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A large outbreak of gastroenteritis associated with a small round structured virus among schoolchildren and teachers in Japan

Published online by Cambridge University Press:  15 May 2009

S. Kobayashi ,
T. Morishita ,
T. Yamashita ,
K. Sakae ,
O. Nishio ,
T. Miyake ,
Y. Ishihara  and
S. Isomura
S. Kobayashi*
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
T. Morishita
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
T. Yamashita
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
K. Sakae
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
O. Nishio
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
T. Miyake
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
Y. Ishihara
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
S. Isomura
Affiliation:
Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku Nagoya, 462, Japan
*
*Shinichi Kobayashi, Aichi Prefectural Institute of Public Health, 7–6, Nagare, Tsujimachi, Kita-ku, Nagoya, 462 Japan.
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Summary

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In March 1989 a large outbreak of acute gastroenteritis occurred simultaneously among schoolchildren and teachers at nine elementary schools in Toyota City, Japan. Illness was observed in 3236 (41·5%) of 7801 schoolchildren and 117 (39·4%) of 297 teachers. The main clinical symptoms were diarrhoea, vomiting, nausea and abdominal pain. Gastroenteritis was significantly associated with the consumption of school lunch served by one particular lunch preparation centre. One food handler at the centre suffered from gastroenteritis during the outbreak.Small round structured virus (SRSV) was detected in 4 of 8 stool specimens from sick persons. The school lunch contaminated by the infected food handler is the most probable source of this outbreak due to SRSV.

Type
Research Article
Information
Epidemiology & Infection , Volume 107 , Issue 1 , August 1991 , pp. 81 - 86
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.Kapikian, AZ, Wyatt, RG, Dolin, R, Thornhill, TS, Kalica, AR, Chanock, RM. Visualization of immune electron microscopy of a 27-nm particle associated with acute infectious nonbacterial gastroenteritis. J Virol 1972; 10: 1075–81.CrossRefGoogle ScholarPubMed
2.Dolin, R, Reichman, RC, Roessner, KD, et al. Detection by immune electron microscopy of the Snow Mountain agent of acute viral gastroenteritis. J Infect Dis 1982; 146: 184–9.CrossRefGoogle ScholarPubMed
3.Schreiber, DS, Blacklow, NR, Trier, TJ. The small intestinal lesion induced by Hawaii agent acute infectious nonbacterial gastroenteritis. J Infect Dis 1974; 129: 705–8.CrossRefGoogle ScholarPubMed
4.Taniguchi, K, Urasawa, S, Urasawa, T. Virus-like particle, 35 to 40 nm, associated with an institutional outbreak of acute gastroenteritis in adults. J Clin Microbiol 1979; 10: 730–6.CrossRefGoogle ScholarPubMed
5.Dolin, R, Treanor, JJ, Madore, HP. Novel agents of viral enteritis in humans. J Infect Dis 1987; 155: 365–76.CrossRefGoogle ScholarPubMed
6.Morse, DL, Guzewich, JJ, Hanrahan, JP, et al. Widespread outbreak of clam- and oyster- associated gastroenteritis: role of Norwalk virus. N Engl J Med 1986; 314; 678–81.CrossRefGoogle ScholarPubMed
7.Kaplan, JE, Feldman, R, Campbell, DS, Lookabangh, C, Gary, GW. The Frequency of a Norwalk like pattern of illness in outbreaks of acute gastroenteritis. Am J Public Health 1982; 72: 1329–32.CrossRefGoogle ScholarPubMed
8.Murphy, AM, Grohmann, GS, Christopher, PJ, Lopez, WA, Davey, GR, Millsom, RH. An Australia-wide outbreak of gastroenteritis from oysters caused by Norwalk virus. Med J Aust 1979; 2: 329–33.CrossRefGoogle ScholarPubMed
9.Gill, ON, Cubitt, WD, Mcswiggan, DA, Watney, BM, Bartlett, CLR. Epidemic of gastroenteritis caused by oysters contaminated with small round structured viruses. Br Med J 1983; 287: 1532–4.CrossRefGoogle ScholarPubMed
10.Nishio, O, Ishihara, Y, Isomura, S, Inoue, H, Inoue, S. Long-term follow-up of infants from birth for rotavirus antigen and antibody in the feces. Acta Paediatr Jpn 1988; 30: 497–504.CrossRefGoogle ScholarPubMed
11.Flewett, TH, Bryden, AS, Davies, H. Diagnostic electron microscopy of faeces. I. The viral flora of the faeces seen by electron microscopy. J Clin Pathol 1974; 27: 603–14.CrossRefGoogle ScholarPubMed
12.Adler, JL, Zickl, R. Winter vomiting disease. J Infect Dis 1963; 119: 668–73.CrossRefGoogle Scholar
13.Kaplan, JE, Garry, GW, Baron, RC, et al. Epidemiology of Norwalk gastroenteritis and the role of Norwalk virus in outbreaks of acute nonbacterial gastroenteritis. Ann Intern Med 1982; 96: 756–61.CrossRefGoogle ScholarPubMed
14.Brondum, J, Spitalny, KC, Vogt, RL, Godlewski, K, Madore, HP, Dolin, R. Snow mountain agent associated with an outbreak of gastroenteritis in Vermont. J Infect Dis 1985; 152: 834–837.CrossRefGoogle ScholarPubMed
15.Heum, EM, Vogt, RL, Hudson, PJ, Parren, S, Gary, GW. Risk factors for secondary transmission in household after a common-source outbreak of Norwalk gastroenteritis. Am J Epidemiol 1987; 126: 1181–6.Google Scholar
16.Thronhill, TS, Kalica, AR, Wyatt, RG, Kapikian, AZ. Pattern of shedding of the Norwalk particle in stools during experimentally induced gastroenteritis in volunteers as determined by immune electron microscopy. J Infect Dis 1975; 132: 28–34.CrossRefGoogle Scholar
17.White, KE, Osterholm, MT, Mariotti, JA, et al. A foodborne outbreak of Norwalk virus gastroenteritis: evidence for post-recovery transmission. Am J Epidemiol 1986; 124: 120–6.CrossRefGoogle ScholarPubMed
18.Kuritsky, JN, Osterholm, MT, Korlath, JA, White, KE, Kaplan, JE. A statewide assessment of the role of Norwalk virus in outbreaks of food-borne gastroenteritis. J Infect Dis 1985; 151: 568.CrossRefGoogle ScholarPubMed
19.Kuritsky, JN, Osterholm, MT, Greenberg, HB, et al. Norwalk gastroenteritis: a community outbreak associated with bakery product consumption. Ann Intern Med 1984; 100: 519–21.CrossRefGoogle ScholarPubMed
20.Riordan, T, Craske, J, Roberts, JL, Curry, A. Food borne infection by a Norwalk like virus (small round structured virus). J Clin Pathol 1984; 37: 817–20.CrossRefGoogle ScholarPubMed
21.Dolin, R, Blacklow, NR, Dupont, H, et al. Biological properties of Norwalk agent of acute infectious nonbacterial gastroenteritis. Proc Soc Exp Biol Med 1972; 140: 578–83.CrossRefGoogle ScholarPubMed