WHO reports on 27 March 2022, the United Kingdom notified WHO of a cluster of cases with monophasic SalmonellaTyphimurium sequence type 34 infection. Investigations linked the outbreak to chocolate produced in Belgium, which have been distributed to at least 113 countries. A global alert was released by INFOSAN on 10 April, initiating a global product recall. To date, a total of 151 genetically related cases suspected to be linked to the consumption of the implicated chocolate products have been reported from 11 countries. The risk of spread in the WHO European region and globally is assessed as moderate until information is available on the full recall of the products.
On 27 March 2022, WHO was informed by the IHR National Focal Point of the United Kingdom of Great Britain and Northern Ireland (the United Kingdom) of a widely distributed cluster of Salmonella enterica serovar Typhimurium (S. Typhimurium) with an unidentified source. Molecular typing confirmed isolation of the bacteria S. Typhimurium sequence typing (ST) 34 and epidemiological evidence has subsequently linked the outbreak to chocolate products from Belgium, which, as of 25 April 2022, have been found to be distributed to at least 113 countries and territories1 across all WHO Regions
Monophasic S. Typhimurium matching the human outbreak cases were identified in buttermilk tanks at the Ferrero Corporate plant in Arlon, Belgium in December 2021 and January 2022. After implementing hygiene measures and negative Salmonella testing, the implicated products (all Kinder products manufactured at the implicated facility (Arlon) including Kinder Surprise, Kinder Mini Eggs, Kinder Surprise Maxi 100g and Kinder Schoko-Bons) were distributed across Europe and globally.
According to the analyses of the United Kingdom Health Security Agency (UKHSA), the outbreak strain is resistant to six types of antibiotics: penicillins, aminoglycosides (streptomycin, spectinomycin, kanamycin, and gentamycin), phenicols, sulfonamides, trimethoprim, tetracyclines.
As of 25 April 2022, a total of 151 genetically related cases of S. Typhimurium suspected to be linked to the consumption of the implicated chocolate products have been reported from 11 countries (Figure 1): Belgium (26 cases), France (25 cases), Germany (10 cases), Ireland (15 cases), Luxembourg (1 case), the Netherlands (2 cases), Norway (1 case), Spain (1 case), Sweden (4 cases), the United Kingdom (65 cases) and the United States of America (1 case). According to Sante Publique reports, as of 04/27/2022: 59 cases of salmonellosis with a strain belonging to the epidemic, Salmonella Typhimurium, have been identified by the National Reference Center (CNR) for salmonella at the Institute Pasteur in France.
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