TY - GEN T1 - Major outbreak of hepatitis A associated with orange juice among tourists, Egypt, 2004. AU - Frank, Christina AU - Walter, Jan AU - Muehlen, Marion AU - Jansen, Andreas AU - Treeck, Ulrich van AU - Hauri, Anja M. AU - Zoellner, Iris AU - Rakha, Magda AU - Hoehne, Marina AU - Hamouda, Osamah AU - Schreier, Eckart AU - Stark, Klaus AB - In 2004, a major outbreak of hepatitis A among tourists returning from Egypt involved 351 case-patients from 9 European countries who were infected with a single strain (genotype 1 b). The case-control study identified orange juice as the most likely infection vehicle. Vaccination against hepatitis A virus is strongly recommended before travel to disease-endemic areas. KW - Humans KW - Phylogeny KW - Travel KW - Disease Outbreaks KW - Hepatitis A/epidemiology KW - Antibodies KW - Viral/blood KW - Case-Control Studies KW - Food Contamination KW - Beverages/virology KW - Citrus sinensis KW - Egypt/epidemiology KW - Hepatitis A virus/genetics KW - Immunoglobulin M/blood KW - 610 Medizin PY - 2007 LA - eng PB - Robert Koch-Institut, Infektionsepidemiologie VL - 13 IS - 1 DO - http://dx.doi.org/10.25646/460 ER -