{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:05:18Z","timestamp":1791230718845,"version":"4.1.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"unspecified","delay-in-days":126,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>In September 2023, the UK Health Security Agency identified cases of <jats:italic>Salmonella<\/jats:italic> Saintpaul distributed across England, Scotland, and Wales, all with very low genetic diversity. Additional cases were identified in Portugal following an alert raised by the United Kingdom. Ninety-eight cases with a similar genetic sequence were identified, 93 in the United Kingdom and 5 in Portugal, of which 46% were aged under 10\u00a0years. Cases formed a phylogenetic cluster with a maximum distance of six single nucleotide polymorphisms (SNPs) and average of less than one SNP between isolates. An outbreak investigation was undertaken, including a case\u2013control study. Among the 25 UK cases included in this study, 13 reported blood in stool and 5 were hospitalized. One hundred controls were recruited via a market research panel using frequency matching for age. Multivariable logistic regression analysis of food exposures in cases and controls identified a strong association with cantaloupe consumption (adjusted odds ratio: 14.22; 95% confidence interval: 2.83\u201371.43; <jats:italic>p<\/jats:italic>-value: 0.001). This outbreak, together with other recent national and international incidents, points to an increase in identifications of large outbreaks of <jats:italic>Salmonella<\/jats:italic> linked to melon consumption. We recommend detailed questioning and triangulation of information sources to delineate consumption of specific fruit varieties during <jats:italic>Salmonella<\/jats:italic> outbreaks.<\/jats:p>","DOI":"10.1017\/s0950268824000670","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:34:23Z","timestamp":1714955663000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":9,"title":["<i>Salmonella<\/i> Saintpaul outbreak associated with cantaloupe consumption, the United Kingdom and Portugal, September to November 2023"],"prefix":"10.1017","volume":"152","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9529-9509","authenticated-orcid":false,"given":"Luke J.","family":"McGeoch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Hoban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Sawyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Rabie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Incident 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Outbreak of Salmonella Braenderup ST22, Presumed to Be Linked to Imported Melons","year":"2021"},{"key":"S0950268824000670_r3","volume-title":"Reports of Selected Salmonella Outbreak Investigations","year":"2024"},{"key":"S0950268824000670_r6","volume-title":"EpiPulse \u2013 The European Surveillance Portal for Infectious Diseases","year":"2021"},{"key":"S0950268824000670_r8","doi-asserted-by":"crossref","first-page":"3831","DOI":"10.2903\/j.efsa.2014.3831","article-title":"Scientific opinion on the risk posed by pathogens in food of non-animal origin. Part 2 (Salmonella in melons)","volume":"12","author":"Andreoletti","year":"2014","journal-title":"EFSA Journal"},{"key":"S0950268824000670_r11","doi-asserted-by":"publisher","DOI":"10.1086\/597397"},{"key":"S0950268824000670_r4","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268805005480"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268824000670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T08:09:14Z","timestamp":1716278954000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268824000670\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":12,"alternative-id":["S0950268824000670"],"URL":"https:\/\/doi.org\/10.1017\/s0950268824000670","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"assertion":[{"value":"\u00a9 Crown Copyright - UK Health Security Agency, 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e78"}}