Comprehensive analysis of a norovirus-associated gastroenteritis outbreak, from the environment to the consumer

J Clin Microbiol. 2010 Mar;48(3):915-20. doi: 10.1128/JCM.01664-09. Epub 2010 Jan 6.

Abstract

Noroviruses have been recognized to be the predominant agents of nonbacterial gastroenteritis outbreaks in humans, and their transmission via contaminated shellfish consumption has been demonstrated. Norovirus laboratory experiments, volunteer challenge studies, and community gastroenteritis outbreak investigations have identified human genetic susceptibility factors related to histo-blood group antigen expression. Following a banquet in Brittany, France, in February 2008, gastroenteritis cases were linked to oyster consumption. This study identified an association of the norovirus illnesses with histo-blood group expression, and oyster contamination with norovirus was confirmed by qualitative and quantitative analyses. The secretor phenotype was associated with illness, especially for the non-A subgroup. The study showed that, in addition to accidental climatic events that may lead to oyster contamination, illegal shellfish collection and trading are also risk factors associated with outbreaks.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Blood Group Antigens / analysis
  • Caliciviridae Infections / epidemiology*
  • Caliciviridae Infections / virology*
  • Disease Outbreaks*
  • Feces / virology
  • Foodborne Diseases / epidemiology
  • Foodborne Diseases / virology
  • France / epidemiology
  • Gastroenteritis / epidemiology*
  • Gastroenteritis / virology*
  • Humans
  • Middle Aged
  • Norovirus / isolation & purification*
  • Ostreidae / virology
  • RNA, Viral / genetics
  • Reverse Transcriptase Polymerase Chain Reaction
  • Saliva / chemistry
  • Young Adult

Substances

  • Blood Group Antigens
  • RNA, Viral