ID:
publications-2242
Type:
Peer reviewed articles
Year:
2020
Authors:
Gregorius J. Sips, Mariëlle J. G. Dirven, Joke T. Donkervoort, Francien M. Kolfschoten, Claudia M. E. Schapendonk, My V. T. Phan, Annemieke Bloem, Anna F. Leeuwen, Mariechristine E. Trompenaars, Marion P. G. Koopmans, Annemiek A. Eijk, Miranda Graaf, Ewout B. Fanoy
Title:
Norovirus outbreak in a natural playground: A One Health approach
Venue/Journal:
Zoonoses and Public Health
DOI:
10.1111/zph.12689
Research type:
Simulation & Modeling
Water System:
Precipitation & Ecological Systems
Technical Focus:
Abstract:
AbstractNorovirus 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.
Link with Projects:
799417
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