Category Archives: Norovirus

HPA – New Strain of Norovirus – Sydney 2012

HPANorovirus

As part of its surveillance for norovirus the Health Protection Agency (HPA) carries out genetic testing of norovirus strains from cases in England and Wales.

Testing carried out when cases started to rise in October revealed a cocktail of different strains that were circulating including Sydney 2012 and another called New Orleans 2009, although no one strain was dominant.

The latest testing of the most recent outbreaks, completed this week, has now shown that Sydney 2012 has overtaken all others to become the dominant strain.

Syndey 2012 was first seen in Australia (and takes its name from the place it was first identified) and has also been seen in France, New Zealand and Japan.

This new strain does not cause more serious illness than others and the methods of managing cases and outbreaks are the same for any strain of norovirus. These measures include washing the hands thoroughly and regularly particularly after using the toilet and before eating.

Dr David Brown, Director of Virology Reference Department at the HPA said, “It is always difficult to predict the norovirus season and this year is no different.

“Noroviruses mutate rapidly and new strains are constantly emerging. At the start of the season it is normal for outbreaks to be caused by a range of different strains. However as the season progresses particular strains are more successful and become dominant. The emergence of a new strain does not mean that it causes more serious illness and managing outbreaks and those will the illness remains the same.

World Winter Norovirus Cases Spike 2012

Food Safety NewsNorovirus

Winter months consistently produce the highest numbers of Norovirus outbreaks; however early reports suggest that the bug may be striking a particularly large number of victims this season.

In the United Kingdom, the number of confirmed Norovirus cases has risen to 72 percent higher than this time last year. In total, 3,877 citizens have been confirmed with infections, up from 2,255 a year ago.

But for every confirmed case of Norovirus, experts estimate that another 288 cases go unreported. That means that more than 1.1 million UK citizens may have already suffered bouts with the bug, which can include vomiting, diarrhea, nausea and abdominal pain.

The Canadian province of British Columbia has also seen its greatest number of November and December Norovirus cases since 2006. Some healthcare facilities in the region have closed off portions of their premises for disinfection in attempts to prevent further spread of the virus.

According to the U.S. Centers for Disease Control and Prevention, Norovirus sickens an estimated 21 million Americans each year, contributing to 70,000 hospitalizations and 800 deaths. While most cases result from human contact, Norovirus also remains the most common source of foodborne illness in the U.S. and is regularly associated with leafy greens, fresh fruits and shellfish.

UK – HPA Norovirus Update

HPAnorovirus-2(1)

Latest figures from the Health Protection Agency (HPA) show there have been 3,877 laboratory confirmed cases of norovirus this season (from week 27 to week 51 2012). The latest figures are 72 per cent higher than the number of cases reported at this point last year, when there were 2,255 cases.

During the Christmas period there is typically a drop in the number of laboratory reports. In previous norovirus seasons the general trend is that cases increase in the New Year and we expect to see cases rise again over the next few weeks.

During the two weeks up to 30 December there were 29 hospital outbreaks reported, compared to 70 in the previous fortnight, bringing the total of outbreaks for the season to 590.

Cases of norovirus have risen earlier than expected this winter season and this is a trend that has been seen across Europe and other parts of the world. It has not yet been determined why this has been the case and activity varies significantly from year to year.

Caribbean – Norovirus Cruise Ship Outbreaks

Courier MailNorovirus

AN outbreak of vomiting and diarrhoea has sickened more than 400 vacationers and crew members aboard two Christmas-time cruises in the Caribbean, the CDC says.

The Centers for Disease Control (CDC) said on Saturday it was still conducting lab tests to determine the pathogen, but it indicated it might be norovirus, which is highly contagious and typically transmitted from person to person.

Both ships, Cunard’s Queen Mary 2 and Princess Cruises’ Emerald Princess, reported the outbreak to the CDC, following guidelines that come into play when more than two per cent of the passengers and crew are hit.

A similar outbreak earlier in the month hit the P&O Oriana liner on a 10-night Baltic cruise, infecting about 300 of the 1843 travellers aboard.

USA – Norovirus Updates

Food Poisoning BulletinNorovirus

A suspected norovirus outbreak has been declared at the Stateville Correctional Facility in Illinois. Illinois Department of Corrections spokesperson Melaney Arnold told Food Poisoning Bulletin that approximately 144 inmates reported becoming ill after Christmas. No patients have been hospitalized.  Food testing is underway to try to determine the source of the outbreak.

