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Noroviruses/Norwalk-like viruses


Noroviruses is also known as Norwalk-like viruses or small round structured viruses SRSVs. It cause acute gastroenteritis (vomiting and diarrhea).

Persons can acquire the infection from:
  1. Food or water contaminated by infected food handlers or at its source e.g. shellfish.
  2. Person to person spread occurs via direct and indirect contact with faeces and vomitus.
  3. Contaminated environment (e.g. toilet, swimming pool) can be a major source of outbreak.
  4. Aerosol from contaminated environment or projectile vomiting.

After exposure to the virus, there will be an incubation period of 24-48 hours.

Then, the following symptoms will occur:
  1. Vomiting (predominant early symptom)
  2. Abdominal pain
  3. Watery diarrhea
  4. Fever (low-grade, not present in all cases)
  5. Dehydration (may occur in young children or elderly)
  6. The illnesses usually last for 1-2 days without chronic sequel

Special notes:

  1. Norovirus is highly infectious.
  2. Persons become infectious from symptom onset and may last for 2 weeks after recovery.
  3. Control on personal hygiene of infected persons, and thorough environmental cleansing (e.g. household bleach (5.25%) diluted in 1:49 water) are key to prevent secondary spread.
  4. University hostels and areas with high human density are at risk for norovirus outbreak.
  5. Students and staff should be alert for symptoms of vomiting and diarrhea, and prompt for advice from University Health Clinic.
Useful links:

English version

Chinese version

 
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