Almost 40 people were part of a hepatitis A outbreak in Germany linked to dates from Morocco last year while France, United Kingdom, Netherlands and Sweden reported 18 cases between them.
The 39 patients in Germany fell ill between April and August. Thirty were imported cases and nine people were not abroad during the incubation period.
Results of a case-control study and findings from surveys of people who had not been abroad indicated the outbreak was caused by contaminated dates. Results strongly suggested dried dates sold loosely at markets in Morocco.
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