San Diego is covered with fecal matter due to a rising homeless population and lack of public restrooms, which is said to have contributed to the hepatitis A outbreak.
Officials declared a public health emergency in the city after the outbreak killed 15 and infected close to 400 people.
Hepatitis A is a viral liver disease that can spread through ingesting food and drinks that have come in contact with feces from people who are already infected.
County health officials told the city that they needed to come up with a plan to fix the 'fecally contaminated environment' that is in the downtown area.
Officials first attempted to contain the outbreak by providing vaccinations to people and improving educational methods, but the virus continues to spread.
The city is now implementing street washing every other week and an extension on public restroom hours to stop the spread of the virus that has affected the homeless population the most.
The hepatitis A outbreak in San Diego County has killed 15 people and infected close to 400. The city is now doing street washing every other week and extending restroom hours to help stop the spread of the disease. They also installed 40 hand-washing stations across the city. One man washed his hands and face with the one of the stations in San Diego
The unsanitary conditions in the downtown area of San Diego have been suspected to fuel the hepatitis A outbreak.
So far, 15 people have died and close to 400 people have been infected with the virus.
In response to the outbreak, the city started a street-washing program on Monday to help rid the city of the deadly virus.
Crews are using bleach-spiked water for high-pressure washing to remove 'all feces, blood, bodily fluids or contaminated surfaces,' according to the sanitation plan included in a letter delivered to San Diego city government.
Hepatitis A is a viral liver disease that can have both minor and severe symptoms for the person infected.
It is primarily spread when a person who isn't vaccinated ingests food or water that has been contaminated with feces of an infected individual.
The virus is one of the most frequent causes for foodborne infections.
The incubation period of hepatitis A is normally 14 to 28 days.
People can experience:Fever Loss of appetite Diarrhea Nausea Dark-colored urine Jaundice Acute liver