, diarrhea, and yellow skin and eyes. Individuals, including food service employees, exhibiting symptoms of hepatitis A should stay home and contact their healthcare provider.

Testing of individuals who do not have symptoms of hepatitis A is not recommended, with the exception of food handlers who have been exposed to the disease, as required by Hawaii State law. Hepatitis A vaccine or IG, if indicated, should be administered after results of the testing are received.

DOH is working with the distributor and visiting all affected facilities to ensure proper sanitation and decontamination procedures are taken. The product is embargoed by the state until further testing is determined and coordination with federal authorities is completed.

While vaccination provides the best protection, frequent handwashing with soap and water after using the bathroom, changing a diaper, and before preparing food can help prevent the spread of hepatitis A. Appropriately cooking foods can also help to prevent infection.

Additional information about hepatitis A is at http://health.hawaii.gov/docd/disease_listing/hepatitis-a/.

For a statewide list of vaccinating pharmacies, go to http://health.hawaii.gov/docd/vaccines-immunizations/vaccine-locators/ or call the Aloha United Way information and referral line at 2-1-1.

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