{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T16:00:00Z","timestamp":1793548800452,"version":"4.5.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"unspecified","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Shiga toxin-producing\n                    <jats:italic>Escherichia coli<\/jats:italic>\n                    (STEC) are zoonotic, foodborne pathogens that cause outbreaks of infectious gastrointestinal disease, including haemolytic uraemic syndrome (HUS) which can be fatal. In November 2023, a foodborne outbreak of STEC serotype O26:H11\n                    <jats:italic>stx2a\/eae<\/jats:italic>\n                    , involving 40 cases (54% female and 76% aged 0\u20139\u00a0years old), including 19 children with HUS. Whole-genome sequencing analysis revealed the outbreak strain was multidrug resistant and likely originated from outside the United Kingdom. Epidemiological analysis showed greatest odds of exposure among cases for consumption of a dried fruit product, predominantly in multi-packs. Batch numbers of the packs consumed by cases were rarely available, and where recorded, other packs in the same the batch were unavailable for testing; therefore, targeted microbiological testing was not possible. Fruit for drying can become contaminated when the crop is exposed to irrigation water or rainwater run off containing animal faeces. For STEC, where detection of the causative agent in food is challenging, we recommend establishing multi-source weight of evidence frameworks that promote the application of epidemiological and food chain evidence for public health action and the expansion of global surveillance networks to enhance the detection of foodborne threats at home and abroad.\n                  <\/jats:p>","DOI":"10.1017\/s0950268825100964","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:58:13Z","timestamp":1767859093000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["An outbreak of Shiga toxin-producing\n                    <i>Escherichia coli<\/i>\n                    O26:H11 associated with dried fruit, UK 2023"],"prefix":"10.1017","volume":"154","author":[{"given":"Rosie","family":"Collins","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/018h10037","id-type":"ROR","asserted-by":"publisher"}],"name":"UK Health Security Agency"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8600-9169","authenticated-orcid":false,"given":"Claire","family":"Jenkins","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00vbvha87","id-type":"ROR","asserted-by":"publisher"}],"name":"UK Health Security Agency"},{"name":"University of East Anglia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlagh","family":"Quinn","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/018h10037","id-type":"ROR","asserted-by":"publisher"}],"name":"UK Health Security 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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-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","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":"e12"}}