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A possible outbreak of hepatitis A associated with semi-dried tomatoes, England, July-November 2011
C Carvalho1, Hl Thomas, K Balogun
1Health Protection Agency, Health Protection Services Colindale, London, United Kingdom.
Abstract:
In October 2011, two primary cases of hepatitis A virus (HAV) infection with identical HAV genotype IB strains to those seen in other outbreaks associated with semi-dried tomatoes were reported in England. Both cases had consumed semi-dried tomatoes. Epidemiological investigations revealed two additional cases of genotype IB strains with different sequences who also reported having consumed semi-dried tomatoes. In November, five cases of HAV infection with closely related strains were identified in the Netherlands. A foodborne multiple-strain outbreak is suspected.
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