Increase in hepatitis A in tourists from Denmark, England, Germany, the Netherlands, Norway and Sweden returning from Egypt, November 2012 to March 2013

E MacDonald; A Steens; K Stene-Johansen; S Gillesberg Lassen; S E Midgley; J Lawrence; J Crofts; S L Ngui; K Balogun; C Frank; M Faber; M Gertler; L Verhoef; M Koopmans; J Sane; W van Pelt; L Sundqvist; L Vold

doi:10.2807/ese.18.17.20468-en

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Increase in hepatitis A in tourists from Denmark, England, Germany, the Netherlands, Norway and Sweden returning from Egypt, November 2012 to March 2013
E MacDonald^1,2 , A Steens^1,2 , K Stene-Johansen¹ , S Gillesberg Lassen ³ , S E Midgley⁴ , J Lawrence⁵ , J Crofts⁵ , S L Ngui⁵ , K Balogun⁵ , C Frank⁶ , M Faber⁶ , M Gertler^6,7 , L Verhoef⁸ , M Koopmans⁸ , J Sane^2,8 , W van Pelt⁸ , L Sundqvist⁹ , L Vold¹
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Affiliations: ¹ Norwegian Institute of Public Health, Oslo, Norway ² European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden ³ Department of Infectious Disease Epidemiology, Statens Serum Institut, Copenhagen, Denmark ⁴ Department of Microbiological Diagnostics and Virology, Statens Serum Institut, Copenhagen, Denmark ⁵ Public Health England, London, England ⁶ Robert Koch Institute, Berlin, Germany ⁷ Postgraduate Training for Applied Epidemiology, Germany ⁸ National Institute for Public Health and the Environment (RIVM), Netherlands ⁹ Swedish Institute for Communicable Disease Control, Stockholm, Sweden

Correspondence:
E MacDonald
emily.macdonald fhi.no
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Citation style for this article: MacDonald E, Steens A, Stene-Johansen K, Gillesberg Lassen S, Midgley S E, Lawrence J, Crofts J, Ngui S L, Balogun K, Frank C, Faber M, Gertler M, Verhoef L, Koopmans M, Sane J, van Pelt W, Sundqvist L, Vold L. Increase in hepatitis A in tourists from Denmark, England, Germany, the Netherlands, Norway and Sweden returning from Egypt, November 2012 to March 2013. Euro Surveill. 2013;18(17):pii=20468. https://doi.org/10.2807/ese.18.17.20468-en Received: 23 Apr 2013

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Abstract

Since November 2012, there has been an increase in reported cases of hepatitis A in tourists returning from Egypt in several European countries. As of 24 April, 80 HAV cases in travellers with symptom onset after 1 November 2012 visiting different areas in Egypt have been reported. Four cases from Norway, six cases from the Netherlands and five cases from England share an identical hepatitis A viral RNA sequence. This increase in cases suggests that vaccination recommendations for travellers to hepatitis A endemic countries should be reinforced.