Category Archives: Virus

USA – Bath Dunkin’ Donuts link in Hepatitis A scare

Bath Dunkin’ Donuts link in Hepatitis A scare

The Steuben County Public Health Department (SCPH) confirmed a case of hepatitis A in an individual who worked for several days while infectious at Dunkin’ Donuts located at 350 W. Morris Street in Bath.

This may have put customers and coworkers at that Dunkin’ Donuts at risk of acquiring hepatitis A infection. Public health officials are stressing there is a low risk of contracting illness, however, individuals who have not been previously vaccinated for Hepatitis A and who consumed food or drink from the Dunkin’ Donuts on August 17 through August 22 should monitor themselves and their families for symptoms for 50 days and seek medical evaluation for Hepatitis A if they develop symptoms of this infection.

“The Hepatitis A virus can be transmitted through consuming food or drinks that have been contaminated by an infectious individual,” said Darlene Smith, Public Health Director. “We recommend all residents get the Hepatitis A vaccine as part of their routine vaccine schedule. For those who have not been previously vaccinated, getting the Hepatitis A vaccine within two weeks of an exposure can prevent development of the infection.

Even though we are beyond the two-week window in this case, it is particularly important for those who may have been exposed at Dunkin’ Donuts on August 17 – 22 to consult with their healthcare provider.”

RASFF Alert – Norovirus – Red Currents

European Food Alerts

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norovirus (presence /25g) in frozen red currants from Poland in Belgium

RASFF Alerts – Norovirus – Frozen Berry Mix

European Food Alerts

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norovirus (GI /25g) in frozen berry mix from the Netherlands in Germany

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norovirus (GI /25g) in frozen red berry mix from Germany in Italy

Denmark – Outbreak of Hepatitis A in Denmark

SSI

The Statens Serum Institut is investigating an outbreak of contagious hepatitis caused by infections with the hepatitis A virus. The source of the infection is still unknown.

Last edited on 25 August 2020
The outbreak includes 14 patients, 8 women and 6 men aged 17-63 years. The patients have become ill from April to July 2020. The patients live all over the country and 11 have been hospitalized. Viruses from patients have been typed to genotype 1B.Graph with number of cases of hepatitis A

Region Number of patients
 The capital  3
 Zealand  5
 Southern Denmark  0
 Central Jutland 3
 North Jutland  3
 Total  14

Tracking the source

To investigate the source of the outbreak, the Statens Serum Institut interviews the patients in relation to uncovering how they have become ill. The initial interviews have shown that the patients have not been out traveling, do not know each other and that they had not participated in joint events. It therefore suggests that the source of infection is a common food that has been sold throughout the country. The outbreak is being investigated in collaboration with the Danish Veterinary and Food Administration and the DTU Food Institute.

Research – Estimating the distribution of norovirus in individual oysters

Science Direct

Food Borne Illness - Norovirus -CDC Photo

Image CDC

Norovirus in oysters is a significant food safety risk. A recent ISO detection method allows for reliable and repeatable estimates of norovirus concentrations in pooled samples, but there is insufficient data to estimate a distribution of copies per animal from this. The spread of norovirus accumulated across individual oysters is useful for risk assessment models. Six sets of thirty individual Crassostrea gigas oysters were tested for norovirus concentration levels by reverse-transcription quantitative PCR (RT-qPCR): three from a commercial harvest site, and three post-depuration. Five sets had norovirus GII means above the limit of quantification (LOQ), and one below the LOQ, but above the limit of detection. No norovirus GI was detected in pooled tests, and individual oysters were not tested for norovirus GI. Depuration was shown to reduce the mean concentration of GII copies, but not to affect the shape of the distribution around the mean. Deconvoluting the uncertainty of the method, the coefficient of variation was stationary (0.45 ± 0.2). The best fit distribution was either a lognormal distribution or a gamma. Multiplying these distributions by the weight of oyster digestive tissues gave an estimate for the count mean. This was used as the parameter λ in three compound Poisson distributions: Poisson-lognormal, Poisson-gamma, and Poisson-K. No model was found to fit better than the others, with advantages for each. All three could be used in future risk assessments. Preliminary validation of sampling uncertainty using repeated testing data from a previous study suggests that these results have predictive power.

