title: Possible community immunity to small round structured virus gastroenteritis in a rural aboriginal community.
abstract: In April 1998 an outbreak of gastroenteritis affected visitors, but none of the Aboriginal residents, at a Territory Health Services luncheon in a rural Aboriginal community in Central Australia. The epidemiological features and identification of Small Round Structured Virus (SRSV) from two participants suggest that this was an outbreak caused by a SRSV. The attack rate in the visitors who ate or drank food at the luncheon was 73% (11 of 15). Seventeen Aboriginal residents were interviewed, none had gastroenteritis. The community potable water supply was contaminated with faecal bacteria around the time of the outbreak. No particular food could be implicated and laboratory examination of foods was not possible. It is proposed that past exposure to SRSVs may have resulted in the Aboriginal residents developing clinical immunity to infection. The process and consequences of the investigation in this community are also discussed.
authors.affiliation: Population Health Unit, Territory Health Services, Alice Springs, Northern Territory.
authors.forename: D
authors.initials: D
authors.lastname: Ewald
authors.forename: C
authors.initials: C
authors.lastname: Franks
authors.forename: S
authors.initials: S
authors.lastname: Thompson
authors.forename: M S
authors.initials: MS
authors.lastname: Patel
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D017250:Caliciviridae Infections / Q000453:epidemiology / Q000276:immunology*; D015331:Cohort Studies; D017714:Community-Acquired Infections / Q000276:immunology*; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology / Q000276:immunology* / Q000821:virology; D006801:Humans; D007113:Immunity, Innate / Q000235:genetics*; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009663:Norwalk virus / Q000276:immunology*; D011159:Population Surveillance; D012189:Retrospective Studies; D012424:Rural Population; D016036:Seroepidemiologic Studies; D011795:Surveys and Questionnaires