The state has issued a public health order after three patients were diagnosed with acute hepatitis B after receiving medical injections at Tri-County Spinal Care Center in North Charleston.

Hepatitis B is a serious communicable disease.

A press release issued by the S.C. Department of Health and Environmental Control reports that all three “patients received spinal injections with common medications performed on the same dates in February 2013” at the clinic on Dorchester Road.

The state is notifying 23 other residents who it believes could also be at risk for the disease because they received injections at the clinic during the same time frame.

According to the Centers for Disease Control and Prevention, hepatitis B symptoms include fever, fatigue, nausea, joint pain and dark urine. The disease can develop into a lifelong, chronic condition.

Reach Lauren Sausser at 937-5598.