Pathology and Major Outbreaks of the Norovirus

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The Norovirus belongs to the family called Caliciviridae. The norovirus causes gastroenteritis which is a condition that causes irritation and inflammation of the stomach and intestines. The norovirus is actually the most common cause of acute gastroenteritis.1
The norovirus is small and round. It is only 27-35 nm in diameter. The virus contains a single- stranded RNA genome. Noroviruses are divided into five genogroups, G1- G5. Of these five genogroups, only G1, G2, and G4 are known to infect humans. G2 is the most common in adult cases of gastroenteritis. 1 “Noroviruses are not enveloped and contain an outer protein capsid encapsulating an RNA genome.”2
The norovirus usually does not cause severe symptoms. The gastroenteritis usually is gone in forty – eight hours. The symptoms of the virus are usually mild. A person affected by the virus generally can recover after having mild diarrhea. Those that have compromised immunities could be at risk for severe symptoms if they contract the virus. The virus does kill about 200,000 children under five in developing countries each year. There have been documented cases of waterborne and foodborne norovirus outbreaks. A person can become infected by contact with an infected person, contaminated food, contaminated water, environment, or aerosolized virus. 3 It is common for outbreaks of the nororvirus to occur in hospitals. The norovirus can occur at any time of the year. It is common for outbreaks to occur during winter months. 3
The virus is highly contagious. The gastroenteritis due to the virus can cause stomach pain, nausea, and diarrhea, and possible vomiting. Anyone can contract the virus and can be affected many different times. “The norovirus is also the most common cause of f...

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...ld have been used. If a common case definition is used it is easier to compare outbreaks to another in order to gain information for future outbreaks. The ability of the norovirus to have multiple modes of transmission, prolonged shedding after symptoms have gone, and the environmental stability of the virus cause it to be easily spread and complicate interventions to stop or prevent spread. In college campuses and other facilities that have many people in close quarters should focus on proper hand washing techniques, environmental disinfection, and exclusion of ill food workers. Using technology such as email, texting and internet to reach out to campuses and inform them of proper hygiene and cleaning techniques is a must. Using all sources of technology to communicate on college campuses would help to conduct a more thorough investigation of a reported outbreak. 6

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