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Hepatitis A outbreak linked to imported frozen strawberries by sequencing, Sweden and Austria, June to September 2018
- Theresa Enkirch1,2 , Ronnie Eriksson3 , Sofia Persson3 , Daniela Schmid4 , Stephan W. Aberle5 , Emma Löf1,6 , Bengt Wittesjö7 , Birgitta Holmgren8 , Charlotte Johnzon9 , Eva X. Gustafsson8 , Lena M. Svensson10 , Lisa Labbé Sandelin11 , Lukas Richter4 , Mats Lindblad3 , Mia Brytting1 , Sabine Maritschnik4 , Tatjana Tallo1 , Therese Malm12 , Lena Sundqvist1 , Josefine Lundberg Ederth1
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View Affiliations Hide AffiliationsAffiliations: 1 Public Health Agency of Sweden, Solna, Sweden 2 European Programme for Public Health Microbiology Training (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden 3 National Food Agency, Uppsala, Sweden 4 Austrian Agency for Health and Food Safety, Vienna, Austria 5 Center for Virology, Medical University of Vienna, Vienna, Austria 6 European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden 7 Department of Communicable Disease Control and Prevention, Blekinge County, Sweden 8 Department of Communicable Disease Control and Prevention, Skåne County, Sweden 9 The Environment and Health Administration of Stockholm Municipality, Stockholm, Sweden 10 Department of Communicable Disease Control and Prevention, Östergötland County, Sweden 11 Department of Communicable Disease Control and Prevention, Kalmar County, Sweden 12 Department of Communicable Disease Control and Prevention, Gävleborg County, SwedenTheresa EnkirchTheresa.Enkirch folkhalsomyndigheten.se
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Citation style for this article: Enkirch Theresa, Eriksson Ronnie, Persson Sofia, Schmid Daniela, Aberle Stephan W., Löf Emma, Wittesjö Bengt, Holmgren Birgitta, Johnzon Charlotte, Gustafsson Eva X., Svensson Lena M., Sandelin Lisa Labbé, Richter Lukas, Lindblad Mats, Brytting Mia, Maritschnik Sabine, Tallo Tatjana, Malm Therese, Sundqvist Lena, Ederth Josefine Lundberg. Hepatitis A outbreak linked to imported frozen strawberries by sequencing, Sweden and Austria, June to September 2018. Euro Surveill. 2018;23(41):pii=1800528. https://doi.org/10.2807/1560-7917.ES.2018.23.41.1800528 Received: 27 Sept 2018; Accepted: 11 Oct 2018
Abstract
Between June–September 2018, 20 hepatitis A cases were notified in six counties in Sweden. Combined epidemiological and microbiological investigations identified imported frozen strawberries produced in Poland as the source of the outbreak. Sequence analysis confirmed the outbreak strain IB in the strawberries with 100 % identity and the respective batch was withdrawn. Sharing the sequence information internationally led to the identification of 14 additional cases in Austria, linked to strawberries from the same producer.
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