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Outbreaks of Acute Gastroenteritis on Cruise Ships and on Land: Identification of a Predominant Circulating Strain of Norovirus—United States, 2002
by
Isakbaeva, Elmira
, Chege, Wairimu
, Beard, R. Suzanne
, Monroe, Stephan S.
, Bulens, Sandra N.
, Forney, David
, Massey, Jeffrey
, Charles, Myrna
, Widdowson, Marc-Alain
, Cramer, Elaine H.
, Mintz, Eric
, Bresee, Joseph S.
, Wright, Jennifer G.
, Glass, Roger I.
, Hadley, Leslie
in
Acute Disease
/ Agricultural land
/ Biological and medical sciences
/ Caliciviridae Infections - epidemiology
/ Caliciviridae Infections - transmission
/ Caliciviridae Infections - virology
/ Calicivirus
/ Cruise ships
/ Cruises
/ Disease Outbreaks
/ Farming
/ Fundamental and applied biological sciences. Psychology
/ Gastroenteritis
/ Gastroenteritis - epidemiology
/ Gastroenteritis - virology
/ Human viral diseases
/ Humans
/ Infectious diseases
/ Medical sciences
/ Microbiology
/ Norovirus
/ Norovirus - classification
/ Norovirus - genetics
/ Norovirus - isolation & purification
/ Passengers
/ Recreation
/ Reverse Transcriptase Polymerase Chain Reaction
/ Ships
/ Travel
/ United States - epidemiology
/ Viral diseases
/ Viral diseases of the digestive system
/ Viruses
2004
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Outbreaks of Acute Gastroenteritis on Cruise Ships and on Land: Identification of a Predominant Circulating Strain of Norovirus—United States, 2002
by
Isakbaeva, Elmira
, Chege, Wairimu
, Beard, R. Suzanne
, Monroe, Stephan S.
, Bulens, Sandra N.
, Forney, David
, Massey, Jeffrey
, Charles, Myrna
, Widdowson, Marc-Alain
, Cramer, Elaine H.
, Mintz, Eric
, Bresee, Joseph S.
, Wright, Jennifer G.
, Glass, Roger I.
, Hadley, Leslie
in
Acute Disease
/ Agricultural land
/ Biological and medical sciences
/ Caliciviridae Infections - epidemiology
/ Caliciviridae Infections - transmission
/ Caliciviridae Infections - virology
/ Calicivirus
/ Cruise ships
/ Cruises
/ Disease Outbreaks
/ Farming
/ Fundamental and applied biological sciences. Psychology
/ Gastroenteritis
/ Gastroenteritis - epidemiology
/ Gastroenteritis - virology
/ Human viral diseases
/ Humans
/ Infectious diseases
/ Medical sciences
/ Microbiology
/ Norovirus
/ Norovirus - classification
/ Norovirus - genetics
/ Norovirus - isolation & purification
/ Passengers
/ Recreation
/ Reverse Transcriptase Polymerase Chain Reaction
/ Ships
/ Travel
/ United States - epidemiology
/ Viral diseases
/ Viral diseases of the digestive system
/ Viruses
2004
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Outbreaks of Acute Gastroenteritis on Cruise Ships and on Land: Identification of a Predominant Circulating Strain of Norovirus—United States, 2002
by
Isakbaeva, Elmira
, Chege, Wairimu
, Beard, R. Suzanne
, Monroe, Stephan S.
, Bulens, Sandra N.
, Forney, David
, Massey, Jeffrey
, Charles, Myrna
, Widdowson, Marc-Alain
, Cramer, Elaine H.
, Mintz, Eric
, Bresee, Joseph S.
, Wright, Jennifer G.
, Glass, Roger I.
, Hadley, Leslie
in
Acute Disease
/ Agricultural land
/ Biological and medical sciences
/ Caliciviridae Infections - epidemiology
/ Caliciviridae Infections - transmission
/ Caliciviridae Infections - virology
/ Calicivirus
/ Cruise ships
/ Cruises
/ Disease Outbreaks
/ Farming
/ Fundamental and applied biological sciences. Psychology
/ Gastroenteritis
/ Gastroenteritis - epidemiology
/ Gastroenteritis - virology
/ Human viral diseases
/ Humans
/ Infectious diseases
/ Medical sciences
/ Microbiology
/ Norovirus
/ Norovirus - classification
/ Norovirus - genetics
/ Norovirus - isolation & purification
/ Passengers
/ Recreation
/ Reverse Transcriptase Polymerase Chain Reaction
/ Ships
/ Travel
/ United States - epidemiology
/ Viral diseases
/ Viral diseases of the digestive system
/ Viruses
2004
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Outbreaks of Acute Gastroenteritis on Cruise Ships and on Land: Identification of a Predominant Circulating Strain of Norovirus—United States, 2002
Journal Article
Outbreaks of Acute Gastroenteritis on Cruise Ships and on Land: Identification of a Predominant Circulating Strain of Norovirus—United States, 2002
2004
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Overview
In 2002, a sharp increase in outbreaks of norovirus-associated illness, both on cruise ships and on land, encouraged us to examine the molecular epidemiology of detected noroviruses, to identify a common strain or source. Of 14 laboratory-confirmed outbreaks on cruise ships, 12 (86%) were attributed to caliciviruses; among these 12, outbreak characteristics included continuation on successive cruises in 6 (50%), multiple modes of transmission in 7 (58%), and high (110%) attack rates in 7 (58%). Eleven of the 12 calicivirus outbreaks were attributed to noroviruses, 7 (64%) of which were attributed to a previously unreported lineage, provisionally named “the Farmington Hills strain.” From May 2002 to December 2002, 10 (45%) of 22 land-based outbreaks also were attributed to this strain. Nucleotide-sequence analysis provided insights into norovirus transmission, by documenting links among outbreaks, the introduction of strains onto ships, and viral persistence on board (despite cleaning). Control measures for outbreaks should address all routes of transmission. Better outbreak surveillance and collection of data on sequences will help to monitor norovirus strains and to identify common sources.
Publisher
The University of Chicago Press,University of Chicago Press,Oxford University Press
Subject
/ Biological and medical sciences
/ Caliciviridae Infections - epidemiology
/ Caliciviridae Infections - transmission
/ Caliciviridae Infections - virology
/ Cruises
/ Farming
/ Fundamental and applied biological sciences. Psychology
/ Gastroenteritis - epidemiology
/ Humans
/ Norovirus - isolation & purification
/ Reverse Transcriptase Polymerase Chain Reaction
/ Ships
/ Travel
/ United States - epidemiology
/ Viral diseases of the digestive system
/ Viruses
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