A Multistate Outbreak of Norwalk Virus Gastroenteritis Associated with Consumption of Commercial Ice
Between 19 and 27 September 1987, a cluster of outbreaks of gastrointestinal illness occurred among persons who had attended a museum fund-raiser in Wilmington, Delaware and an intercollegiate football game in Philadelphia. A survey of four groups attending these events showed that 31% (191/614) bec...
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| Veröffentlicht in: | The Journal of infectious diseases 1991-11, Vol.164 (5), p.860-863 |
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| container_issue | 5 |
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| container_title | The Journal of infectious diseases |
| container_volume | 164 |
| creator | Cannon, Robert O. Poliner, Jay R. Hirschhorn, Randall B. Rodeheaver, David C. Silverman, Paul R. Brown, Elizabeth A. Talbot, George H. Stine, Sarah E. Monroe, Stephan S. Dennis, David T. Glass, Roger I. |
| description | Between 19 and 27 September 1987, a cluster of outbreaks of gastrointestinal illness occurred among persons who had attended a museum fund-raiser in Wilmington, Delaware and an intercollegiate football game in Philadelphia. A survey of four groups attending these events showed that 31% (191/614) became ill. Altogether, those who consumed ice were 12 times more likely to experience either vomiting or diarrhea than those who did not (attack rate, 55% vs. 4%, P < .001). Ice consumed at the events was traced to a manufacturer in southeastern Pennsylvania whose wells had been contaminated when flooded by a nearby creek after a torrential rainfall on 8 September. Of 19 affected persons tested within 1 week of exposure, 13 (68%) had at least a fourfold rise in antibody titer to the Norwalk virus. This report, the first to document an association of contaminated commercial ice with Norwalk gastroenteritis should prompt reassessment of government regulation of the production and distribution of ice. |
| doi_str_mv | 10.1093/infdis/164.5.860 |
| format | Article |
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A survey of four groups attending these events showed that 31% (191/614) became ill. Altogether, those who consumed ice were 12 times more likely to experience either vomiting or diarrhea than those who did not (attack rate, 55% vs. 4%, P < .001). Ice consumed at the events was traced to a manufacturer in southeastern Pennsylvania whose wells had been contaminated when flooded by a nearby creek after a torrential rainfall on 8 September. Of 19 affected persons tested within 1 week of exposure, 13 (68%) had at least a fourfold rise in antibody titer to the Norwalk virus. 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A survey of four groups attending these events showed that 31% (191/614) became ill. Altogether, those who consumed ice were 12 times more likely to experience either vomiting or diarrhea than those who did not (attack rate, 55% vs. 4%, P < .001). Ice consumed at the events was traced to a manufacturer in southeastern Pennsylvania whose wells had been contaminated when flooded by a nearby creek after a torrential rainfall on 8 September. Of 19 affected persons tested within 1 week of exposure, 13 (68%) had at least a fourfold rise in antibody titer to the Norwalk virus. This report, the first to document an association of contaminated commercial ice with Norwalk gastroenteritis should prompt reassessment of government regulation of the production and distribution of ice.</description><subject>Antibodies</subject><subject>Antibodies, Viral - blood</subject><subject>Biological and medical sciences</subject><subject>Delaware - epidemiology</subject><subject>Diarrhea</subject><subject>Disease Outbreaks</subject><subject>Diseases</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Ice</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Major Articles</subject><subject>Medical sciences</subject><subject>Norwalk virus</subject><subject>Norwalk virus - immunology</subject><subject>Norwalk virus - isolation & purification</subject><subject>Philadelphia - epidemiology</subject><subject>Potable water</subject><subject>Surveys and Questionnaires</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Virus Diseases - epidemiology</subject><subject>Viruses</subject><subject>Water Microbiology</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkb9v1DAYhi0EKsfBzoLkAbHlase_xyOCu0qlZYCCWCzHcYR7SXy1HRX-e1zlaKdveN73HZ4PgLcYbTBS5NxPfefTOeZ0wzaSo2dghRkRFeeYPAcrhOq6wlKpl-BVSrcIIUq4OANnmDOJmVyBbgu_zEP2KZvs4PWc2-jMAYYeXoV4b4YDvPFxTnBnUo7BTdlFX9Jwm1KwvnQ6eO_zb9iEKc3jMfswPZSbMI4ulsAAL6x7DV70ZkjuzemuwffPn741--ryenfRbC8rSyTJFaW9aLlERomaK8OkJMp2lDsqmW0Vr23tlFNdyzA2HSK2lwTVHItW9UJRTtbgw7J7jOFudinr0SfrhsFMLsxJi5oyKoqgNUBL0MaQUnS9PkY_mvhXY6QfxOpFrC5iNdNFbKm8O23P7ei6p8JisvD3J26SNUMfzWTLwP8YIzWuhXiauU05xEdMEMZYKVp4tfDyEffnkZt40FwQwfT-5y_dXO1-fNzf7PRX8g-SCZuB</recordid><startdate>19911101</startdate><enddate>19911101</enddate><creator>Cannon, Robert O.