Table 1.1 Hepatitis C Outbreaks by Setting ― United States, 2015

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Setting State Persons Notified for Screening Outbreak-Associated Infections Known or suspected mode of transmission
Outpatient
Prolotherapy clinic California >1,500 5 Syringe reuse contaminating medication vials used for >1 patient and use of single-dose vials for >1 patient
Insulin infusion clinic California 92 9 Unsafe practices related to assisted blood glucose monitoring including use of fingerstick devices for >1 person and inadequate cleaning and disinfection of glucometer before reuse.
Pain management clinic Michigan 122 2 Syringe reuse contaminating medication vials used for >1 patient
Cardiology clinic West Virginia >2,000 5 Use of single-dose vials for >1 patient
Hospital
Hospital Utah 7,217 >7 Drug diversion by nurse (* Investigation ongoing)
Hemodialysis
Outpatient hemodialysis facility New Jersey 237 2 Multiple lapses in infection control identified, including hand hygiene and glove use, vascular access care, medication preparation, cleaning and disinfection
Outpatient hemodialysis facility New Jersey 84 2 Multiple lapses in infection control identified, vascular access care, medication preparation, cleaning and disinfection
Outpatient hemodialysis facility New Jersey 98 2 Multiple lapses in infection control identified, including hand hygiene and glove use, vascular access care, medication preparation, cleaning and disinfection
Outpatient hemodialysis facility Pennsylvania 115 3 Multiple lapses in infection control identified, medication preparation close to treatment area
Outpatient hemodialysis facility Pennsylvania 130 3 Multiple lapses in infection control identified, medication preparation close to treatment area
Outpatient hemodialysis facility Pennsylvania 97 2 Multiple lapses in infection control identified, medication preparation close to treatment area, Use of single-dose vials for >1 patient, no separation of dirty and clean areas (*Philadelphia)
Outpatient hemodialysis facility California 28 3 Breaches in environmental cleaning and disinfection practices