Norovirus and child care: challenges in outbreak control.
An infant with diarrhea attended a community playgroup. In the subsequent 48 hours, 6 of the 7 mothers and children reported gastroenteritis; fecal specimens from 5 persons tested positive for norovirus, with identical sequences. No breach of hygiene or contact with fecal matter was identified. Excluding the child with gastroenteritis from the playgroup could have prevented this outbreak.
Isakbaeva
Elmira T
ET
Epidemic Intelligence Service, Epidemiology Program Office, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Bulens
Sandra N
SN
Beard
R Suzanne
RS
Adams
Susan
S
Monroe
Stephan S
SS
Chaves
Sandra S
SS
Widdowson
Marc-Alain
MA
Glass
Roger I
RI
D000328:Adult; D017250:Caliciviridae Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission / Q000821:virology; D002656:Child Day Care Centers; D004196:Disease Outbreaks; D005243:Feces / Q000821:virology; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology* / Q000517:prevention & control / Q000821:virology*; D006801:Humans; D007223:Infant; D029322:Norovirus / Q000302:isolation & purification