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Norovirus Facts

What are noroviruses?
Noroviruses are a group of viruses that cause gastroenteritis or, "stomach flu".  The symptoms of norovirus illness usually include nausea, vomiting, diarrhea, and some stomach cramping.  Sometimes people have a low-grade fever, chills, headache, muscle aches, and a general sense of tiredness.  The illness often begins suddenly, and the infected person may feel very sick.  The illness is usually brief, with symptoms lasting only about 1 or 2 days and no long-term health effects related to the illness.  

How serious is it?
Norovirus illness is usually not serious, although people may feel very sick and vomit many times a day.  Sometimes people are unable to drink enough liquids to replace the liquids they lost because of vomiting and diarrhea.  These persons can become dehydrated and may need special medical attention.  

How do you become infected?
Noroviruses are found in the stool or vomit of infected people.  People can become infected with the virus in several ways, including:

eating food or drinking liquids that are contaminated with norovirus

touching surfaces or objects contaminate with norovirus, then placing their hand in their mouth

having direct contact with another person who is infected and showing symptoms (for example, when caring for someone with the illness, or sharing foods or eating utensils with someone who is ill).

Symptoms of the illness usually begin about 24 to 48 hours after ingestion of the virus, but they can appear as early as 12 hours after exposure.

Is it contagious?
Noroviruses are very contagious and can spread easily from person to person.  Both stool and vomit are infectious.  People infected with norovirus are contagious from the moment they begin feeling ill to at least 3 days after recovery.  Some people may be contagious for as long as 2 weeks after recovery.  Therefore, it's extremely important for people to use good handwashing and other hygienic practices after they have recently recovered from norovirus illness.

Is treatment available?
Currently, there is no antiviral medication that works against norovirus and there is no vaccine to prevent infection.  Norovirus infection cannot be treated with antibiotics.  This is because antibiotics work to fight bacteria and not viruses.

Can it be prevented?
Yes.  You can decrease your chance of coming in contact with noroviruses by following these preventive steps:

Wash your hands frequently - especially after toilet visits and changing diapers and before eating or preparing food. Handwashing practices link

Wash fruits and vegetables carefully, and steam oysters before eating them

Thoroughly clean and disinfect contaminated surfaces immediately after an episode of illness by using a bleach-based household cleaner.

Immediately remove and wash clothing or linens that may be contaminated with virus after an episode of illness (use hot water and soap)

Flush or discard any vomit and/or stool in the toilet and make sure that the surrounding area is kept clean.

Persons who are infected with norovirus should not prepare food while they have symptoms and for 3 days after they recover from their illness.  Food that may have been contaminated by an ill person should be disposed of properly.

For information from the Centers for Disease Control for Food Handlers and Healthcare Facilities, click on the links below:
Noroviruses and Food Handlers

Norovirus in Healthcare Facilities

 

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