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Marosevic, Durdica ; Belting, Anne ; Schönberger, Katharina ; Carl, Anja ; Wenzel, Jürgen J. ; Brey, Roland

Hepatitis A Outbreak in the General Population due to a MSM-Associated HAV Genotype Linked to a Food Handler, November 2017–February 2018, Germany

Article

Marosevic, Durdica , Belting, Anne, Schönberger, Katharina, Carl, Anja, Wenzel, Jürgen J. and Brey, Roland (2019) Hepatitis A Outbreak in the General Population due to a MSM-Associated HAV Genotype Linked to a Food Handler, November 2017–February 2018, Germany. Food and Environmental Virology 11 (2), pp. 149-156.

DOI to cite this document: 10.5283/epub.43840


Abstract

Hepatitis A (HAV) is a viral infection causing a range of symptoms, sudden onset of fever, malaise, diarrhea, and jaundice. It is mostly transmitted fecal-oral through contaminated food, with immediate household and sexual contacts having a higher risk of infection. Since 2016 an increased number of HAV infections, mostly affecting men who have sex with men (MSM) have been noticed worldwide, with ...

Hepatitis A (HAV) is a viral infection causing a range of symptoms, sudden onset of fever, malaise, diarrhea, and jaundice. It is mostly transmitted fecal-oral through contaminated food, with immediate household and sexual contacts having a higher risk of infection. Since 2016 an increased number of HAV infections, mostly affecting men who have sex with men (MSM) have been noticed worldwide, with three main genotypes circulating. We report here on the first spillover outbreak of the MSM-associated HAV genotype RIVM-HAV16-090 in the German general population in November 2017-February 2018. In total, twelve cases could be attributed to the outbreak with the index case and a coworker in a butchers shop being the most probable source of the outbreak. The identical HAV genotype was detected in two environmental samples in the premises of the butchers shop and in nine cases. Outbreak control measures included detailed contact tracing and stool examinations, several environmental investigations, thorough cleaning, and disinfection of the premises of the butchers shop. Post-exposure vaccination was recommended to all unprotected contacts during the investigation. Furthermore, although hand-washing facilities were in accordance with the required law, additional installment of soap and disinfectant dispensers and contactless faucets has been recommended.



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Details

Item typeArticle
Journal or Publication TitleFood and Environmental Virology
PublisherSpringer
Place of PublicationNEW YORK
Volume11
Number of Issue or Book Chapter2
Page Rangepp. 149-156
Date13 March 2019
Date of publication01 Oct 2020 07:02
InstitutionsMedicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Identification Number
ValueType
10.1007/s12560-019-09375-3DOI
30868371PubMed ID
KeywordsMULTISTATE OUTBREAK; FOODBORNE OUTBREAK; CONSUMPTION; VIRUS; Hepatitis A virus; Foodborne outbreak; MSM-cluster genotype
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
Item ID43840

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