Infectious Diseases 2018

Infectious Diseases 2018

Epidemiological update: Salmonella in eggs from Poland

ECDC 20 November, 2018

Overall, 1,412 cases have been found associated with this outbreak: 532 confirmed and 166 probable cases since 1 February 2017 and 343 historical-confirmed and 367 historical-probable cases between 2012 and 31 January 2017. Most outbreak cases were reported during the summer months. Due to reporting delays, additional cases are expected to be reported with onset in recent months.
A total of 112 confirmed or historical-confirmed cases were reported with travel history in an EU country during the incubation period and therefore were likely infected there. Countries where infections likely took place were Poland (25 cases identified from 2016 to 2018), Bulgaria (22 cases from 2015 to 2018), Cyprus (14 cases in 2016 and 2018), Portugal (11 cases from 2015 to 2017) and Hungary (10 cases from 2016 to 2018). Additional travel-associated cases were also reported (<10 cases per country) with travel history to Austria, Belgium, Greece, Italy, the Netherlands, Romania, Slovenia and Spain.
The 2016 and 2017 European outbreak investigations identified eggs originating from Poland as the vehicle of infection in this outbreak. Outbreak-confirmed cases belong to four different WGS clusters.
Control measures were implemented following these investigations. However, new outbreak cases were notified in 2017 and in 2018 with similar magnitude and temporal patterns. Based on the analysis of the travel-associated cases, it is likely that more countries where molecular typing is not performed routinely for human S. Enteritidis isolates are affected by the outbreak, including Bulgaria, Cyprus and Portugal.