NITRO, W.Va. — A West Virginia health department says a food service worker has tested positive for hepatitis A.

The Kanawha-Charleston Health Department said in a Friday release the department investigated food-handling practices at the Cold Spot in Nitro and determined there’s no indication restaurant patrons need to be immunized for possible exposure. The department says the worker is no longer employed after the diagnosis, and coworkers and relatives have been immunized as a precaution.

Hepatitis A is transmitted by oral contact with fecal matter, unlike the blood-borne hepatitis B and C. This is the second hepatitis A case the department has investigated this year, but prior to January, no confirmed cases had been reported in more than two years.

That January case was attributed to the outbreak in neighboring Kentucky.