Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021

Tatiana Garcia Vilaplana; David Leeman; Koye Balogun; Siew Lin Ngui; Emily-Rose Phipps; Wazirzada M. Khan; Incident Team; Sooria Balasegaram; Arwen Burns; Ben Sims; Charles Irish; Claire Bradshaw; Djamel Hamadache; Eleanor Blakey; James McCreadie; Jay Gordon; Joanne Freedman; Julia Heywood; Karthikeyan Paranthaman; Lisa Kenney; Lucinda Slater; Maha O. Saeed; Miranda Mindlin; Mona Dave; Nalini Iyanger; Neil MacDonald; Peter Lamb; Polly Ashmore; Rachel Pudney; Rebecca Green; Rebecca Hams; Robert Smith; Samreen Ijaz; Sarah White; Sophie Nash; Amélie Kergozien; Anthony J. Wilson; Carol Stocker; Caroline Handford; Sriram Balasingam; Tina Potter

doi:10.2807/1560-7917.ES.2021.26.20.2100432

Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021

Tatiana Garcia Vilaplana, David Leeman, Koye Balogun, Siew Lin Ngui, Emily-Rose Phipps, Wazirzada M. Khan, Incident Team, Sooria Balasegaram^*, Arwen Burns, Ben Sims, Charles Irish, Claire Bradshaw, Djamel Hamadache, Eleanor Blakey, James McCreadie, Jay Gordon, Joanne Freedman, Julia Heywood, Karthikeyan Paranthaman, Lisa KenneyLucinda Slater, Maha O. Saeed, Miranda Mindlin, Mona Dave, Nalini Iyanger, Neil MacDonald, Peter Lamb, Polly Ashmore, Rachel Pudney, Rebecca Green, Rebecca Hams, Robert Smith, Samreen Ijaz, Sarah White, Sophie Nash, Amélie Kergozien, Anthony J. Wilson, Carol Stocker, Caroline Handford, Sriram Balasingam, Tina Potter

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

We report a national hepatitis A virus (HAV) outbreak linked to the consumption of Medjool dates. Twenty-nine cases of three genetically related sequences have been identified. Epidemiological investigations identified a suspected product (adjusted odds ratio: 47.36; 95% confidence interval: 1.79-1,256.07; p=0.021). Microbiological testing has confirmed the presence of HAV on dates recovered from two cases and the product has been recalled. Date consumption is currently likely to be increased in connection with Ramadan, with potential ongoing contamination risk.

Original language	English
Article number	2100432
Journal	Eurosurveillance
Volume	26
Issue number	20
DOIs	https://doi.org/10.2807/1560-7917.ES.2021.26.20.2100432
Publication status	Published - 20 May 2021

Bibliographical note

Funding Information:
We would like to thank Shirley Cole, Sophie Nash, Rajani Raghu, Megan Glancy and Samuel Jones for assisting with data collation, and Lucinda Slater and Sophie Nash for taking IMT minutes. We would also like to thank all IMT participants as well as the Food Standards Agency, PHE's Food, Water and Environment Laboratory, PHE's Health Protection Teams, Field Service teams and Virus Reference Department. Additionally we would like to thank Lesley Larkin and Jacquelyn McCormick for providing data from Salmonella cases, and Valerie Delpech for reviewing the manuscript.

Publisher Copyright:
© 2021 European Centre for Disease Prevention and Control (ECDC). All rights reserved.

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10.2807/1560-7917.ES.2021.26.20.2100432

Cite this

Garcia Vilaplana, T., Leeman, D., Balogun, K., Ngui, S. L., Phipps, E.-R., Khan, W. M., Team, I., Balasegaram, S., Burns, A., Sims, B., Irish, C., Bradshaw, C., Hamadache, D., Blakey, E., McCreadie, J., Gordon, J., Freedman, J., Heywood, J., Paranthaman, K., ... Potter, T. (2021). Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021. Eurosurveillance, 26(20), Article 2100432. https://doi.org/10.2807/1560-7917.ES.2021.26.20.2100432

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title = "Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021",

abstract = "We report a national hepatitis A virus (HAV) outbreak linked to the consumption of Medjool dates. Twenty-nine cases of three genetically related sequences have been identified. Epidemiological investigations identified a suspected product (adjusted odds ratio: 47.36; 95% confidence interval: 1.79-1,256.07; p=0.021). Microbiological testing has confirmed the presence of HAV on dates recovered from two cases and the product has been recalled. Date consumption is currently likely to be increased in connection with Ramadan, with potential ongoing contamination risk.",

author = "{Garcia Vilaplana}, Tatiana and David Leeman and Koye Balogun and Ngui, {Siew Lin} and Emily-Rose Phipps and Khan, {Wazirzada M.} and Incident Team and Sooria Balasegaram and Arwen Burns and Ben Sims and Charles Irish and Claire Bradshaw and Djamel Hamadache and Eleanor Blakey and James McCreadie and Jay Gordon and Joanne Freedman and Julia Heywood and Karthikeyan Paranthaman and Lisa Kenney and Lucinda Slater and Saeed, {Maha O.} and Miranda Mindlin and Mona Dave and Nalini Iyanger and Neil MacDonald and Peter Lamb and Polly Ashmore and Rachel Pudney and Rebecca Green and Rebecca Hams and Robert Smith and Samreen Ijaz and Sarah White and Sophie Nash and Am{\'e}lie Kergozien and Wilson, {Anthony J.} and Carol Stocker and Caroline Handford and Sriram Balasingam and Tina Potter",

