Category Archives: Hepatitis A

Europe – Multistate foodborne hepatitis A outbreak among European tourists returning from Egypt– need for reinforced vaccination recommendations, November 2012 to April 2013


A multistate outbreak of hepatitis A virus (HAV) among European travellers returning from Egypt occurred between November 2012 and April 2013. A total of 14 European Union (EU)-European Free Trade Association (EFTA) countries reported 107 cases. Twenty-one cases from six countries were affected by strains of sub-genotype IB harbouring identical RNA sequences, suggesting a common source outbreak. An international outbreak investigation team interviewed a number of cases with a trawling questionnaire to generate hypotheses on potential exposures. Some of these exposures were further tested in a case–control study based on a more specific questionnaire. Both trawling and case–control questionnaires aimed to collect cases’ vaccination details as well as epidemiological information. Most cases participating in either questionnaire (35/43) had been staying in all-inclusive hotels located along the Red Sea. The case–control study found cases associated with exposure to strawberries or mango (multivariable analysis p value: 0.04). None of the 43 cases interviewed in any of the two questionnaires had been vaccinated. The most common reasons for non-vaccination was unawareness that HAV vaccination was recommended (23/43, 53%) and perceiving low infection risk in all-inclusive luxury resorts (19/43, 44%). Vaccination had not been recommended to five of the six cases who sought travel medical advice before travelling. Public health authorities should strongly reinforce measures to remind travellers, travel agencies and healthcare providers of the importance of vaccination before visiting HAV-endemic areas, including Egypt.

Research – Detection of foodborne viruses in ready‐to‐eat meat products and meat processing plants

Wiley Online


Several studies have confirmed the presence of foodborne viruses in different food products throughout the world. There is accumulating data suggesting that the economic burden of foodborne viral infections is rising, making the understanding and monitoring of their prevalence a necessity, for the modern food industry. The objective of this study was to examine ready‐to‐eat meat products and environmental samples originated from meat processing plants in Cyprus, for four foodborne viruses: norovirus (NoV GGI, NoV GII), rotavirus, hepatitis A virus, and hepatitis E virus. A total of 48 swab samples and 42 different pork meat products from two plants were analyzed in parallel. The reverse transcription real‐time polymerase chain reaction revealed two swab samples from the same plant positive for norovirus GGI. The detection of norovirus on a slicer machine and on the hands of a worker, suggest that foodborne viruses can be present in meat processing environments.

Practical applications

There is an increasing need to better understand the prevalence of foodborne viruses in the environment and food, given the rise of viral foodborne outbreaks throughout the world, as reported by World Health Organization. Meat products form an important exposure vehicle to humans either directly, through the consumption of raw products, or as a result of cross‐contamination in food processing plants. This is the first report in Cyprus illustrating the presence of foodborne viruses in meat processing plants and the possible impact in public health, through the consumption of ready‐to‐eat meat products.

USA – Kentucky Recommends Everyone get a Hepatitis A Vaccine

Food Poison Journal

Due to an ongoing outbreak of Hepatitis A, the Department for Public Health (DPH) within the Cabinet for Health and Family Services (CHFS), is recommending vaccination for everyone residing in Jefferson, Bullitt, Hardin, Greenup, Carter and Boyd counties.To date, 214 cases have been reported in the Jefferson County/Louisville area. Bullitt, Hardin, Greenup, Carter and Boyd counties have each reported 5 or more cases for a total 311 cases associated with the outbreak. One death has been reported.

USA – Buffalo Wild Wings now Linked to Hepatitis A Outbreaks

Food Poison Journal

The Macomb County Health Department has confirmed a case of hepatitis A in a food service worker at a Buffalo Wild Wings restaurant in Warren.The restaurant at 29287 Mound was inspected Tuesday, according to a release from the health department. The eatery has been approved to operate, and management worked with the health department in the investigation.

The health department is advising anyone who ate at the restaurant from March 24 through April 9 to watch for symptoms of hepatitis A, which include abdominal pain, nausea, vomiting, diarrhea, dark urine, fever, chills and yellow skin and eyes or jaundice.

Symptoms can develop anywhere from 15 and 50 days after exposure, the health department said. People developing these symptoms should get medical care.


Canada – Food Recall Warning – Montana brand frozen strawberries recalled due to Hepatitis A


Recall details

Ottawa, April 14, 2018 – Groupe Adonis Inc. is recalling Montana brand frozen strawberries from the marketplace due to possible Hepatitis A contamination. Consumers should not consume the recalled product described below.

The ministère de l’Agriculture, des Pêcheries et de l’Alimentation du Québec (MAPAQ) transmitted an alert to the news media today concerning the affected product. Please click on the following link for details: (French only).

The following product has been sold exclusively from Adonis markets in Quebec and Ontario.

Recalled products

Brand Name Common Name Size Code(s) on Product UPC
Montana Strawberry
1 kg All codes purchased on or before April 14, 2018 6222000401487

Australia – Pomegranates Arils Linked to Australia Hepatitis A Outbreak

Food Poison Journal Afghan_pomegranates

According to press reports, Western Australia has reported its first case of hepatitis A infection, as part of a national outbreak linked to contaminated frozen pomegranates.The Western Australia case follows five cases in New South Wales, one in Australian Capital Territory and one in Queensland.

The implicated product is Creative Gourmet brand pomegranate arils, sold at Coles Supermarkets.

As a precautionary measure, Entyce Food Ingredients Pty Ltd has issued a voluntary recall of its Creative Gourmet Frozen Pomegranate Aril product.


Creative Gourmet


We have actioned a precautionary recall of a relatively small batch of Creative Gourmet Frozen Pomegranate 180g sold only through Coles supermarkets. All Creative Gourmet Pomegranate best before dates up to and including 21/03/20 are being recalled.

All product tested to date has been cleared and has not revealed a link to Hepatitis A but the health and safety of our consumers is of paramount importance. Recognising any concern that may exist in the community, we are exercising abundant caution by activating this voluntary recall immediately.

Consumers can be confident that the recalled product Creative Gourmet Frozen Pomegranate Arils 180g is an isolated one and no other Creative Gourmet products are affected.

We would ask you to return the pack to Coles for a full refund.

Many thanks
The Creative Gourmet Team

Food Authority NSW

Recalls and advisories