Category Archives: Norovirus

Research – How Safe to Eat Are Raw Bivalves? Host Pathogenic and Public Health Concern Microbes within Mussels, Oysters, and Clams in Greek Markets

MDPI

Raw-bivalves consumption is a wide trend in Mediterranean countries. Despite the unambiguous nutritional value of seafood, raw consumption of bivalves may involve risks that could pose a significant threat to consumers’ health. Their filter-feeding behavior is responsible for the potential hosting of a wide variety of microorganisms, either pathogenic for the bivalves or public health threats. Under this prism, the current study was conducted in an effort to evaluate the risk of eating raw bivalves originating from the two biggest seafood markets in Thessaloniki, the largest production area of bivalves in Greece. Both microbiological and molecular methodologies were applied in order to assess the presence of various harmful microbes, including noroviruses, BonamiaMarteiliaEsherichia coliSalmonella, and Vibrio. Results indicated the presence of several Vibrio strains in the analyzed samples, of which the halophilic Vibrio harveyi was verified by 16S rRNA sequencing; other than this, no enteropathogenic Vibrio spp. was detected. Furthermore, although Esherichia coli was detected in several samples, it was mostly below the European Union (EU) legislation thresholds. Interestingly, the non-target Photobacterium damselae was also detected, which is associated with both wound infections in human and aquatic animals. Regarding host pathogenic microorganisms, apart from Vibrio harveyi, the protozoan parasite Marteilia refrigens was identified in oysters, highlighting the continuous infection of this bivalve in Greece. In conclusion, bivalves can be generally characterized as a safe-to-eat raw food, hosting more bivalve pathogenic microbes than those of public health concern.

Kerala – Kerala reports 13 cases of Norovirus

First Post

Kerala has been put on alert after at least 13 cases of norovirus have been recorded in Wayanad district.

The infection was reported in some 13 students of a veterinary college in Pookode near Vythiri in Wayanad district two weeks ago.

As State health minister Veena George asked people to be vigilant, here’s a look at what the virus is, its symptoms and what can be done to treat it.

UK – Porthilly Shellfish recalls oysters from Camel Estuary, Cornwall because of possible contamination with Norovirus

FSA

norovirus-1080x655

Porthilly Shellfish is recalling oysters from Camel Estuary, Cornwall as a precautionary measure because the oysters might be contaminated with norovirus. The products affected are limited to oysters from Camel Estuary, Cornwall, sold at retail stores listed below between 28 October and 09 November 2021.

Product details

Wadebridge Fishmongers
Product code 18, Polmorla Walk, Wadebridge, PL27 7NS
Passionate about Fish
Product code 61 Woodlands Rd, Camberley, GU15 3ND
Veasey
Product code 17 Hartfield Rd, Forest Row, RH18 5DN
Rock Fish
Product code 1 Azime Court, Wadebridge, Cornwall, PL27 6NW

Risk statement

The possible presence of norovirus in the products listed above.

Symptoms caused by norovirus typically include sudden onset nausea, projectile vomiting, diarrhoea and fever but can also include abdominal pain and aching limbs. Norovirus can also lead to dehydration, especially in young children, older adults and people with weakened immunity.

Action taken by the company

Porthilly Shellfish are recalling the above products. Point of sale notices will be displayed in all retail stores that are selling these products. These notices explain to customers why the products are being recalled and tell them what to do if they have bought the product. Please see the attached notice.

Our advice to consumers

If you have bought any oysters from Camel Estuary, Cornwall, do not eat them. Instead, return them to the food business from where they were bought for a full refund. If you are unsure if the oysters purchased were from Camel Estuary, Cornwall, please contact the food business where they were purchased or contact Porthilly Shellfish on 01208 862624 for advice.

Denmark – Denmark aims to use education to reduce Norovirus risk when dining out

Food Safety News

Norwalk_Caspid

The Danish Veterinary and Food Administration has launched a campaign to lower the risk of exposure to norovirus when dining out.

Ahead of Christmas, the Danish Veterinary and Food Administration (Fødevarestyrelsen) is focusing on how staff in professional kitchens, in cafés, canteens, restaurants and delicatessens can help to curb norovirus infections, which the agency said normally peak toward the end of the year.

