Oct 5 – 7, 2026
Hotel Berlin, Berlin
Europe/Berlin timezone
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Salmonella Bochum outbreak in children caused by chocolate hazelnut spread, Germany 2026

Oct 6, 2026, 2:30 PM
15m
Hall "Berlin"

Hall "Berlin"

Oral presentation Public Health Session 8: Public Health II

Speaker

Anika Meinen (Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany)

Description

In February 2026, the Robert Koch Institute (RKI) identified an outbreak in Germany caused by the rare Salmonella (S.) enterica subspecies enterica serovar Bochum. Descriptive epidemiology and exploratory patient interviews were performed. The RKI compared outbreak cases (n=12) and participants from the RKI panel “Health in Germany” aged 2–15 years (n=197) regarding consumption of chocolate hazelnut spreads in the 3 days before symptom onset or completing the questionnaire. Findings were shared with food safety authorities, prompting on-site inspections and food sample analyses. The outbreak involved 42 cases; predominantly children in eastern Germany. More males than females were affected (64 % vs. 36 %). The National Reference Center assigned all isolates with sequence data (n=27) to the same genomic cluster by cgMLST analysis. In exploratory patient interviews 12 of 14 cases (86 %) stated consumption of a specific brand of chocolate hazelnut spread. The case-control-study confirmed a strong association between consumption and being a case (odds ratio: 93 [95% confidence interval: 21-663]). Genome analysis proved the presence of the outbreak strain and other serovars in the product. In April 2026, the implicated product was recalled and the outbreak stopped. Trustful collaboration and rapid communication of findings between infection control and food safety authorities enabled fast identification of the infection vehicle and initiation of control measures.

Keywords

foodborne outbreak; salmonella; cgMLST

Registration ID OHS26-58
Professional Status of the Speaker Senior Scientist
Junior Scientist Status No, I am not a Junior Scientist.

Authors

Anika Meinen (Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany) Hanna Buck (-Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany) Michael Pietsch (Robert Koch Institute, Department for Infectious Diseases, Wernigerode, Germany) Clara Spieker (Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany) Sandra Simon (Robert Koch Institute, Department for Infectious Diseases, Wernigerode, Germany) Jennie Fischer (German Federal Institute for Risk Assessment, National Reference Laboratory for Salmonella, Berlin, Germany) Marina C. Lamparter (German Federal Institute for Risk Assessment, National Reference Laboratory for Salmonella, Berlin, Germany) Bettina Rosner (Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany)

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