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 |
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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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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.</creator><creatorcontrib>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.</creatorcontrib><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.</description><identifier>ISSN: 1863-1959</identifier><identifier>EISSN: 1863-2378</identifier><identifier>DOI: 10.1111/zph.12689</identifier><identifier>PMID: 32037743</identifier><language>eng</language><publisher>Germany: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Zoonoses and public health, 2020-06, Vol.67 (4), p.453-459</ispartof><rights>2020 The Authors. published by Blackwell Verlag GmbH.</rights><rights>2020 The Authors. 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G.</creatorcontrib><creatorcontrib>Donkervoort, Joke T.</creatorcontrib><creatorcontrib>Kolfschoten, Francien M.</creatorcontrib><creatorcontrib>Schapendonk, Claudia M. E.</creatorcontrib><creatorcontrib>Phan, My V. T.</creatorcontrib><creatorcontrib>Bloem, Annemieke</creatorcontrib><creatorcontrib>Leeuwen, Anna F.</creatorcontrib><creatorcontrib>Trompenaars, Mariechristine E.</creatorcontrib><creatorcontrib>Koopmans, Marion P. G.</creatorcontrib><creatorcontrib>Eijk, Annemiek A.</creatorcontrib><creatorcontrib>Graaf, Miranda</creatorcontrib><creatorcontrib>Fanoy, Ewout B.</creatorcontrib><title>Norovirus outbreak in a natural playground: A One Health approach</title><title>Zoonoses and public health</title><addtitle>Zoonoses Public Health</addtitle><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. 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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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