Chefs and kitchen staff should stay home from work if they have symptoms of norovirus infection or have just had the disease. People can be infectious before feeling sick and at least 48 hours after having recovered.

Niels Ladefoged Nielsen, a consultant at the Danish Veterinary and Food Administration, said norovirus is extremely contagious, and there have been times when a single mistake in a professional kitchen has affected a large number of guests.

Nielsen said while the message of not cooking for others while feeling unwell is aimed at food professionals, it also applies to people at home in their own kitchen, and when preparing or serving food for family or friends.

Research – Germany – Infectious Disease Epidemiology Annual Report – 2020

RKI

Compared to the period before the COVID-19 pandemic, the number of cases of almost all notifiable infectious diseases reported in 2020 decreased substantially. The most notable reduction was observed for human to human communicable diseases.

There was also a large reduction in gastrointestinal diseases. This was especially pronounced for rotavirus gastroenteritis, shigellosis and norovirus gastroenteritis

Despite the large decrease in the number of cases the gastrointestinal diseases norovirus, gastroenteritis, Campylobacter enteritis and rotavirus gastroenteritis, these infectious diseases continue to remain among the most frequently notified.

Sequencing helped to identify several listeriosis outbreaks across federal states through foodborne outbreak investigations. By comparing the isolates from the affected individuals and from the contaminated food, the probable vehicle of the outbreak could be identified.

Full Report in German

RASFF Alert- Norovirus – Range Salads

RASFF

Presence of norovirus GII in IV range salads from the Netherlands and Italy in Italy

Research – Healthcare-associated foodborne outbreaks in high-income countries: a literature review and surveillance study, 16 OECD countries, 2001 to 2019

Eurosurveillance

Yearly, 23 million foodborne disease illnesses and 5,000 deaths are estimated in the World Health Organization (WHO) European Region, and 41 foodborne Disability Adjusted Life Years (DALYs) per 100,000 population were estimated for the WHO Sub-Region EUR A in 2010 [1]. In Europe, a total of 5,146 foodborne and waterborne outbreaks, including 48,365 cases of illness and 40 deaths were reported to the European Food Safety Authority (EFSA) in 2018 [2]. Vulnerable populations, including elderly patients, immunocompromised patients, children younger than five years old and pregnant women are more susceptible to foodborne infections and are more prone to develop severe courses of disease compared with healthy people [3]. Therefore, healthcare is a setting where foodborne outbreaks (FBO) can cause considerable morbidity and mortality. In 2020, 20.6% of the European Union (EU) population was aged 65 years and older [4]. As the proportion of elderly people is projected to further increase, the share of the vulnerable population as patients in healthcare facilities (HCF) is likely to increase and thereby the risk associated with healthcare-associated foodborne outbreaks (HA-FBO). Personnel (medical and non-medical staff, food handlers etc) of HCF may also be at risk for HA-FBO and be a source of further spread in healthcare settings and elsewhere. This can cause major disruption of services [5].

So far, literature reviews have covered pathogens responsible for HA-FBO, including  [6],  [79] and norovirus [10,11] and focused on microbiological food safety issues in healthcare settings [5,12]. Between 2014 and 2019, a listeriosis outbreak in Germany affected 13 cases who had an inpatient stay in 12 different HCF during the incubation period [13]. In the United Kingdom (UK) in 2019, nine listeriosis cases of which seven died, had consumed sandwiches in seven HCF during the incubation period [14].

We conducted a literature review to describe the causative agents including bacteria, viruses, parasites and fungi, the incriminated food vehicles and other outbreak characteristics of HA-FBO in 37 countries that are members of the Organisation for Economic Cooperation and Development (OECD) [15]. Furthermore, we analysed German surveillance data and data from the EFSA on HA-FBO. The aim of this article is to describe the current status of HA-FBO in order to improve surveillance and provide public health recommendations for prevention.

