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Manitoba health officials are urging people to get vaccinated amid an outbreak of hepatitis A that began just over a year ago.
Hundreds of cases have been linked to an outbreak that initially affected northern communities but has spread across the province in recent months, officials said in a media bulletin Friday.
The infectious liver disease has led to 133 hospitalizations, five admissions to the intensive care unit and three deaths, the bulletin said.
It said 601 cases of hepatitis A have been associated with the outbreak as of April 26, with 131 of them reported in Winnipeg.
The government reported potential exposures at two Winnipeg locations Friday: one at the Burger King at 333 Home St, from April 8 to April 23, and another at the Augustine United Church at 444 River Ave., on April 19.
Manitoba declared the outbreak in April 2025, with the Island Lake area experiencing the largest number of cases.
The disease has an average incubation period of 28 days, the federal government says, and can spread through food and drinking water contaminated with feces from an infected person as well as close personal contact.
Symptoms range from mild to severe and can include fever, nausea, vomiting or jaundice. The province warns that some people might not develop any symptoms at all, particularly young children.
The province said a lack of sewage and water infrastructure in remote communities has contributed to the ongoing spread of hepatitis A.
Eligibility for a free single dose of hepatitis A vaccine was expanded to people six months and older for the five First Nations in Island Lake in May 2025. The measure was expanded to people in Peguis, War Lake and Bloodvein River First Nations this year.
Anyone travelling to or working in the communities, and those who welcome household visitors from them, is also eligible for the vaccine, as well as inmates of correctional facilities.
People who have been in contact with someone infected are encouraged to contact Health Links to see whether they’re eligible. The province said Friday people with other risk factors — including those experiencing homelessness, drug users and people with certain high-risk medical conditions — might also be able to get the vaccine.