A Foodborne Acute Gastroenteritis Outbreak Caused by GII.P16-GII.2 Norovirus in a Boarding High School, Beijing, China: a Case-control Study

Overview

Journal BMC Res Notes

Publisher Biomed Central

Specialties Biology
General Medicine

Date 2018 Jul 5

PMID 29970134

Citations 2

Authors

Xin-Hui Guo

Zhen Kan

Bai-Wei Liu

Li-Li Li

Affiliations

Soon will be listed here.

Abstract

Objective: In December 2017, an acute gastroenteritis outbreak involving 61 students occurred in a boarding high school in Beijing, China. We conducted an outbreak investigation immediately in order to determine the cause of this outbreak and provide effective control measures.

Results: The laboratory inspection showed that this outbreak was caused by GII.P16-GII.2 norovirus. Risk factor analysis indicated that the lunch provided by Cafeteria 1 on Dec 12 might be the risk factor of the outbreak with an odds ratio (OR) of 3.800 (95% confidence interval [CI] 1.089-13.258). Additionally, a tray line server of Cafeteria 1 was found to have gastro-enteral symptoms recently. Based on the clinical symptoms and epidemiology investigation, the symptomatic server was considered to be the possible source of infection.

Citing Articles

Measures for preventing norovirus outbreaks on campus in economically underdeveloped areas and countries: evidence from rural areas in Western China.

Xiong H, Ma F, Tang D, Liu D Front Public Health. 2024; 12:1406133.

PMID: 38894991 PMC: 11183813. DOI: 10.3389/fpubh.2024.1406133.

Natural Host-Environmental Media-Human: A New Potential Pathway of COVID-19 Outbreak.

Li M, Yang Y, Lu Y, Zhang D, Liu Y, Cui X Engineering (Beijing). 2021; 6(10):1085-1098.

PMID: 33520330 PMC: 7834166. DOI: 10.1016/j.eng.2020.08.010.

References

Ahmed S, Hall A, Robinson A, Verhoef L, Premkumar P, Parashar U . Global prevalence of norovirus in cases of gastroenteritis: a systematic review and meta-analysis. Lancet Infect Dis. 2014; 14(8):725-730. PMC: 8006533. DOI: 10.1016/S1473-3099(14)70767-4. View

Hall A, Wikswo M, Manikonda K, Roberts V, Yoder J, Gould L . Acute gastroenteritis surveillance through the National Outbreak Reporting System, United States. Emerg Infect Dis. 2013; 19(8):1305-9. PMC: 3739540. DOI: 10.3201/eid1908.130482. View

Zhou N, Zhang H, Lin X, Hou P, Wang S, Tao Z . A waterborne norovirus gastroenteritis outbreak in a school, eastern China. Epidemiol Infect. 2015; 144(6):1212-9. DOI: 10.1017/S0950268815002526. View

Cheng H, Hung M, Chen W, Lo Y, Su Y, Wei H . Ice-associated norovirus outbreak predominantly caused by GII.17 in Taiwan, 2015. BMC Public Health. 2017; 17(1):870. PMC: 5688813. DOI: 10.1186/s12889-017-4869-4. View

Liao Q, Ran L, Jin M, Cui S, Yuan J, Ma H . [Guidelines on outbreak investigation, prevention and control of norovirus infection (2015)]. Zhonghua Yu Fang Yi Xue Za Zhi. 2016; 50(1):7-16. DOI: 10.3760/cma.j.issn.0253-9624.2016.01.003. View