</creator><creator>Poliner, Jay R.</creator><creator>Hirschhorn, Randall B.</creator><creator>Rodeheaver, David C.</creator><creator>Silverman, Paul R.</creator><creator>Brown, Elizabeth A.</creator><creator>Talbot, George H.</creator><creator>Stine, Sarah E.</creator><creator>Monroe, Stephan S.</creator><creator>Dennis, David T.</creator><creator>Glass, Roger I.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19911101</creationdate><title>A Multistate Outbreak of Norwalk Virus Gastroenteritis Associated with Consumption of Commercial Ice</title><author>Cannon, Robert O. ; Poliner, Jay R. ; Hirschhorn, Randall B. ; Rodeheaver, David C. ; Silverman, Paul R. ; Brown, Elizabeth A. ; Talbot, George H. ; Stine, Sarah E. ; Monroe, Stephan S. ; Dennis, David T. ; Glass, Roger I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-44f7b680a97269a58839cd46e485cb962c2e9e9db511ad03cf8302617b9f79463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Antibodies</topic><topic>Antibodies, Viral - blood</topic><topic>Biological and medical sciences</topic><topic>Delaware - epidemiology</topic><topic>Diarrhea</topic><topic>Disease Outbreaks</topic><topic>Diseases</topic><topic>Gastroenteritis</topic><topic>Gastroenteritis - epidemiology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Ice</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Major Articles</topic><topic>Medical sciences</topic><topic>Norwalk virus</topic><topic>Norwalk virus - immunology</topic><topic>Norwalk virus - isolation & purification</topic><topic>Philadelphia - epidemiology</topic><topic>Potable water</topic><topic>Surveys and Questionnaires</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><topic>Virus Diseases - epidemiology</topic><topic>Viruses</topic><topic>Water Microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cannon, Robert O.</creatorcontrib><creatorcontrib>Poliner, Jay R.</creatorcontrib><creatorcontrib>Hirschhorn, Randall B.</creatorcontrib><creatorcontrib>Rodeheaver, David C.</creatorcontrib><creatorcontrib>Silverman, Paul R.</creatorcontrib><creatorcontrib>Brown, Elizabeth A.</creatorcontrib><creatorcontrib>Talbot, George H.</creatorcontrib><creatorcontrib>Stine, Sarah E.</creatorcontrib><creatorcontrib>Monroe, Stephan S.</creatorcontrib><creatorcontrib>Dennis, David T.</creatorcontrib><creatorcontrib>Glass, Roger I.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cannon, Robert O.</au><au>Poliner, Jay R.</au><au>Hirschhorn, Randall B.</au><au>Rodeheaver, David C.</au><au>Silverman, Paul R.</au><au>Brown, Elizabeth A.</au><au>Talbot, George H.</au><au>Stine, Sarah E.</au><au>Monroe, Stephan S.</au><au>Dennis, David T.</au><au>Glass, Roger I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Multistate Outbreak of Norwalk Virus Gastroenteritis Associated with Consumption of Commercial Ice</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1991-11-01</date><risdate>1991</risdate><volume>164</volume><issue>5</issue><spage>860</spage><epage>863</epage><pages>860-863</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Between 19 and 27 September 1987, a cluster of outbreaks of gastrointestinal illness occurred among persons who had attended a museum fund-raiser in Wilmington, Delaware and an intercollegiate football game in Philadelphia. 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| source | Jstor Complete Legacy; MEDLINE |
| subjects | Antibodies Antibodies, Viral - blood Biological and medical sciences Delaware - epidemiology Diarrhea Disease Outbreaks Diseases Gastroenteritis Gastroenteritis - epidemiology Human viral diseases Humans Ice Infections Infectious diseases Major Articles Medical sciences Norwalk virus Norwalk virus - immunology Norwalk virus - isolation & purification Philadelphia - epidemiology Potable water Surveys and Questionnaires Viral diseases Viral hepatitis Virus Diseases - epidemiology Viruses Water Microbiology |
| title | A Multistate Outbreak of Norwalk Virus Gastroenteritis Associated with Consumption of Commercial Ice |
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