2001
DOI: 10.2807/esm.06.10.00380-en
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Imported rocket salad partly responsible for increased incidence of hepatitis A cases in Sweden, 2000-2001

Abstract: An increased incidence of domestic hepatitis A without any obvious source of infection in Sweden and a small outbreak in late spring 2001 led to the undertaking of a case-control study. Consumption of imported rocket salad was clearly associated with disease (odds ratio 9.1, 95% confidence interval 1.5 to 69). The importation of vegetables from countries where hepatitis A is endemic to countries where this disease is not endemic continues to be a public health problem.

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Cited by 36 publications
(8 citation statements)
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“…; Public Health Laboratory Service ), except for one outbreak that took place in Canada, in 1997 (Nygård et al . ) and one in North America (Gaulin et al . ).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…; Public Health Laboratory Service ), except for one outbreak that took place in Canada, in 1997 (Nygård et al . ) and one in North America (Gaulin et al . ).…”
Section: Resultsmentioning
confidence: 99%
“…; Nygård et al . ) have all been implicated. Fresh produce contributes to the transmission of viral infections.…”
Section: Discussionmentioning
confidence: 99%
“…HAV can, via sewage discharge, contaminate soil, food crops and natural watercourses (Bosch, ; Cook & Rzeżutka, ). Consequently, food (Pebody et al ., ; Hutin et al ., ; Lees, ; Dentinger et al ., ; Nygård et al ., ; Greening, ) and drinking water (Divizia et al ., ; Tallon et al ., ) are considered major vehicles of HAV transmission to humans. In an epidemiological investigation, 6.5% of acute cases of hepatitis A were identified as food‐ or water‐borne; however, this figure is probably an underestimate, because a considerable proportion of cases (~68%) remain uncharacterized (Daniels et al ., ).…”
Section: Introduction: Main Food and Environmental Virus Hazardsmentioning
confidence: 99%
“…Several epidemiological studies have associated viral hepatitis A infections with the consumption of fecally contaminated raw vegetables or drinking water Long et al, 2002;Nygard et al, 2001;Hernandez et al, 1997). In 2010 and 2011 two outbreaks of foodborne hepatitis A were reported in the Netherlands and England, respectively (Carvalho et al, 2012;Petrignani et al, 2010).…”
Section: Foodborne Human Pathogenic Virusmentioning
confidence: 99%