Enhanced hygiene measures and norovirus transmission during an outbreak

Janneke C M Heijne; Peter Teunis; Gabriella Morroy; Clementine Wijkmans; Sandy Oostveen; Erwin Duizer; Mirjam Kretzschmar; Jacco Wallinga

doi:10.3201/eid1501.080299

Enhanced hygiene measures and norovirus transmission during an outbreak

Janneke C M Heijne
, Peter Teunis
, Gabriella Morroy
, Clementine Wijkmans
, Sandy Oostveen
, Erwin Duizer
, Mirjam Kretzschmar
, Jacco Wallinga

National Institute for Public Health and the Environment

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Control of norovirus outbreaks relies on enhanced hygiene measures, such as handwashing, surface cleaning, using disposable paper towels, and using separate toilets for sick and well persons. However, little is known about their effectiveness in limiting further spread of norovirus infections. We analyzed norovirus outbreaks in 7 camps at an international scouting jamboree in the Netherlands during 2004. Implementation of hygiene measures coincided with an 84.8% (95% predictive interval 81.2%-86.6%) reduction in reproduction number. This reduction was unexpectedly large but still below the reduction needed to contain a norovirus outbreak. Even more stringent control measures are required to break the chain of transmission of norovirus.

Original language	English
Pages (from-to)	24-30
Number of pages	7
Journal	Emerging infectious diseases
Volume	15
Issue number	1
DOIs	https://doi.org/10.3201/eid1501.080299
Publication status	Published - Jan 2009
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Adolescent
Caliciviridae Infections/epidemiology
Child
Disease Outbreaks
Gastroenteritis/epidemiology
Hand Disinfection/methods
Humans
Hygiene
Infection Control/methods
Netherlands/epidemiology
Norovirus/isolation & purification

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Cite this

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title = "Enhanced hygiene measures and norovirus transmission during an outbreak",

abstract = "Control of norovirus outbreaks relies on enhanced hygiene measures, such as handwashing, surface cleaning, using disposable paper towels, and using separate toilets for sick and well persons. However, little is known about their effectiveness in limiting further spread of norovirus infections. We analyzed norovirus outbreaks in 7 camps at an international scouting jamboree in the Netherlands during 2004. Implementation of hygiene measures coincided with an 84.8\% (95\% predictive interval 81.2\%-86.6\%) reduction in reproduction number. This reduction was unexpectedly large but still below the reduction needed to contain a norovirus outbreak. Even more stringent control measures are required to break the chain of transmission of norovirus.",

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author = "Heijne, \{Janneke C M\} and Peter Teunis and Gabriella Morroy and Clementine Wijkmans and Sandy Oostveen and Erwin Duizer and Mirjam Kretzschmar and Jacco Wallinga",

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AU - Heijne, Janneke C M

AU - Teunis, Peter

AU - Morroy, Gabriella

AU - Wijkmans, Clementine

AU - Oostveen, Sandy

AU - Duizer, Erwin

AU - Kretzschmar, Mirjam

AU - Wallinga, Jacco

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KW - Adolescent

KW - Caliciviridae Infections/epidemiology

KW - Child

KW - Disease Outbreaks

KW - Gastroenteritis/epidemiology

KW - Hand Disinfection/methods

KW - Humans

KW - Hygiene

KW - Infection Control/methods

KW - Netherlands/epidemiology

KW - Norovirus/isolation & purification

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M3 - Article

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JO - Emerging infectious diseases

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Enhanced hygiene measures and norovirus transmission during an outbreak

Abstract

UN SDGs

Keywords

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