Severi, E. and Verhoef, L. and Thornton, L. and Guzman-Herrador, B. R. and Faber, M. and Sundqvist, L. and Rimhanen-Finne, R. and Roque-Afonso, A. M. and Ngui, S. L. and Allerberger, F. and Baumann-Popczyk, A. and Muller, L. and Parmakova, K. and Alfonsi, V. and Tavoschi, L. and Vennema, H. and Fitzgerald, M. and Myrmel, M. and Gertler, M. and Ederth, J. and Kontio, M. and Vanbockstael, C. and Mandal, S. and Sadkowska-Todys, M. and Tosti, M. E. and Schimmer, B. and O'Gorman, J. and Stene-Johansen, Kathrine and Wenzel, J. J. and Jones, G. and Balogun, K. and Ciccaglione, A. R. and O'Connor, L. and Vold, L. and Takkinen, J. and Rizzo, C. (2015) Large and prolonged food-borne multistate hepatitis A outbreak in Europe associated with consumption of frozen berries, 2013 to 2014. EUROSURVEILLANCE, 20 (29): 21192. pp. 11-19. ISSN 1560-7917,
Full text not available from this repository. (Request a copy)Abstract
In May 2013, Italy declared a national outbreak of hepatitis A, which also affected several foreign tourists who had recently visited the country. Molecular investigations identified some cases as infected with an identical strain of hepatitis A virus subgenotype IA. After additional European Union/European Economic Area (EU/EEA) countries reported locally acquired and travel-related cases associated with the same outbreak, an international outbreak investigation team was convened, a European outbreak case definition was issued and harmonisation of the national epidemiological and microbiological investigations was encouraged. From January 2013 to August 2014, 1,589 hepatitis A cases were reported associated with the multistate outbreak; 1,102 (70%) of the cases were hospitalised for a median time of six days; two related deaths were reported. Epidemiological and microbiological investigations implicated mixed frozen berries as the vehicle of infection of the outbreak. In order to control the spread of the outbreak, suspected or contaminated food batches were recalled, the public was recommended to heat-treat berries, and post-exposure prophylaxis of contacts was performed. The outbreak highlighted how large food-borne hepatitis A outbreaks may affect the increasingly susceptible EU/EEA general population and how, with the growing international food trade, frozen berries are a potential high-risk food.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SEMIDRIED TOMATOES; VIRUS; SURVEILLANCE; EPIDEMIOLOGY; EVOLUTION; FEBRUARY; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 05 Jul 2019 12:32 |
| Last Modified: | 05 Jul 2019 12:32 |
| URI: | https://pred.uni-regensburg.de/id/eprint/5184 |
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