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Issue Number 57
February 10, 1999
UNPROTECTED PEOPLE: stories of people who have
suffered or died from vaccine-preventable diseases
Story #13: HEPATITIS A: "VIRUS SAPS GRAD IN HER PEAK WEEKS"
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The following article appeared in the daily newspaper,
"The Spokesman-Review," on June 7, 1998. It is reproduced with permission of
"The Spokesman-Review," (Spokane, WA) Copyright 1998.
"VIRUS SAPS GRAD IN HER PEAK WEEKS"
By Cynthia Taggart, staff writer, "The Spokesman-Review"
Just thinking about how she got sick nauseates Allison Jester all over again.
"To know how I got it is just disgusting," the Lake City High senior says,
She's thin, hardly a presence inside jeans not designed to be baggy. She tires so quickly
that her days are a series of naps. That's what hepatitis A does. It's cleaned
Allison out and broken her down, scared everyone around her and changed her life. And she
did nothing to cause it.
Sometime in March, food or water she ingested was contaminated with infected feces.
It could have happened in Seattle or Bellingham, where she was checking out colleges. It
could have happened after golf team practices at any burger joint that offers immediate
relief to gnawing stomachs.
It could have happened at a grocery store or even a friend's house. Allison will never
know. By the time she was diagnosed three weeks ago, the virus had incubated inside her
for two months. Tracking its origin was impossible.
When the virus reached maturity, it devoured Allison's liver like a starving lion.
As her senior year began to culminate in stage productions, golf championships, debate
tournaments, academic projects and pre-graduation bonding parties, Allison fell ill.
It began with nausea, fever and aches, which Allison interpreted as the flu. She had a
major role in the school production of "Noises Off" and willed herself to make
it through rehearsals.
"I didn't want to give that part up," she says.
She forced herself through school, although she fell asleep in the auditorium during a
special activity. She was so sick that she had to quit a high school golf tournament after
the fourth hole.
By the weekend, her stomach refused to hold anything. Her mother, Patti, began to suspect
hepatitis after she noticed Allison's urine was unnaturally dark.
Doctors didn't agree with Patti and gave Allison an anti-nausea shot. But Allison
continued to vomit the rest of the day until dehydration became a worry.
"I felt like I was going to die," she says. "I had never felt so
Her parents took her to Kootenai Medical Center's emergency room that night. Patti sensed
her diagnosis was right when blood test results sent nurses scurrying to warn everyone
about Allison's infected body fluids. Hepatitis A zeroes in on the liver, weakening it so
much that it can't process medications.
There's no treatment. The virus has to run its course,
which varies from weeks to months. Most people fully recover.
Ingesting fecal-contaminated food or water is the only way to catch the A virus, unlike
the more dangerous but slightly less common hepatitis B virus. Hepatitis B most often is
transmitted through sexual contact.
Food servers who don't wash their hands after using the
bathroom spread hepatitis A. Unwashed shellfish from contaminated
water can carry the virus. Drinking water contaminated with
sewage is another way to catch it.
Hepatitis A is so common that 152,000 cases are reported in this country each year. Forty
cases already have been reported to Panhandle Health District through May this year, which
equals the total number of cases in North Idaho in 1997.
The number of hepatitis A victims is rising so fast that public health agencies have
launched a national campaign promoting good hygiene - the best prevention.
Allison's parents, younger sister and uneasy friends got immune globulin shots to boost
their immune systems. Some friends panicked and stayed away from Allison. She tried to
explain that the virus isn't spread through casual contact.
Doctors prescribed rest. Allison quit the play and her two jobs. School moved to her home.
More than anything else, she wanted to compete in a national debate tournament in St.
Louis, Mo., on June 14. She was one of four students from Spokane and North Idaho to
"I was willing to give up everything to do that," she says.
Changing her senior project to accommodate her illness broke Allison's heart. She'd
planned to photograph herself on a difficult rock climb in Post Falls. But she was in the
hospital the weekend she scheduled the climb.
"I'll do that climb this summer for sure," she says.
Her appetite and energy are growing. She still wilts quickly beyond her house, but
mustered the strength to march in Saturday's graduation ceremony.
"We've lamented that she's not been able to enjoy the last few weeks of her senior
year," says Patti, who, like Allison, doesn't waste energy stewing over the
unfairness of it all. "This is a special time of her life."
Allison will go to the national debate tournament, perhaps a touch more philosophical than
she was before her illness.
"The hardest part was realizing I couldn't do everything I wanted," she says.
"But it's made me step back a little. The little things don't matter. Things come
your way you don't expect. You just deal with it."
Copyright 1998. Reproduced with permission of "The Spokesman-