Research – Effect of Direct Viral–Bacterial Interactions on the Removal of Norovirus From Lettuce

Frontiers in Microbiology

Norovirus Food Safety kswfoodworld

Norovirus (NoV) is the main non-bacterial pathogen causing outbreaks of gastroenteritis and is considered to be the leading cause of foodborne illness. This study aims to determine whether lettuce-encapsulated bacteria can express histo-blood group antigen (HBGA)–like substances to bind to NoV and, if so, to explore its role in protecting NoV from disinfection practices. Fifteen bacterial strains (HBGA-SEBs) were isolated from the lettuce microbiome and studied as they were proved to have the ability to express HBGA-like substances through indirect ELISA detection. By using attachment assay, HBGA-SEBs showed great abilities in carrying NoVs regarding the evaluation of binding capacity, especially for the top four strains from genera WautersiellaSphingobacterium, and Brachybacterium, which could absorb more than 60% of free-flowing NoVs. Meanwhile, the direct viral–bacterial binding between HBGA-like substance-expressing bacteria (HBGA-SEB) and NoVs was observed by TEM. Subsequently, results of simulated environmental experiments showed that the binding of NoVs with HBGA-SEBs did have detrimental effects on NoV reduction, which were evident in short-time high-temperature treatment (90°C) and UV exposure. Finally, by considering the relative abundance of homologous microorganisms of HBGA-SEBs in the lettuce microbiome (ca. 36.49%) and the reduction of NoVs in the simulated environments, we suggested putting extra attention on the daily disinfection of foodborne-pathogen carriers to overcome the detrimental effects of direct viral–bacterial interactions on the reduction of NoVs.

Research – Healthcare-associated foodborne outbreaks in high-income countries: a literature review and surveillance study, 16 OEDC countries, 2001 to 2019

Eurosurveillance

Yearly, 23 million foodborne disease illnesses and 5,000 deaths are estimated in the World Health Organization (WHO) European Region, and 41 foodborne Disability Adjusted Life Years (DALYs) per 100,000 population were estimated for the WHO Sub-Region EUR A in 2010 [1]. In Europe, a total of 5,146 foodborne and waterborne outbreaks, including 48,365 cases of illness and 40 deaths were reported to the European Food Safety Authority (EFSA) in 2018 [2]. Vulnerable populations, including elderly patients, immunocompromised patients, children younger than five years old and pregnant women are more susceptible to foodborne infections and are more prone to develop severe courses of disease compared with healthy people [3]. Therefore, healthcare is a setting where foodborne outbreaks (FBO) can cause considerable morbidity and mortality. In 2020, 20.6% of the European Union (EU) population was aged 65 years and older [4]. As the proportion of elderly people is projected to further increase, the share of the vulnerable population as patients in healthcare facilities (HCF) is likely to increase and thereby the risk associated with healthcare-associated foodborne outbreaks (HA-FBO). Personnel (medical and non-medical staff, food handlers etc) of HCF may also be at risk for HA-FBO and be a source of further spread in healthcare settings and elsewhere. This can cause major disruption of services [5].

So far, literature reviews have covered pathogens responsible for HA-FBO, including  [6],  [79] and norovirus [10,11] and focused on microbiological food safety issues in healthcare settings [5,12]. Between 2014 and 2019, a listeriosis outbreak in Germany affected 13 cases who had an inpatient stay in 12 different HCF during the incubation period [13]. In the United Kingdom (UK) in 2019, nine listeriosis cases of which seven died, had consumed sandwiches in seven HCF during the incubation period [14].

We conducted a literature review to describe the causative agents including bacteria, viruses, parasites and fungi, the incriminated food vehicles and other outbreak characteristics of HA-FBO in 37 countries that are members of the Organisation for Economic Cooperation and Development (OECD) [15]. Furthermore, we analysed German surveillance data and data from the EFSA on HA-FBO. The aim of this article is to describe the current status of HA-FBO in order to improve surveillance and provide public health recommendations for prevention.

USA – Rochester Institute of Technology update on Norovirus Outbreak

Food Poison Journal

norovirus-1080x655

The Monroe County Department of Public Health has determined norovirus — a contagious family of viruses — is likely responsible for recent illnesses on RIT’s Henrietta campus.

The vast majority of cases were resolved within 24-36 hours without medical treatment. However, some RIT students did need care in the Student Health Center, and a few received care in a local emergency department. In response to these cases, we have substantially increased our already stringent deep cleaning and sanitization efforts on high-touch surfaces in residence halls, dining areas, restrooms, and other spaces across campus.

Even with the number of cases declining in the past few days, we all must take steps to stay safe. If you are ill, please stay home and do not attend class or go to work. Remember to wash your hands often, stay in your residence when sick, and avoid preparing food for others.