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All About Norovirus

From About.com

Updated: May 9, 2007

About.com Health's Disease and Condition content is reviewed by Susan Olender, MD

What is Norovirus? : Norovirus, or Norwalk-like virus, is an intestinal virus that causes people to get gastroenteritis. The virus can survive outside the body for days and spreads quickly to other people since only 100 viral particles can cause severe illness.

The most common mode of infection is through food contaminated by a food handler who has had norovirus. The stomach flu is not caused by a flu virus at all, but by norovirus. Norovirus is a virus, it is not a bacteria nor a parasite.

How Do You Get Norovirus?: Norovirus is ingested. It may come along with food contaminated by someone who has or has had the virus. Most food borne illness in the US is caused by norovirus, so you have likely suffered from this disease when you were struck down by “food poisoning” at a restaurant or a potluck. Follow tips to eating safely at a restaurant and reduce your risk of ever getting sick at a restaurant again.

You can also get norovirus by touching surfaces in public spaces contaminated by norovirus such as railings, telephones, and doorknobs and then touching your mouth.

Where Could I Get Norovirus?: Restaurants, cruise ships, family gatherings, potlucks, nursing homes, hospitals, schools, and cafeterias of all types to name a few likely haunts of norovirus.
What are the symptoms of Norovirus? : Norovirus symptoms usually appear within 24-48 hours after ingesting the virus, but can begin after just 12 hours. Symptoms usually last 1-2 days.
  • Diarrhea
  • Vomiting and/or
  • Fever
  • Abdominal cramps
  • Nausea
How Can Norovirus be Prevented? :
  • Proper hand washing helps reduce the chance that you may ingest norovirus picked up on your hands. Try to avoid touching the mouth, eyes and nose which are common entryways of many infectious diseases.
  • Disinfect commonly touched surfaces. Perhaps in the future a paint on germ killing polymer may provide long lasting infection control to surfaces such as doorknobs, telephones and faucets.
  • Cook food thoroughly to prevent the spread of norovirus from a contaminated food handler. Follow tips to survive a dive to guide you in making germ free choices at a restaurant.
  • If possible, avoid areas with norovirus outbreaks.
What About Norovirus Prevention on Cruise Ships and Restaurants?:
How is Norovirus be Treated, Is There a Vaccine?: Treatment consists of staying hydrated by taking in plenty of fluids such as water and electrolyte solutions. Severe dehydration may require hospital intervention.

Vaccines for norovirus do not exist because there are many different types of the virus. People who have fallen ill several times with norovirus are likely to have had a different strain of the virus each time.

Is Norovirus a Very Serious Disease?: Norovirus can cause hundreds of illnesses in a short time disabling people for 1-2 days. Infected individuals may vomit several times a day without warning and have severe diarrhea. Norovirus then could leave you staying put for a couple of days.

People normally recover from the virus, but it can lead to death in the elderly and very young or people who already suffer from an illness.

Are there Many Outbreaks of Norovirus?: Yes. Just search for norovirus in the news section of your favorite search engine and you will always find cases reported on cruise ships, schools, restaurants and the other public places I have already mentioned. Sometimes the number of people affected by a norovirus outbreak reaches hundreds and even thousands of people.
Sources: Centers for Disease Control. Viral Gastroenteritis. Norovirus: Food Handlers.

Centers for Disease Control. Morbitity and Mortality Weekly Report, April 14, 2006/55(14),395-397.

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