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Merrick, R., Pulford, C., Rubeshkumar, P., Seyan, P., Fina, L., Sawyer, C., Pacchiarini, N., Pollock, C., Lighthill, J., Potter, T., Harvey, N., Thomas, K., Lloyd, D., Gherman, I., Mackintosh, A., Lawes, J., Snow, L., Waldram, A., Larkin, L., Balasegaram, S., Painset, A., McCormick, J., Elson, R. 
ORCID: https://orcid.org/0000-0001-6350-5274, Browning, L., Williams, C., Andrew, R., Mably, S. and Thomas, D.
(2024)
A genetically related cluster of Salmonella Typhimurium cases in humans associated with ruminant livestock and related food chains, United Kingdom, August 2021-December 2022.
Epidemiology and Infection, 152.
e89.
ISSN 0950-2688
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Abstract
Following an outbreak of Salmonella Typhimurium in Wales in July 2021 associated with sheep meat and offal, further genetically related cases were detected across the UK. Cases were UK residents with laboratory-confirmed Salmonella Typhimurium in the same 5-single-nucleotide polymorphism (SNP) single-linkage cluster with specimen date between 01/08/2021-2031/12/2022. We described cases using routine (UK) and enhanced (Wales only) surveillance data. Exposures in cases in Wales were compared with non-Typhimurium Salmonella case-controls. Environmental Health Practitioners and the Food Standards Agency investigated supply chains of food premises reported by ≥2 cases. Animal, carcass, and environmental samples taken for diagnostic or monitoring purposes for gastrointestinal pathogens were included in microbiological investigations. We identified 142 cases: 75% in England, 23% in Wales and 3% in Scotland. Median age was 32 years, and 59% were male. Direct contact with sheep was associated with becoming a case (aOR: 14, 95%CI: 1.4-145) but reported by few (6/32 cases). No single food item, premises, or supplier linked all cases. Multi-agency collaboration enabled the identification of isolates in the same 5-SNP single-linkage cluster from a sheep carcass at an English abattoir and in ruminant, wildlife, poultry, and environmental samples, suggesting multiple vehicles and pathways of infection.
| Item Type: | Article |
|---|---|
| Additional Information: | Data availability statement: The sequencing data that support the findings of this study are openly available in EnteroBase (https://enterobase.warwick.ac.uk), reference number [Reference Achtman32]. |
| Uncontrolled Keywords: | salmonella typhimurium,united kingdom,outbreaks,ruminants,sheep,epidemiology,infectious diseases ,/dk/atira/pure/subjectarea/asjc/2700/2713 |
| Faculty \ School: | Faculty of Science > School of Environmental Sciences |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 11 Jun 2026 10:49 |
| Last Modified: | 18 Jun 2026 21:01 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/103359 |
| DOI: | 10.1017/S095026882400030X |
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