title: A point-source norovirus outbreak caused by exposure to fomites.
abstract: We investigated a norovirus outbreak (genotype GII.2) affecting 9 members of a soccer team. Illness was associated with touching a reusable grocery bag or consuming its packaged food contents (risk difference, 0.636; P < .01). By polymerase chain reaction, GII norovirus was recovered from the bag, which had been stored in a bathroom used before the outbreak by a person with norovirus-like illness. Airborne contamination of fomites can lead to subsequent point-source outbreaks. When feasible, we recommend dedicated bathrooms for sick persons and informing cleaning staff (professional or otherwise) about the need for adequate environmental sanitation of surfaces and fomites to prevent spread.
authors.affiliation: Washington County Department of Health and Human Services, Hillsboro, OR, USA.
authors.forename: Kimberly K
authors.initials: KK
authors.lastname: Repp
authors.forename: William E
authors.initials: WE
authors.lastname: Keene
mesh_terms: D000293:Adolescent; D000328:Adult; D056352:Athletes; D017250:Caliciviridae Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000821:virology; D015331:Cohort Studies; D004196:Disease Outbreaks; D004783:Environmental Microbiology; D050456:Fomites / Q000821:virology*; D005517:Foodborne Diseases / Q000453:epidemiology / Q000517:prevention & control / Q000821:virology; D005759:Gastroenteritis / Q000453:epidemiology* / Q000517:prevention & control / Q000821:virology*; D005838:Genotype; D006801:Humans; D017053:Infection Control / Q000379:methods; D008875:Middle Aged; D029322:Norovirus / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D012189:Retrospective Studies; D012499:Sanitation / Q000379:methods; D055815:Young Adult