Health officials in Kentucky say a case of Hepatitis A has been found at an elementary school. The Lexington-Fayette County Health Department said Wednesday the case was confirmed at Millcreek Elementary in Lexington.

The announcement comes as the state deals with an outbreak of the disease in six other counties. There have been more than 350 cases reported statewide including three deaths. The contagious viral infection can damage the liver. Symptoms include abdominal pain, nausea, diarrhea, fever and jaundice. Media report Millcreek Principal Greg Ross sent a letter to families saying crews had performed a deep cleaning of the school. He said health officials are sending information home with students.

A new state law requires students to have the Hepatitis A vaccine beginning this fall.