NHS Hospital Virus Outbreaks at Record Levels
According to a recent Health Protection Agency (HPA) report, the Norovirus outbreaks in hospitals reporting scheme recorded 213 suspected and confirmed Norovirus outbreaks occurring between weeks 09 and 12 2010. Seventy-seven percent (163) of these outbreaks involved some kind of ward closure or restriction to admissions and sixty-four percent (136) were laboratory confirmed.
What is Norovirus?
Norovirus (formerly called Norwalk agent) is an RNA virus that causes approximately 90% of epidemicA sudden outbreak of infection that affects a large proportion of a population. non-bacterial outbreaks of gastroenteritisInflammation of the stomach and intestines usually causing sudden stomach pain that lasts for two or three days. around the world, and may be responsible for 50% of all foodborne outbreaks of gastroenteritis in the US. Norovirus affects people of all ages. The virusesMicrobes that are only able to multiply within living cells. are transmitted by faecally contaminated food or water and by person-to-person contact.
There is an inherited predisposition to infectionInvasion by organisms that may be harmful, for example bacteria or parasites., and individuals with bloodA fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. type O are more often infected, while blood types B and AB can confer partial protection against symptomatic infection. Outbreaks of Norovirus infection often occur in closed or semi-closed communities, such as long-term care facilities, overnight camps, hospitals, prisons, dormitories, and cruise ships where the infection spreads very rapidly either by person-to-person transmission or through contaminated food. Many outbreaks have been traced to food that was handled by one infected person.
Is Norovirus Dangerous?
Common names of the illness caused by Noroviruses are winter vomitingExpusion of the contents of the stomach through the mouth. disease, viral gastroenteritis, and acuteHas a sudden onset. non-bacterial gastroenteritis, also colloquially known as "stomachthe organ or the body where food is stored and broken down fluA viral infection affecting the respiratory system."—a broad name that refers to gastric inflammationThe body’s response to injury. caused by a range of viruses and bacteria.
When a person becomes infected with Norovirus, the virus begins to multiply within the small intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus.. After approximately 1 to 2 days, Norovirus symptoms can appear. The principal symptom is acute gastroenteritis that develops between 24 and 48 hours after exposure, and lasts for 24–60 hours. The disease is usually self-limiting, and characterised by nausea, vomiting, diarrhoeaWhen bowel evacuation happens more often than usual, or where the faeces are abnormally liquid., and abdominalRelating to the abdomen, which is the region of the body between the chest and the pelvis. pain; and in some cases, loss of taste. General lethargy, weakness, muscleTissue made up of cells that can contract to bring about movement. aches, headache, and low-grade feverThe raising of the body temperature above norma, which may be accompanied by symptoms such as shivering, headache and sweating. may occur.
Severe illness is rare: although people are frequently treated in A&E, they are rarely admitted to the hospital. The number of deaths from Norovirus in the US is estimated to be around 300 each year, with most of these occurring in the very young, elderly and persons with weakened immune systems. Symptoms may become life-threatening in these groups if dehydrationWater deficiency in the body. is ignored or not treated.
