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Hepatitis A outbreak linked to imported frozen strawberries by sequencing, Sweden and Austria, June to September 2018.

Theresa Enkirch,Ronnie Eriksson,Sofia Persson,Daniela Schmid,Stephan W Aberle,Emma Löf, Bengt Wittesjö, Birgitta Holmgren, Charlotte Johnzon, Eva X Gustafsson, Lena M Svensson,Lisa Labbé Sandelin,Lukas Richter,Mats Lindblad,Mia Brytting,Sabine Maritschnik,Tatjana Tallo, Therese Malm,Lena Sundqvist,Josefine Lundberg Ederth

EUROSURVEILLANCE（2018）

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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Sequence analysis confirmed the outbreak strain IB in the strawberries with 100 % identity and the respective batch was withdrawn.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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Key words
Austria,Disease Outbreaks,Europe,Foodborne Diseases,Genotype,Hepatitis A virus,Sequence Analysis,Sweden
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