Large and prolonged food-borne multistate hepatitis A outbreak in Europe associated with consumption of frozen berries, 2013 to 2014.

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.

journal_name

Euro Surveill

authors

Severi E,Verhoef L,Thornton L,Guzman-Herrador BR,Faber M,Sundqvist L,Rimhanen-Finne R,Roque-Afonso AM,Ngui SL,Allerberger F,Baumann-Popczyk A,Muller L,Parmakova K,Alfonsi V,Tavoschi L,Vennema H,Fitzgerald M,Myrmel M,G

doi

10.2807/1560-7917.es2015.20.29.21192

subject

Has Abstract

pub_date

2015-07-23 00:00:00

pages

21192

issue

29

eissn

1025-496X

issn

1560-7917

journal_volume

20

pub_type

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