The Department of Corrections and the Illinois Department of Public Health are working on the outbreak investigation and control efforts. Samples have been sent to the state laboratory, and public health officials are waiting for results.

CalCoast

A new strain of a stomach virus has caused at least three outbreaks in San Luis Obispo County within the past month, according to local health officials.

All three outbreaks, two of which occurred in restaurants and one in a long-term care facility, were caused from a new strain of the Norovirus from Australia, GII strain. Symptoms include nausea, vomiting, diarrhea, fever and body aches.

The highly contagious virus is spread through contact with infected people, consuming infected foods or touching infected surfaces. Health officials are asking those who are infected to stay home as they are still contagious for a time after symptoms have subsided.

Each Year Norovirus infections cause an estimated 21 million illnesses in the United States, and 70,000 hospitalizations.

All I Want for Christmas is Norovirus !

CBC News Canadanorovirus-2(1)

The Thunder Bay District Health Unit confirmed Friday that it was the Norovirus that caused an outbreak of gastrointestinal illness that affected dozens of people.

Maltese Grocery had shut down its catering operations temporarily after 85 people became sick after eating food at three events the company had catered the previous week. They’ve since resumed, but with additional precautions.

Senior Public Health Inspector Abby Mackie said clinical specimens submitted to a lab confirmed the Norovirus to be the source of the outbreak.

USA – Colorado

DENVER— The Colorado Department of Public Health and Environment is reporting widespread gastrointestinal illness (norovirus) throughout Colorado, including in nursing homes, assisted living facilities, schools and child care centers. Everyone is encouraged to increase simple prevention measures to stop further spread of illness in the community. Symptoms of the illness include nausea, vomiting, diarrhea and stomach cramping.

Alicia Cronquist, epidemiologist at the department, said, “We believe the illness is being caused by a virus germ called norovirus. This infection is very common this time of year.

Japan Times

MIYAZAKI — Six patients have died of gastroenteritis caused by a norovirus outbreak at Shunkokaihigashi Hospital in Nichinan, Miyazaki Prefecture, hospital officials said Sunday.

The victims — all men aged between 78 and 88 — were among 44 patients and staff who came down with symptoms of the illness, including vomiting and diarrhea, the officials said. All six were bedridden.

The health ministry has issued a nationwide warning about the norovirus because infections are approaching the record high set in 2006.

The China Post

TAIPEI–Health experts said Tuesday that an unusually high number of diarrhea cases have been reported this winter due to norovirus outbreaks and it warned that the peak season is yet to come.//

About 10,108 patients sought treatment for watery diarrhea at emergency departments across the country last week, which was a five-year high, said Chuang Jen-hsiang, director of the Epidemic Intelligence Center at the Centers for Disease Control (CDC).

RASFF/European Alerts – Salmonella – Bacillus cereus – Norovirus – Histamine – Ochratoxin – Moulds

RASFF – Histamine in Frozen Sardines in Italy sourced in Morocco

RASFF – Salmonella in Ham and Chicken Salad in Belgium

RASFF – Bacillus cereus and high count of yeasts  in  tofu in sesame oil with chilli in glass jar from China, in Finland via the Netherlands

RASFF – Salmonella in frozen beef trimmings from the Netherlands,  in Sweden via Germany

RASFF – Moulds in Raisins in the Czech Republic sourced in Iran

RASFF – Norovirus in Oysters in the Netherlands sourced in Ireland

RASFF – Ochratoxin in Dried Figs in Germany sourced in Turkey

RASFF – Salmonella in Frozen Chicken Breasts in Italy sourced in Brazil

 

HPA- Norovirus Update

HPANorovirus

Figures from the Health Protection Agency (HPA) show that there were 337 confirmed laboratory reports of norovirus in the week ending December 9 2012 and 236 for the week ending 2 December 2012. The latest weekly report is now published.

In this season to date there have been 3,046 confirmed laboratory reports of norovirus. This is 83 per cent higher than the same period in the last season when there were 1,669 cases reported.

The figures for the number of hospital outbreaks show that there were 61 hospital outbreaks during the last two weeks up to December 16 2012. In the same fortnight in the previous year there were 35 outbreaks reported by the same time.

The data show that the increase in norovirus laboratory reports is earlier this season than in previous years; however, there are no indications as to why this is the case.