note = "Funding Information: We would like to thank Shirley Cole, Sophie Nash, Rajani Raghu, Megan Glancy and Samuel Jones for assisting with data collation, and Lucinda Slater and Sophie Nash for taking IMT minutes. We would also like to thank all IMT participants as well as the Food Standards Agency, PHE's Food, Water and Environment Laboratory, PHE's Health Protection Teams, Field Service teams and Virus Reference Department. Additionally we would like to thank Lesley Larkin and Jacquelyn McCormick for providing data from Salmonella cases, and Valerie Delpech for reviewing the manuscript. Publisher Copyright: {\textcopyright} 2021 European Centre for Disease Prevention and Control (ECDC). All rights reserved.",

year = "2021",

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Garcia Vilaplana, T, Leeman, D, Balogun, K, Ngui, SL, Phipps, E-R, Khan, WM, Team, I, Balasegaram, S, Burns, A, Sims, B , Irish, C, Bradshaw, C, Hamadache, D, Blakey, E, McCreadie, J, Gordon, J, Freedman, J, Heywood, J, Paranthaman, K, Kenney, L, Slater, L, Saeed, MO, Mindlin, M, Dave, M, Iyanger, N , MacDonald, N, Lamb, P, Ashmore, P, Pudney, R, Green, R, Hams, R, Smith, R, Ijaz, S, White, S, Nash, S, Kergozien, A, Wilson, AJ, Stocker, C, Handford, C, Balasingam, S & Potter, T 2021, 'Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021', Eurosurveillance, vol. 26, no. 20, 2100432. https://doi.org/10.2807/1560-7917.ES.2021.26.20.2100432

TY - JOUR

T1 - Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021

AU - Garcia Vilaplana, Tatiana

AU - Leeman, David

AU - Balogun, Koye

AU - Ngui, Siew Lin

AU - Phipps, Emily-Rose

AU - Khan, Wazirzada M.

AU - Team, Incident

AU - Balasegaram, Sooria

AU - Burns, Arwen

AU - Sims, Ben

AU - Irish, Charles

AU - Bradshaw, Claire

AU - Hamadache, Djamel

AU - Blakey, Eleanor

AU - McCreadie, James

AU - Gordon, Jay

AU - Freedman, Joanne

AU - Heywood, Julia

AU - Paranthaman, Karthikeyan

AU - Kenney, Lisa

AU - Slater, Lucinda

AU - Saeed, Maha O.

AU - Mindlin, Miranda

AU - Dave, Mona

AU - Iyanger, Nalini

AU - MacDonald, Neil

AU - Lamb, Peter

AU - Ashmore, Polly

AU - Pudney, Rachel

AU - Green, Rebecca

AU - Hams, Rebecca

AU - Smith, Robert

AU - Ijaz, Samreen

AU - White, Sarah

AU - Nash, Sophie

AU - Kergozien, Amélie

AU - Wilson, Anthony J.

AU - Stocker, Carol

AU - Handford, Caroline

AU - Balasingam, Sriram

AU - Potter, Tina

N1 - Funding Information: We would like to thank Shirley Cole, Sophie Nash, Rajani Raghu, Megan Glancy and Samuel Jones for assisting with data collation, and Lucinda Slater and Sophie Nash for taking IMT minutes. We would also like to thank all IMT participants as well as the Food Standards Agency, PHE's Food, Water and Environment Laboratory, PHE's Health Protection Teams, Field Service teams and Virus Reference Department. Additionally we would like to thank Lesley Larkin and Jacquelyn McCormick for providing data from Salmonella cases, and Valerie Delpech for reviewing the manuscript. Publisher Copyright: © 2021 European Centre for Disease Prevention and Control (ECDC). All rights reserved.

PY - 2021/5/20

Y1 - 2021/5/20

N2 - We report a national hepatitis A virus (HAV) outbreak linked to the consumption of Medjool dates. Twenty-nine cases of three genetically related sequences have been identified. Epidemiological investigations identified a suspected product (adjusted odds ratio: 47.36; 95% confidence interval: 1.79-1,256.07; p=0.021). Microbiological testing has confirmed the presence of HAV on dates recovered from two cases and the product has been recalled. Date consumption is currently likely to be increased in connection with Ramadan, with potential ongoing contamination risk.

AB - We report a national hepatitis A virus (HAV) outbreak linked to the consumption of Medjool dates. Twenty-nine cases of three genetically related sequences have been identified. Epidemiological investigations identified a suspected product (adjusted odds ratio: 47.36; 95% confidence interval: 1.79-1,256.07; p=0.021). Microbiological testing has confirmed the presence of HAV on dates recovered from two cases and the product has been recalled. Date consumption is currently likely to be increased in connection with Ramadan, with potential ongoing contamination risk.

UR - http://www.scopus.com/inward/record.url?scp=85107628216&partnerID=8YFLogxK

U2 - 10.2807/1560-7917.ES.2021.26.20.2100432

DO - 10.2807/1560-7917.ES.2021.26.20.2100432

M3 - Article

AN - SCOPUS:85107628216

SN - 1025-496X

VL - 26

JO - Eurosurveillance

JF - Eurosurveillance

IS - 20

M1 - 2100432

ER -

Hepatitis A outbreak associated with consumption of dates, England and Wales, January 2021 to April 2021

Abstract

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