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2. Importance of molecular typing in confirmation of the source of a national hepatitis A virus outbreak in Norway and the detection of a related cluster in Germany

Author

Guzman-Herrador, Bernardo R., Panning, Marcus, Stene-Johansen, Kathrine, Borgen, Katrine, Einöder-Moreno, Margot, Huzly, Daniela, Jensvoll, Laila, Lange, Heidi, Maassen, Sigrid, Myking, Solveig, Myrmel, Mette, Neumann-Haefelin, Christoph, Nygård, Karin, Wenzel, Jürgen J., Øye, Ann Kristin, and Vold, Line

Subjects
Coffee Shop, Outbreak Investigation, Outbreak Strain, Outbreak Case, Berry Sample, 610 Medizin
Abstract

In March 2014, after an increase of notifications of domestically acquired hepatitis A virus infections, an outbreak investigation was launched in Norway. Sequenced-based typing results showed that these cases were associated with a strain that was identical to one causing an ongoing multinational outbreak in Europe linked to frozen mixed berries. Thirty-three confirmed cases with the outbreak strain were notified in Norway from November 2013 to June 2014. Epidemiological evidence and trace-back investigations linked the outbreak to the consumption of a berry mix cake. Identification of the hepatitis A virus outbreak strain in berries from one of the implicated cakes confirmed the cake to be the source. Subsequently, a cluster in Germany linked to the cake was also identified.

Published
2015
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