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The Centers for Disease Control and Prevention (CDC) has announced that the source of a multi-state outbreak of hepatitis A has been traced to pomegranate seeds imported from Turkey. As of 1 Aug 2013, 158 cases of hepatitis A have been reported from 10 states in the US.
The CDC and the Food and Drug Administration determined the major outbreak strain of hepatitis A virus belonged to genotype 1B, which is rarely seen in the Americas but is found in North Africa and the Middle East.
The genotype was identified in a 2013 outbreak of hepatitis A virus infections in Europe connected with frozen berries and a 2012 British Columbia outbreak linked to a frozen berry blend with pomegranate seeds from Egypt. There is no evidence that the outbreaks are related to the ongoing US outbreak.
Advice for Travellers
The product mentioned in this report has been withdrawn from the market. Vaccination recommendations have not been changed for this country.
