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Multiple outbreaks of a novel norovirus GII.4 linked to an infected post-symptomatic food handler
Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible...
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Published in: | Epidemiology and infection 2013-08, Vol.141 (8), p.1585-1597 |
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description | Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible illness. Attendees were at increased risk of illness if they had consumed food that had received manual preparation following cooking or that had been prepared within 45 h following end of symptoms in a food handler with prior gastroenteritis. All food handlers were tested for norovirus. A recombinant norovirus GII.e/GII.4 was detected in specimens from event attendees and the convalescent food handler. All catering company staff were tested; no asymptomatic norovirus carriers were detected. This investigation improved the characterization of norovirus risk from post-symptomatic food handlers by narrowing the potential source of transmission to one individual. Food handlers with gastroenteritis should be excluded from the workplace for 45 h following resolution of symptoms. |
doi_str_mv | 10.1017/S0950268813000095 |
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N. ; HEWITT, J. ; PERUMAL, L. ; VAN GESSEL, S. M. ; WONG, J. ; DAVID, S. A. ; RAPANA, J. P. ; LI, S. ; MARSHALL, J. C. ; GREENING, G. E.</creator><creatorcontrib>THORNLEY, C. N. ; HEWITT, J. ; PERUMAL, L. ; VAN GESSEL, S. M. ; WONG, J. ; DAVID, S. A. ; RAPANA, J. P. ; LI, S. ; MARSHALL, J. C. ; GREENING, G. E.</creatorcontrib><description>Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible illness. Attendees were at increased risk of illness if they had consumed food that had received manual preparation following cooking or that had been prepared within 45 h following end of symptoms in a food handler with prior gastroenteritis. All food handlers were tested for norovirus. A recombinant norovirus GII.e/GII.4 was detected in specimens from event attendees and the convalescent food handler. All catering company staff were tested; no asymptomatic norovirus carriers were detected. This investigation improved the characterization of norovirus risk from post-symptomatic food handlers by narrowing the potential source of transmission to one individual. 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N.</creatorcontrib><creatorcontrib>HEWITT, J.</creatorcontrib><creatorcontrib>PERUMAL, L.</creatorcontrib><creatorcontrib>VAN GESSEL, S. M.</creatorcontrib><creatorcontrib>WONG, J.</creatorcontrib><creatorcontrib>DAVID, S. A.</creatorcontrib><creatorcontrib>RAPANA, J. P.</creatorcontrib><creatorcontrib>LI, S.</creatorcontrib><creatorcontrib>MARSHALL, J. C.</creatorcontrib><creatorcontrib>GREENING, G. E.</creatorcontrib><title>Multiple outbreaks of a novel norovirus GII.4 linked to an infected post-symptomatic food handler</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible illness. Attendees were at increased risk of illness if they had consumed food that had received manual preparation following cooking or that had been prepared within 45 h following end of symptoms in a food handler with prior gastroenteritis. All food handlers were tested for norovirus. A recombinant norovirus GII.e/GII.4 was detected in specimens from event attendees and the convalescent food handler. All catering company staff were tested; no asymptomatic norovirus carriers were detected. This investigation improved the characterization of norovirus risk from post-symptomatic food handlers by narrowing the potential source of transmission to one individual. Food handlers with gastroenteritis should be excluded from the workplace for 45 h following resolution of symptoms.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Caliciviridae Infections - epidemiology</subject><subject>Caliciviridae Infections - transmission</subject><subject>Caliciviridae Infections - virology</subject><subject>Catering</subject><subject>Cohort Studies</subject><subject>Cooking</subject><subject>Diarrhea</subject><subject>Disease Outbreaks</subject><subject>Epidemics</subject><subject>Feces - virology</subject><subject>Female</subject><subject>Food contamination & poisoning</subject><subject>Food Handling</subject><subject>Fundamental and applied biological sciences. 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N. ; HEWITT, J. ; PERUMAL, L. ; VAN GESSEL, S. M. ; WONG, J. ; DAVID, S. A. ; RAPANA, J. P. ; LI, S. ; MARSHALL, J. C. ; GREENING, G. E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-9568999f277554f2a8b7cee6c8876dfdf6fb2ae169fc25d1379fa78df77e7ad83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Caliciviridae Infections - epidemiology</topic><topic>Caliciviridae Infections - transmission</topic><topic>Caliciviridae Infections - virology</topic><topic>Catering</topic><topic>Cohort Studies</topic><topic>Cooking</topic><topic>Diarrhea</topic><topic>Disease Outbreaks</topic><topic>Epidemics</topic><topic>Feces - virology</topic><topic>Female</topic><topic>Food contamination & poisoning</topic><topic>Food Handling</topic><topic>Fundamental and applied biological sciences. 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N.</au><au>HEWITT, J.</au><au>PERUMAL, L.</au><au>VAN GESSEL, S. M.</au><au>WONG, J.</au><au>DAVID, S. A.</au><au>RAPANA, J. P.</au><au>LI, S.</au><au>MARSHALL, J. C.</au><au>GREENING, G. E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple outbreaks of a novel norovirus GII.4 linked to an infected post-symptomatic food handler</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>141</volume><issue>8</issue><spage>1585</spage><epage>1597</epage><pages>1585-1597</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible illness. Attendees were at increased risk of illness if they had consumed food that had received manual preparation following cooking or that had been prepared within 45 h following end of symptoms in a food handler with prior gastroenteritis. All food handlers were tested for norovirus. A recombinant norovirus GII.e/GII.4 was detected in specimens from event attendees and the convalescent food handler. All catering company staff were tested; no asymptomatic norovirus carriers were detected. This investigation improved the characterization of norovirus risk from post-symptomatic food handlers by narrowing the potential source of transmission to one individual. Food handlers with gastroenteritis should be excluded from the workplace for 45 h following resolution of symptoms.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23388349</pmid><doi>10.1017/S0950268813000095</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biological and medical sciences Caliciviridae Infections - epidemiology Caliciviridae Infections - transmission Caliciviridae Infections - virology Catering Cohort Studies Cooking Diarrhea Disease Outbreaks Epidemics Feces - virology Female Food contamination & poisoning Food Handling Fundamental and applied biological sciences. Psychology Gastroenteritis Gastroenteritis - epidemiology Gastroenteritis - virology Genotype Humans Illnesses Male Microbiology Middle Aged Miscellaneous Molecular Sequence Data New Zealand - epidemiology Norovirus Norovirus - classification Norovirus - genetics Norovirus - physiology Original Papers Phylogeny Polymerase Chain Reaction Public health Retrospective Studies Risk factors RNA, Viral - genetics RNA, Viral - metabolism Sequence Analysis, RNA Time Factors Virology Vomiting Young Adult |
title | Multiple outbreaks of a novel norovirus GII.4 linked to an infected post-symptomatic food handler |
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