A historic Cape Cod restaurant has been struck by an outbreak of the highly contagious hepatitis A virus, health officials warn

The CDC estimates 180,000 Americans are struck by hepatitis A every year, many of whom have no symptoms, which include fever, nausea, abdominal pain, jaundice, dark urine and hives.
The Massachusetts Department of Public Health said anyone who ate at the restaurant between April 30 and May 15 should seek medical attention immediately.
State health authorities warned this week that anyone who ate at The Red Inn in wealthy Provincetown, Massachusetts, may have been exposed to the liver infection that is spread through contaminated food and water.
A food service employee working during that time period tested positive for the disease.
The department said customers who think they were exposed within the last two weeks and have no symptoms may be able to get treated with antibodies and a vaccine, which is 94 percent effective for several years.
The Red Inn is currently ‘open and safe to dine at,’ and the restaurant is ‘cooperating fully’ with health authorities, Provincetown officials said in a statement.
No additional illnesses have been reported, and it’s unclear how many customers were exposed during that timeframe.
Lezli Rowell, Provincetown Health Department Director, said: ‘From my experience inspecting The Red Inn through the years, this is not a facilities issue.
‘The staff is knowledgeable, trained in food safety and committed to best management practices, and the back of the house is top-notch.
‘This is just an unfortunate illness that happened to an individual who is reported to be recovering well and remaining out of work until medically cleared to resume food handling employment.’
The Red Inn is a 200-year-old restaurant and hotel serving tourists to the wealthy Cape Cod destination, many of whom make $200,000 per year, more than twice the national average, according to research firm Placer.ai.
The disease spreads when infected stool enters a person’s mouth, often by eating or drinking contaminated food or water.
It also may spread through kissing, hugging, sharing utensils or having sex with an infected person.