BBC – Schools Norovirus

BBC – Hospital Norovirus

BBC – Hospital Norovirus

Guardian – Norovirus

Research Norovirus Spread by Kitchen Untensils

Sprenger LinkNorovirus

Abstract

Human noroviruses and hepatitis A virus (HAV) are commonly associated with outbreaks occurring in restaurant establishments and catered events. Food handlers are major contributing factors to foodborne illnesses initiated in the kitchen setting. In this study, transfer of HAV and murine norovirus (MNV-1), a human norovirus surrogate, between produce (cucumbers, strawberries, tomatoes, cantaloupes, carrots, and honeydew melons) and common kitchen utensils (graters and knives) was investigated. The extent of virus transfer to produce during utensil application, in the presence and the absence of food residue, and the impact of knife surface properties (sharp, dull, serrated) was also investigated. Transfer of MNV-1 and HAV from produce items, initially contaminated with ~5.5 log PFU, to knives and graters during application ranged from 0.9 to 5.1 log PFU. MNV-1 transfer to knives was the greatest for cucumbers, strawberries, and tomatoes, and the least for honeydew melons, while transfer of HAV to knives was greater for tomatoes and honeydew melons than strawberries, cantaloupes, and cucumbers. After preparation of a contaminated produce item, knife cross-contamination easily occurred as viruses were detected on almost all of the seven produce items successively prepared. Produce residues on utensils often resulted in less virus transfer when compared to utensils without residue accumulation. Knife surface properties did not impact virus transfer. The ease of virus transfer between produce and utensils demonstrated by the current study highlights the importance of efforts aimed toward preventing cross-contamination in the kitchen environment

 

Research – Grape Seed Extract Effect on Virus and E.coli on Fresh Cut Lettuce

Science Direct

Grape seed extract (GSE) is reported to have antibacterial properties with few current studies on antiviral activity. Recently, we reported the effects of GSE against foodborne viral surrogates in vitro. This study evaluated the application of GSE (commercial Gravinol-S) against hepatitis A virus (HAV) and human norovirus surrogates, feline calicivirus (FCV-F9) and murine norovirus (MNV-1), on model produce. Washed and air-dried lettuce (3 × 3 cm2) and jalapeno peppers (25–30 g) were inoculated with FCV-F9, MNV-1, or HAV at high (∼7 log10 PFU/ml) or low (∼5 log10 PFU/ml) titers, and treated with 0.25, 0.5, 1 mg/ml GSE or water for 30 s to 5 min. Treatments were stopped/diluted with cell-culture media containing 10% heat-inactivated fetal bovine serum and evaluated using plaque assays. At high titers, FCV-F9 was reduced by 2.33, 2.58, and 2.71 log10 PFU on lettuce; and 2.20, 2.74, and 3.05 log10 PFU on peppers after 1 min using 0.25, 0.50, and 1 mg/ml GSE, respectively. Low FCV-F9 titers could not be detected after 1 min at all three GSE concentrations. Low titer MNV-1 was reduced by 0.2–0.3 log10 PFU on lettuce and 0.8 log10 PFU on peppers, without reduction of high titer. GSE at 0.25–1 mg/ml after 1 min caused 0.7–1.1 and 1–1.3 log10 PFU reduction for high and low HAV titers, respectively on both commodities. Instrumental color analysis showed no significant differences between treated and untreated produce. GSE shows potential for foodborne viral reduction on produce as part of hurdle technologies.

Direct Science

Fresh-cut iceberg lettuce inoculated with Escherichia coli O157:H7 was submitted to chlorine washing (150 mg/mL) and modified atmosphere packaging on laboratory scale. Populations of E. coli O157:H7 were assessed in fresh-cut lettuce stored at 4, 8, 13 and 16 °C using 6–8 replicates in each analysis point in order to capture experimental variability. The pathogen was able to grow at temperatures ≥8 °C, although at low temperatures, growth data presented a high variability between replicates. Indeed, at 8 °C after 15 days, some replicates did not show growth while other replicates did present an increase. A growth primary model was fitted to the raw growth data to estimate lag time and maximum growth rate. The prediction and confidence bands for the fitted growth models were estimated based on Monte-Carlo method. The estimated maximum growth rates (log cfu/day) corresponded to 0.14 (95% CI: 0.06–0.31), 0.55 (95% CI: 0.17–1.20) and 1.43 (95% CI: 0.82–2.15) for 8, 13 and 16 °C, respectively. A square-root secondary model was satisfactorily derived from the estimated growth rates (R2 > 0.80; Bf = 0.97; Af = 1.46). Predictive models and data obtained in this study are intended to improve quantitative risk assessment studies for E. coli O157:H7 in leafy green products.