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Hepatitis A

Hepatitis A Information Shots and Requirements


Individuals may go to their own doctors or health care providers; or visit the county health centers:

  • John C. Murphy Health Center
    6121 North Hanley Road
    Berkeley, MO 63134
    Phone: (314) 615-0500

  • South County Health Center
    4580 South Lindbergh Boulevard
    Sunset Hills, MO 63127
    Phone: (314) 615-0400

    Or Other community organizations including the following:

  • BarnesCare
    Phone: (314) 747-5800

  • Occupational Medicine
    Phone: (314) 989-9199


    The Saint Louis County Council passed an ordinance on December 16, 1999, requiring food handlers be vaccinated against hepatitis A. This ordinance went into effect July 1, 2000.

    The law requires vaccination against hepatitis A for persons who prepare, handle or touch any food (except uncut produce) intended for individual consumption. The law applies to all food handlers, including those in restaurants, day care centers, hospitals, schools, nursing homes, and catering operations. Employers must keep records to show the health inspectors that their employees are in compliance.

    Two shots are needed: an initial vaccination, and a booster within six to twelve months.

    Hepatitis A is a viral infection of the liver, which can be spread by consuming food or drink that has been handled by an infected individual. Health officials stress that careful hand washing after using the toilet or changing diapers is very important to prevent the spread of disease, even after being vaccinated. For more information, please call the Saint Louis County Department of Health at (314) 615-8900.


    8-501.11 Hepatitis A Vaccination

    No employer shall employ a person as a food handler for more than thirty (30) days unless and until such person shall provide to such employer written certification by a health care provider that:

    (1) The person is immune from hepatitis A; or

    (2) The person has been vaccinated against hepatitis A, including a booster shot within six (6) to twelve (12) months of the original vaccination; or

    (3) The person has received the initial vaccination against hepatitis A; however, said person must then provide the employer a health care provider's certification of the required booster shot within one year of the date of the original vaccination.

    (A) Employers of food handlers shall retain all written certifications provided pursuant to this ordinance throughout the period of each person's employment at the facility (or home office) and make records available to the Department of Health upon request.

    (B) For purposes of this section, "food handler" shall mean a person who is employed by any person or entity in any capacity which requires the preparation, handling or touching of any food (except uncut produce), utensils, serving items or kitchen or serving area surfaces or materials, in a place where food that is intended for individual service and consumption is routinely provided completely prepared, regardless of whether consumption is on or off the premises and regardless of whether there is a charge for the food. Such places include restaurants, hospital cafeterias, school and nursing home kitchens, day care facilities, residential group homes, caterers, banquet facilities, coffee shops, cafeterias, short order cafes, luncheonettes, taverns, sandwich stands, soda fountains, food vending carts and all other eating or drinking establishments, as well as kitchens, commissaries or other places in which food or drink is prepared for individual sale elsewhere. The term does not include a private home where food is prepared for noncommercial home use, and it does not include the location of food vending machines.

    (C) The requirements of this section shall not apply to women while they are pregnant, nor to those persons who object to vaccination because of religious beliefs, nor because of medical contraindications that are verified in writing by a duly licensed physician. Persons claiming religious exemptions shall complete and return to their employers a notarized statement of their religious beliefs using forms available from the Department, which forms shall be forwarded when completed by the employer to the Department; the exemption shall be deemed approved unless and until disapproved by the Director with the disapproval being communicated to both the person claiming religious exemption and the person's employer.

    (D) No person shall accept employment as a food handler for more than thirty (30) days in any twelve-month period unless said person shall have complied with the requirements set forth herein for Hepatitis A vaccination.

    (O. No. 22724, 4-11-06)