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Use of norovirus genotype profiles to differentiate origins of foodborne outbreaks

  • Linda Verhoef*
  • , Harry Vennema
  • , Wilfrid van Pelt
  • , David Lees
  • , Hendriek Boshuizen
  • , Kathleen Henshilwood
  • , Marion Koopmans
  • , B. Böttiger
  • , K. Mølbak
  • , C. Johnsen
  • , K. H. von Bonsdorff
  • , L. Maunula
  • , M. Kuusi
  • , P. Pothier
  • , K. Balay
  • , J. Kaplon
  • , G. Belliot
  • , S. le Guyader
  • , E. Schreier
  • , K. Stark
  • J. Koch, M. Höhne, G. Szücs, G. Reuter, K. Krisztalovics, M. Lynch, B. Foley, P. McKeown, S. Coughlan, E. Duizer, A. Kroneman, Y. van Duynhoven, K. Vainio, K. Nygard, G. Kapperud, M. Poljsak-Prijatelj, D. Barlic-Maganja, A. Hocevar Grom, F. Ruggeri, I. di Bartolo, A. Bosch, A. Dominguez, J. Buesa, A. Sanchez Fauquier, G. Hernández-Pezzi, K. O. Hedlund, Y. Andersson, M. Thorhagen, M. Lysén, M. Hjertqvist
*Corresponding author for this work
  • National Institute of Public Health and the Environment
  • Centre for the Environment Fisheries and Aquaculture Science
  • Food-Borne Viruses in Europe Network

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Because secondary transmission masks the connection between sources and outbreaks, estimating the proportion of foodborne norovirus infections is difficult. We studied whether norovirus genotype frequency distributions (genotype profiles) can enhance detection of the sources of foodborne outbreaks. Control measures differ substantially; therefore, differentiating this transmission mode from person-borne or food handler-borne outbreaks is of public health interest. Comparison of bivalve mollusks collected during monitoring (n = 295) and outbreak surveillance strains (n = 2,858) showed 2 distinguishable genotype profiles in 1) human feces and 2) source-contaminated food and bivalve mollusks; genotypes I.2 and I.4 were more frequently detected in foodborne outbreaks. Overall, ≈21% of all outbreaks were foodborne; further analysis showed that 25% of the outbreaks reported as food handler-associated were probably caused by source contamination of the food.

Original languageEnglish
Pages (from-to)617-624
Number of pages8
JournalEmerging Infectious Diseases
Volume16
Issue number4
DOIs
Publication statusPublished - Apr 2010

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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