TY - JOUR TI - Salmonellosis outbreak with novel Salmonella enterica subspecies enterica serotype (11:z41:e,n,z15) attributable to sesame products in five European countries, 2016 to 2017 AU - Meinen, Anika AU - Simon, Sandra AU - Banerji, Sangeeta AU - Szabo, Istvan AU - and Malorny, Burkhard AU - Borowiak, Maria AU - Hadziabdic, Sead and AU - Becker, Natalie AU - Luber, Petra AU - Lohr, Dorothee AU - Harms, Carolin AU - and Plenge-Boenig, Anita AU - Mellou, Kassiani AU - Mandilara, Georgia and AU - Mossong, Joel AU - Ragimbeau, Catherine AU - Weicherding, Pierre AU - Hau, AU - Patrick AU - Dedicova, Daniela AU - Safarikova, Lucie AU - Nair, Satheesh AU - and Dallman, Timothy J. AU - Larkin, Lesley AU - McCormick, Jacquelyn and AU - De Pinna, Elizabeth AU - Severi, Ettore AU - Kotila, Saara AU - Niskanen, AU - Taina AU - Rizzi, Valentina AU - Deserio, Domenico AU - Flieger, Antje and AU - Stark, Klaus JO - Eurosurveillance PY - 2019 VL - 24 TODO - 36 SP - 6-14 PB - EUR CENTRE DIS PREVENTION & CONTROL SN - 1025-496X, 1560-7917 TODO - 10.2807/1560-7917ES.2019.24.36.1800543 TODO - null TODO - In spring 2016, Greece reported an outbreak caused by a previously undescribed Salmonella enterica subsp. enterica serotype (antigenic formula 11:z41:e,n,z15) via the Epidemic Intelligence Information System for Food-and Waterborne Diseases and Zoonoses (EPIS-FWD), with epidemiological evidence for sesame products as presumptive vehicle. Subsequently, Germany, Czech Republic, Luxembourg and the United Kingdom (UK) reported infections with this novel serotype via EPIS-FWD. Concerned countries in collaboration with the European Centre for Disease Prevention and Control (ECDC) and European Food Safety Authority (EFSA) adopted a common outbreak case definition. An outbreak case was defined as a laboratory-confirmed notification of the novel Salmonella serotype. Between March 2016 and April 2017, 47 outbreak cases were notified (Greece: n = 22; Germany: n = 13; Czech Republic: n = 5; Luxembourg: n = 4; UK: n = 3). Whole genome sequencing revealed the very close genetic relatedness of isolates from all affected countries. Interviews focusing on sesame product consumption, suspicious food item testing and trace-back analysis following Salmonella spp. detection in food products identified a company in Greece where sesame seeds from different countries were processed. Through European collaboration, it was possible to identify and recall sesame spread as one contaminated food item serving as vehicle of infection and trace it back to its origin. ER -