BIOMAT Database Logo BIOMAT Database Logo

A large common-source outbreak of norovirus gastroenteritis in a hotel in Singapore, 2012. 2017

P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
Ministry of Health, Singapore,College of Medicine Building,Singapore.

An outbreak of gastroenteritis affected 453 attendees (attack rate 28ยท5%) of six separate events held at a hotel in Singapore. Active case detection, case-control studies, hygiene inspections and microbial analysis of food, environmental and stool samples were conducted to determine the aetiology of the outbreak and the modes of transmission. The only commonality was the food, crockery and cutlery provided and/or handled by the hotel's Chinese banquet kitchen. Stool specimens from 34 cases and 15 food handlers were positive for norovirus genogroup II. The putative index case was one of eight norovirus-positive food handlers who had worked while they were symptomatic. Several food samples and remnants tested positive for Escherichia coli or high faecal coliforms, aerobic plate counts and/or total coliforms, indicating poor food hygiene. This large common-source outbreak of norovirus gastroenteritis was caused by the consumption of contaminated food and/or contact with contaminated crockery or cutlery provided or handled by the hotel's Chinese banquet kitchen.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009663 Norwalk virus The type species in the genus NOROVIRUS, first isolated in 1968 from the stools of school children in Norwalk, Ohio, who were suffering from GASTROENTERITIS. The virions are non-enveloped spherical particles containing a single protein. Multiple strains are named after the places where outbreaks have occurred. Norwalk Agent
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004196 Disease Outbreaks Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS. Outbreaks,Infectious Disease Outbreaks,Disease Outbreak,Disease Outbreak, Infectious,Disease Outbreaks, Infectious,Infectious Disease Outbreak,Outbreak, Disease,Outbreak, Infectious Disease,Outbreaks, Disease,Outbreaks, Infectious Disease
D004783 Environmental Microbiology The study of microorganisms living in a variety of environments (air, soil, water, etc.) and their pathogenic relationship to other organisms including man. Microbiology, Environmental
D004926 Escherichia coli A species of gram-negative, facultatively anaerobic, rod-shaped bacteria (GRAM-NEGATIVE FACULTATIVELY ANAEROBIC RODS) commonly found in the lower part of the intestine of warm-blooded animals. It is usually nonpathogenic, but some strains are known to produce DIARRHEA and pyogenic infections. Pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (ENTEROTOXIGENIC ESCHERICHIA COLI), etc. Alkalescens-Dispar Group,Bacillus coli,Bacterium coli,Bacterium coli commune,Diffusely Adherent Escherichia coli,E coli,EAggEC,Enteroaggregative Escherichia coli,Enterococcus coli,Diffusely Adherent E. coli,Enteroaggregative E. coli,Enteroinvasive E. coli,Enteroinvasive Escherichia coli
D005243 Feces Excrement from the INTESTINES, containing unabsorbed solids, waste products, secretions, and BACTERIA of the DIGESTIVE SYSTEM.

Related Publications

P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
Norovirus outbreak causing gastroenteritis in a hotel in Menorca, Spain.
January 2021, Enfermedades infecciosas y microbiologia clinica (English ed.),
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A gastroenteritis outbreak due to norovirus associated with a Colorado hotel.
December 2003, Journal of environmental health,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
Large multistate outbreak of norovirus gastroenteritis associated with frozen strawberries, Germany, 2012.
February 2014, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
Rare Recombinant GI.5[P4] Norovirus That Caused a Large Foodborne Outbreak of Gastroenteritis in a Hotel in Spain in 2021.
February 2023, Microbiology spectrum,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A common source foodborne outbreak of cholera in Singapore.
June 1984, International journal of epidemiology,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A large outbreak of acute gastroenteritis in Shippensburg, Pennsylvania, 1972 revisited: evidence for common source exposure to a recombinant GII.Pg/GII.3 norovirus.
June 2017, Epidemiology and infection,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A Waterborne Gastroenteritis Outbreak Caused by Norovirus GII.17 in a Hotel, Hebei, China, December 2014.
September 2016, Food and environmental virology,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A large-scale gastroenteritis outbreak associated with Norovirus in nursing homes.
February 2005, Epidemiology and infection,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
Outbreak of acute norovirus gastroenteritis in a military facility in Singapore: a public health perspective.
April 2012, Singapore medical journal,
P Raj, and J Tay, and L W Ang, and W S Tien, and M Thu, and P Lee, and Q Y Pang, and Y L Tang, and K Y Lee, and S Maurer-Stroh, and V Gunalan, and J Cutter, and K T Goh
A common source outbreak of gastroenteritis in a teaching hospital.
August 1994, Infection control and hospital epidemiology,
Copied contents to your clipboard!