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A large foodborne outbreak of norovirus in diners at a restaurant in England between January and February 2009

  • A. J. SMITH (a1), N. McCARTHY (a1), L. SALDANA (a1), C. IHEKWEAZU (a2), K. McPHEDRAN (a1), G. K. ADAK (a3), M. ITURRIZA-GÓMARA (a4), G. BICKLER (a2) and É. O'MOORE (a1)...
Summary
SUMMARY

An outbreak of gastroenteritis affected at least 240 persons who had eaten at a gourmet restaurant over a period of 7 weeks in 2009 in England. Epidemiological, microbiological, and environmental studies were conducted. The case-control study demonstrated increased risk of illness in those who ate from a special ‘tasting menu’ and in particular an oyster, passion fruit jelly and lavender dish (odds ratio 7·0, 95% confidence interval 1·1–45·2). Ten diners and six staff members had laboratory-confirmed norovirus infection. Diners were infected with multiple norovirus strains belonging to genogroups I and II, a pattern characteristic of molluscan shellfish-associated outbreaks. The ongoing risk from dining at the restaurant may have been due to persistent contamination of the oyster supply alone or in combination with further spread via infected food handlers or the restaurant environment. Delayed notification of the outbreak to public health authorities may have contributed to outbreak size and duration.

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Copyright
The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence . The written permission of Cambridge University Press must be obtained for commercial re-use.
Corresponding author
*Author for correspondence: Ms. A. J. Smith, Health Protection Agency, Thames Valley HPU, CRCE, Chilton, Didcot OX11 0RQ, UK. (Email: alyson.smith@hpa.org.uk)
References
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1. de Wit MA, et al. Sensor, a population-based cohort study on gastroenteritis in the Netherlands: incidence and etiology. American Journal of Epidemiology 2001; 154: 666674.
2. Mead PS, et al. Food-related illness and death in the United States – reply to Dr. Hedberg. Emerging Infectious Diseases 1999; 5: 841842.
3. Fretz R, et al. Frequency of Norovirus in stool samples from patients with gastrointestinal symptoms in Switzerland. European Journal of Clinical Microbiology & Infectious Diseases 2005; 24: 214216.
4. Green K. Caliciviridae: the noroviruses. In: Knipe D, Howley P, eds. Fields Virology , 5th edn. Philadelphia: Lippincott Williams & Wilkins, 2007, pp. 949979.
5. Lopman BA, et al. Viral gastroenteritis outbreaks in Europe, 1995–2000. Emerging Infectious Diseases 2003; 9: 9096.
6. Patel MM, et al. Noroviruses: a comprehensive review. Journal of Clinical Virology 2009; 44: 18.
7. Patel MM, et al. Systematic literature review of role of noroviruses in sporadic gastroenteritis. Emerging Infectious Diseases 2008; 14: 12241231.
8. Verhoef L, et al. Multiple exposures during a norovirus outbreak on a river-cruise sailing through Europe, 2006. Eurosurveillance 2008; 13.
9. Widdowson MA, Monroe SS, Glass RI. Are noroviruses emerging? Emerging Infectious Diseases 2005; 11: 735737.
10. Wheeler JG, et al. Study of infectious intestinal disease in England: rates in the community, presenting to general practice, and reported to national surveillance. The Infectious Intestinal Disease Study Executive. British Medical Journal 1999; 318: 10461050.
11. Adak GK, et al. Disease risks from foods, England and Wales, 1996–2000. Emerging Infectious Diseases 2005; 11: 365372.
12. HPA. Foodborne illness at the Fat Duck restaurant. Report of an investigation of foodborne outbreak of norovirus among diners at the Fat Duck restaurant, Bray, Berkshire in January and February, 2009 (http://www.hpa.org.uk/Publications/InfectiousDiseases/InfectionControl/0909FatDuck/). 2009.
13. Matthew F. A humble pub's extraordinary journey to gastronomic greatness. The Guardian, 19 April 2005.
14. Kageyama T, et al. Coexistence of multiple genotypes, including newly identified genotypes, in outbreaks of gastroenteritis due to Norovirus in Japan. Journal of Clinical Microbiology 2004; 42: 29882995.
15. Cliver D, Matsiu S, Casteel M. Infections with viruses and prions. In: Riemann H, Cliver D, eds. Foodborne Infections and Intoxications , 3rd edn. Amsterdam: Elsevier, 2006: 367448.
16. Koopmans M, et al. Early identification of common-source foodborne virus outbreaks in Europe. Emerging Infectious Diseases 2003; 9: 11361142.
17. Le Guyader F, et al. Norwalk virus-specific binding to oyster digestive tissues. Emerging Infectious Diseases 2006; 12: 931936.
18. Ueki Y, et al. Norovirus pathway in water environment estimated by genetic analysis of strains from patients of gastroenteritis, sewage, treated wastewater, river water and oysters. Water Research 2005; 39: 42714280.
19. Le Guyader FS, et al. Detection of multiple noroviruses associated with an international gastroenteritis outbreak linked to oyster consumption. Journal of Clinical Microbiology 2006; 44: 38783882.
20. Food Standards Agency. Food handlers: fitness to work – regulatory guidance and best practice advice for food business operators, 2009.
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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