Between June–September 2018, 20 hepatitis A cases were notified in six counties in Sweden. Combined epidemiological and microbiological investigations identified imported frozen strawberries produced in Poland as the source of the outbreak. Sequence analysis confirmed the outbreak strain IB in the strawberries with 100 % identity and the respective batch was withdrawn. Sharing the sequence information internationally led to the identification of 14 additional cases in Austria, linked to strawberries from the same producer.

Dairy herds worldwide are experiencing a decline in reproductive efficiency at the same time as management methods are changing. This study aimed to investigate the extent to which herd-level characteristics were associated with reproductive performance. Data from herds using artificial insemination (AI) in the Swedish Official Milk Recording Scheme that had more than 45 cows were included in the study (total of 2,728 herds). Reproductive performance was measured as the average for each herd for the calving interval, calving to first AI interval, calving to last AI interval, number of AI per animal submitted for AI, and culling attributed to reproductive problems. Herds with mainly Swedish Holstein cows had longer calving intervals, calving to first AI, and calving to last AI compared with herds with mainly Swedish Red and White cows. Large herds had shorter calving to first AI but a greater number of AI than small herds, whereas small herds had greater culling attributed to reproductive problems than large herds. Low-yielding herds had longer calving intervals, calving to first AI, and calving to last AI and had greater culling attributed to reproductive problems than high-yielding herds, whereas herds with high milk yields had a greater number of AI than low-yielding herds. Herds with automatic milking systems had shorter calving intervals, calving to first AI, and calving to last AI and had lesser odds for culling attributed to reproductive problems when compared with herds with ordinary pipeline milking systems. Herds that used Advanced Feed Advisory Services had shorter calving to first AI but a greater number of AI and greater culling attributed to reproductive problems. Herds using TMR had longer calving intervals and calving to last AI than herds that did not. Herds with tie stalls had longer calving intervals, calving to first AI, and calving to last AI, and organic herds had shorter calving intervals, calving to first AI, and calving to last AI compared with conventional herds. We found that herds with do-it-yourself inseminations had longer calving intervals and calving to first AI. Our study showed numerous associations between herd characteristics and reproductive performance. When allocating advisory service resources to improve reproductive performance, the focus should be on herd characteristics that are easy to influence, such as TMR and do-it-yourself inseminations.

An outbreak of gastroenteritis with 83 cases occurred at a conference venue in November 2017 in Halland County, Sweden. Stool samples from two venue visitors and a symptomatic secondary case attributed to household transmission were PCR-positive for the ipaH gene, a target found in both Shigella spp. and enteroinvasive Escherichia coli (EIEC). EIEC was isolated from stool samples and whole genome sequencing analysis confirmed EIEC O96:H19 to be the aetiological agent. A cohort study was conducted among venue attendees and employees and the findings implicated contaminated leafy greens as the vehicle of infection, however, no microbiological evidence could support the study results. Here, we report the investigation into the first recorded EIEC outbreak in Sweden and illustrate the challenges associated with the differential laboratory diagnostics of Shigella/EIEC in an outbreak setting.