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Euro Surveill. 2012 Feb 9;17(6). pii: 20083.

A possible outbreak of hepatitis A associated with semi-dried tomatoes, England, July-November 2011.

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Health Protection Agency, Health Protection Services Colindale, London, United Kingdom.


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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