{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T03:48:38Z","timestamp":1793159318781,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Zoonotic transmission of\n                    <jats:italic>Salmonella<\/jats:italic>\n                    infections causes an estimated 11% of salmonellosis annually in the United States. This report describes the epidemiologic, traceback and laboratory investigations conducted in the United States as part of four multistate outbreaks of\n                    <jats:italic>Salmonella<\/jats:italic>\n                    infections linked to small turtles.\n                    <jats:italic>Salmonella<\/jats:italic>\n                    isolates indistinguishable from the outbreak strains were isolated from a total of 143 ill people in the United States, pet turtles, and pond water samples collected from turtle farm A, as well as ill people from Chile and Luxembourg. Almost half (45%) of infections occurred in children aged &lt;5\u00a0years, underscoring the importance of the Centers for Disease Control and Prevention recommendation to keep pet turtles and other reptiles out of homes and childcare settings with young children. Although only 43% of the ill people who reported turtle exposure provided purchase information, most small turtles were purchased from flea markets or street vendors, which made it difficult to locate the vendor, trace the turtles to a farm of origin, provide education and enforce the United States federal ban on the sale and distribution of small turtles. These outbreaks highlight the importance of improving public awareness and education about the risk of\n                    <jats:italic>Salmonella<\/jats:italic>\n                    from small turtles not only in the United States but also worldwide.\n                  <\/jats:p>","DOI":"10.1111\/zph.12466","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T00:41:48Z","timestamp":1522024908000},"page":"560-568","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Flea market finds and global exports: Four multistate outbreaks of human\n                    <i>Salmonella<\/i>\n                    infections linked to small turtles, United States\u20142015"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3809-1318","authenticated-orcid":false,"given":"K.","family":"Gambino\u2010Shirley","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Concepci\u00f3n\u2010Acevedo","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Trees","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Wagner","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Whitlock","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Louisiana Department of Agriculture &amp; 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Mental Hygiene Long Island City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Waechter","sequence":"additional","affiliation":[{"name":"New York City Department of Health &amp; Mental Hygiene Long Island City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Gomez","sequence":"additional","affiliation":[{"name":"USDA, APHIS, Veterinary Services Liaison to CDC Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Fern\u00e1ndez Ordenes","sequence":"additional","affiliation":[{"name":"Instituto de Salud P\u00fablica de Chile Santiago\u2010Chile Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ulloa","sequence":"additional","affiliation":[{"name":"Instituto de Salud P\u00fablica de Chile Santiago\u2010Chile Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ragimbeau","sequence":"additional","affiliation":[{"name":"Laboratoire National de Sant\u00e9 Dudelange Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Mossong","sequence":"additional","affiliation":[{"name":"Laboratoire National de Sant\u00e9 Dudelange Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Nichols","sequence":"additional","affiliation":[{"name":"Division of Foodborne, Waterborne, and Environmental Diseases Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6429a7"},{"issue":"24","key":"e_1_2_8_3_1","article-title":"Salmonella infections associated with reptiles: The current situation in Europe","volume":"13","author":"Bertrand S.","year":"2008","journal-title":"Eurosurveillance Weekly"},{"issue":"7","key":"e_1_2_8_4_1","first-page":"1149","article-title":"Turtle\u2010associated Salmonellosis, United States, 2006\u20102014","volume":"22","author":"Bosch S.","year":"2016","journal-title":"Emerging Infectious Diseases"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4067\/S0716-10182015000400013"},{"key":"e_1_2_8_6_1","unstructured":"CDC(2015a).The trouble with tiny turtles. 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