title: Norovirus and child care: challenges in outbreak control.
abstract: 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.
authors.affiliation: Epidemic Intelligence Service, Epidemiology Program Office, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Elmira T
authors.initials: ET
authors.lastname: Isakbaeva
authors.forename: Sandra N
authors.initials: SN
authors.lastname: Bulens
authors.forename: R Suzanne
authors.initials: RS
authors.lastname: Beard
authors.forename: Susan
authors.initials: S
authors.lastname: Adams
authors.forename: Stephan S
authors.initials: SS
authors.lastname: Monroe
authors.forename: Sandra S
authors.initials: SS
authors.lastname: Chaves
authors.forename: Marc-Alain
authors.initials: MA
authors.lastname: Widdowson
authors.forename: Roger I
authors.initials: RI
authors.lastname: Glass
mesh_terms: 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