 

Research – Fingerprinting of human noroviruses co-infections in a possible foodborne outbreak by metagenomics

Science Direct

Human noroviruses (HuNoVs) are the primary non-bacterial pathogens causing acute gastroenteritis worldwide. Here we reported a co-infection of HuNoVs with different genotypes during an outbreak of gastroenteritis in travelers. The aim was to trace the source and transmission patterns of the infections using next-generation sequencing (NGS). An investigation was conducted on a cross-border travel group who came back to China from Thailand for symptoms of gastroenteritis. Anal swabs were collected from 23 people and samples were analyzed using RT-qPCR. A total of 11 samples tested positive for HuNoVs. All samples tested negative for bacterial pathogens in the surveillance list. Positive samples for HuNoVs were further analyzed using NGS. Seven out of 11 positive samples were sequenced and 16 viral genome sequences for 10 different strains of HuNoVs were obtained. We demonstrated that the outbreak was associated with co-infection of multiple genotypes of HuNoVs and the source of infections was probably contaminated water or food. Besides, four different HuNoVs genotypes (GI.5[P12], GIX.1[GII·P15], GI.7[P7] and GII.8[P8]) were identified in one patient. Co-infection with both genogroup GI and GII, and co-infection with two different P types ([P10] and [P13]) of genotype GI.3 were identified in different patients. Findings from this study show that individuals can be simultaneously infected with multiple strains of HuNoVs and NGS can help investigating these issues. Further, this study shows that food and water are potential vehicles for transmission of multiple foodborne viruses.

Taiwan – Norovirus found in mass food poisoning case at Taiwan’s Chiaohsi hotel

Taiwan News

Food Borne Illness - Norovirus -CDC Photo

Image CDC

The Yilan County Public Health Bureau said Wednesday (Aug. 12) that several customers and employees in the mass food poisoning case at Hotel Royal Chiaohsi (礁溪老爺酒店) had tested positive for norovirus, though it has not been confirmed as the official cause.

Earlier this month, news broke out that 164 people who dined at the Hotel Royal Chiaohsi’s buffet restaurant had experienced symptoms of food poisoning, including a group of Chailease Finance Co. employees that were on a company retreat. Of all the afflicted individuals, 92 have sought medical assistance, according to the health bureau.

The bureau said that a few customers and hotel staff members, including two restaurant workers, have received a positive result for the norovirus test, but no traces of the virus have been found on any of the kitchenware so far. Since the investigation results will determine the hotel’s responsibility and its follow-up settlement, the bureau said more clarification is needed on the true cause of the incident.

The bureau said the investigation report will come out as soon as October, and the hotel will be penalized under the Act Governing Food Safety and Sanitation if norovirus is found to be linked to the mass food poisoning. Meanwhile, the bureau said it had requested the hotel to sanitize the entire building and enhance the health management of its employees, reported CNA.

In a released statement, Hotel Royal Chiaohsi apologized for neglecting the safety of its customers and failing to provide a comfortable environment. It emphasized that it will take full responsibility of the incident regardless of the final investigation results, promising that all affected customers will be compensated, reported CTWANT.

According to Taiwan Centers for Disease Control (CDC), norovirus is a very contagious virus that causes vomiting and diarrhea. People of all ages can contract the disease from contaminated food or water, as well as from an infected person, with symptoms usually lasting one to three days.

RASFF Alert – Norovirus – Live Clams

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RASFF – norovirus (GII /2g) in live clams (Ruditapes philippinarum) from Portugal, purified in Spain in Spain

 

Research – Survival and inactivation of human norovirus GII.4 Sydney on commonly touched airplane cabin surfaces

Click to access publichealth-07-03-046.pdf

Human norovirus (HuNoV) is one of the leading causes of acute gastroenteritis globally.
HuNoV outbreaks have been recently reported during air travels. Contaminated surfaces are known as a critical transmission route at various settings. The aim of this study was to provide key information about the survival and the decontamination of HuNoV on three commonly touched airplane cabin surfaces.
In this study, we monitored the survival of HuNoV on seat leather, plastic tray table, and
seatbelt for 30 days, with and without additional organic load (simulated gastric fluid). The efficacy of two EPA registered anti-norovirus disinfectants were also evaluated. Results showed that HuNoV was detected at high titers (>4 log10 genomic copy number) for up to 30 days when additional organic load was present. Both tested disinfectants were found highly ineffective against HuNoV when the surface was soiled.
The study showed that when the organic load was present, HuNoV was highly stable and
resistant against disinfectants. Findings from this study indicated that appropriate procedures should be developed by airline companies with the help of public health authorities to decrease passengers’ exposure risk to HuNoV.

 

RASFF Alert – Norovirus – Razor Clams

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RASFF – norovirus (presence /25g) in frozen razor clams (Solen spp) from the Netherlands in Spain