2001
DOI: 10.2166/wst.2001.0712
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Human enteric viruses in Coquina clams associated with a large hepatitis A outbreak

Abstract: An outbreak of hepatitis A, affecting 183 people, occurred in Valencia (Spain). Epidemiological evidence pointed to an association of the outbreak with consumption of Coquina clams (Donax sp), imported frozen from Peru. Shellfish were analysed for the presence of hepatitis A virus (HAV), enteroviruses, rotaviruses, astroviruses, caliciviruses and hepatitis E virus. HAV was detected in 75% of assayed shellfish samples. Other enteric viruses were occasionally found in the same samples. Molecular epidemiological … Show more

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Cited by 84 publications
(50 citation statements)
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“…Because shellfish are filter feeders, the concentration of viruses accumulated in their edible tissues may be much higher than that in the surrounding water (1). Consumption of shellfish harvested from enteric virus-contaminated waters often has led to human outbreaks (17,18,102).…”
Section: Introductionmentioning
confidence: 99%
“…Because shellfish are filter feeders, the concentration of viruses accumulated in their edible tissues may be much higher than that in the surrounding water (1). Consumption of shellfish harvested from enteric virus-contaminated waters often has led to human outbreaks (17,18,102).…”
Section: Introductionmentioning
confidence: 99%
“…In fact, HAV and other viruses are readily identified in shellfish harvested in certain European regions (3,10,17,29,31). HAV-contaminated shellfish have caused significant outbreaks of human disease (5,11,22). Furthermore, global trade of virally contaminated shellfish has resulted in outbreaks and dissemination of HAV and other exotic virus strains to geographic areas where they are not endemic (5,19,27,35,36).…”
mentioning
confidence: 99%
“…In outbreaks 2 and 3, norovirus strain GGI. 3 Birmingham was implicated as the causative viral agent, which is less well-amplified with these primers and therefore the alternative primer set JV12BH and NVP110 was used. The number of food items implicated in one outbreak ranged from 2 to 17 (Table 4).…”
Section: Seeding Experimentsmentioning
confidence: 99%
“…Transmission has occurred by person-to-person contact (6) and through contaminated water (10,19) and food (20,36,37). Most of the food items implicated in these outbreaks are raw or uncooked, such as oysters, mussels, fruits, vegetables, sandwiches, dairy products, baked products, and salads, which are associated with high risks of infection (3,9,18,20,27,39,40). These foods are most likely contaminated through sewage-contaminated surface water or by infected food handlers during harvesting, packaging, or food preparation (9,35).…”
mentioning
confidence: 99%
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