Norovirus outbreak in a natural playground: A One Health approach

Norovirus constitutes the most frequently identified infectious cause of disease outbreaks associated with untreated recreational water. When investigating outbreaks related to surface water, a One Health approach is insightful. Historically, there has been a focus on potential contamination of recr...

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Veröffentlicht in:Zoonoses and public health 2020-06, Vol.67 (4), p.453-459
Hauptverfasser: Sips, Gregorius J., Dirven, Mariëlle J. G., Donkervoort, Joke T., Kolfschoten, Francien M., Schapendonk, Claudia M. E., Phan, My V. T., Bloem, Annemieke, Leeuwen, Anna F., Trompenaars, Mariechristine E., Koopmans, Marion P. G., Eijk, Annemiek A., Graaf, Miranda, Fanoy, Ewout B.
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container_end_page 459
container_issue 4
container_start_page 453
container_title Zoonoses and public health
container_volume 67
creator Sips, Gregorius J.
Dirven, Mariëlle J. G.
Donkervoort, Joke T.
Kolfschoten, Francien M.
Schapendonk, Claudia M. E.
Phan, My V. T.
Bloem, Annemieke
Leeuwen, Anna F.
Trompenaars, Mariechristine E.
Koopmans, Marion P. G.
Eijk, Annemiek A.
Graaf, Miranda
Fanoy, Ewout B.
description Norovirus constitutes the most frequently identified infectious cause of disease outbreaks associated with untreated recreational water. When investigating outbreaks related to surface water, a One Health approach is insightful. Historically, there has been a focus on potential contamination of recreational water by bird droppings and a recent publication demonstrating human noroviruses in bird faeces suggested this should be investigated in future water‐related norovirus outbreaks. Here, we describe a One Health approach investigating a norovirus outbreak in a natural playground. On social media, a large amount of waterfowl were reported to defecate near these playground premises leading to speculations about their potential involvement. Surface water, as well as human and bird faecal specimens, was tested for human noroviruses. Norovirus was found to be the most likely cause of the outbreak but there was no evidence for transmission via waterfowl. Cases had become known on social media prior to notification to the public health service underscoring the potential of online media as an early warning system. In view of known risk factors, advice was given for future outbreak investigations and natural playground design.
doi_str_mv 10.1111/zph.12689
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source MEDLINE; Wiley Journals
subjects Adolescent
Adult
Animals
Anseriformes
Bird Diseases - virology
Birds
Caliciviridae Infections - veterinary
Caliciviridae Infections - virology
Child
Child, Preschool
Contamination
Digital media
Disease Notification
Disease Outbreaks
Early warning systems
Epidemics
faeces
Feces - virology
Humans
Investigations
Norovirus
Norovirus - genetics
One Health
Outbreaks
Parks, Recreational
Phylogeny
Playgrounds
Public health
Recreation
Recreational waters
Risk analysis
Risk Factors
Short Communication
Short Communications
Social media
Social networks
Surface water
water
Water Microbiology
Water pollution
Waterfowl
Young Adult
Zoonoses
title Norovirus outbreak in a natural playground: A One Health approach
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