Outbreak of unusual H2S-negative monophasic Salmonella Typhimurium strain likely associated with small tomatoes, Sweden, August to October 2019

Author:

Colombe Soledad12ORCID,Jernberg Cecilia2ORCID,Löf Emma2ORCID,Angervall Anna Lindqvist3,Mellström-Dahlgren Henrik3,Dotevall Leif3,Bengnér Malin4,Hall Ingela4,Sundqvist Lena2,Kühlmann-Berenzon Sharon2ORCID,Galanis Ilias2,Lindblad Mats5,Hansen Anette2,Rehn Moa2

Affiliation:

1. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Solna, Sweden

2. Public Health Agency of Sweden, Solna, Sweden

3. County Council Department of Communicable Disease Control and Prevention, Region Västra Götaland, Gothenburg, Sweden

4. County Council Department of Communicable Disease Control and Prevention, Region Jönköping, Jönköping, Sweden

5. Swedish Food Agency, Uppsala, Sweden

Abstract

Sweden is investigating an outbreak of monophasic Salmonella Typhimurium. Eighty-two nationally-distributed cases have been confirmed, with date of symptom onset between 28 August and 29 October. Cases were 51 years of age on average (range: 0–89) and the majority of cases were female (62%). A case–control study was conducted and suggested small tomatoes as source of the outbreak (adjusted odds ratio (OR): 10.8, 95% confidence interval (CI): 4.15-112.68, p value < 0.001), and a trace-back investigation led to a single, non-Swedish producer in Europe. Both the Salmonella strain and the source of the outbreak are rarely encountered in Europe. Results from investigation at the producer are pending.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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