Unusual increase in reported cases of Paratyphoid A fever among travellers returning from Cambodia, January to September 2013

M Tourdjman; S Le Hello; C Gossner; G Delmas; S Tubiana; L Fabre; A Kerléguer; A Tarantola; A Fruth; I Friesema; L Thorstensen Brandal; J Lawrence; I Fisher; M Dufour; F X Weill; H de Valk

doi:10.2807/1560-7917.ES2013.18.39.20594

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Unusual increase in reported cases of Paratyphoid A fever among travellers returning from Cambodia, January to September 2013
M Tourdjman¹ , S Le Hello² , C Gossner³ , G Delmas¹ , S Tubiana¹ , L Fabre² , A Kerléguer⁴ , A Tarantola⁴ , A Fruth⁵ , I Friesema⁶ , L Thorstensen Brandal⁷ , J Lawrence⁸ , I Fisher⁸ , M Dufour⁹ , F X Weill² , H de Valk¹
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Affiliations: ¹ Institut de veille sanitaire (InVS), Paris, France ² Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Centre National de Référence des Escherichia coli, Shigella et Salmonella, WHO Collaborating Centre for Reference and Research on Salmonella, Paris, France ³ European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden ⁴ Institut Pasteur du Cambodge, Phnom Penh, Cambodia ⁵ Robert Koch Institute (RKI), Wernigerode, Germany ⁶ National Institute for Public Health and the Environment, Bilthoven, The Netherlands ⁷ Norwegian Institute of Public Health, Oslo, Norway ⁸ Public Health England, London, United Kingdom ⁹ Institute of Environmental Science and Research, Enteric Reference Laboratory, Wellington, New Zealand

Correspondence:
M Tourdjman
m.tourdjman invs.sante.fr
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Citation style for this article: Tourdjman M, Le Hello S, Gossner C, Delmas G, Tubiana S, Fabre L, Kerléguer A, Tarantola A, Fruth A, Friesema I, Thorstensen Brandal L, Lawrence J, Fisher I, Dufour M, Weill F X, de Valk H. Unusual increase in reported cases of Paratyphoid A fever among travellers returning from Cambodia, January to September 2013. Euro Surveill. 2013;18(39):pii=20594. https://doi.org/10.2807/1560-7917.ES2013.18.39.20594 Received: 23 Sept 2013

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Abstract

From January to September 2013, a marked increase in notifications of Salmonella Paratyphi A infections among travellers returning from Cambodia occurred in France. An investigation revealed 35 cases without a common source: 21 in France, five in Germany, three in the Netherlands, one in Norway, one in the United Kingdom, four in New-Zealand. Data suggest an ongoing event that should trigger further investigation. Travellers to Cambodia should observe preventive measures including good personal hygiene and food handling practices.