The norovirus, sometimes referred to as the winter vomiting bug, is spreading across populations. Throughout the COVID-19 epidemic, it has been at lower levels than usual, but as limitations have loosened, numerous nations have observed an upsurge in cases across all age categories.

UK Health Security Agency explained that norovirus outbreaks occur in places where people interact closely, such as hospitals, nursing homes, and schools. A new study claims that 

Most persons who experience this have a short-lived, unpleasant illness that goes away on its own in 1-2 days. However, it can persist longer and affect people more severely when they are extremely young, old, or have compromised immune systems.

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Norovirus Outbreak Cases in the United States and Canada

About 300 to 400 norovirus outbreak cases are reported to the Public Health Agency of Canada (PHAC) each year. According to the health department, many incidents in food-service environments, including restaurants, catering events, and cruise ships, frequently go unreported.

The most common cause of foodborne disease in the US is norovirus, with about 58 percent brought on by it. The cost of foodborne norovirus sickness in the US is roughly $2 billion annually, primarily because of lost productivity and medical costs.

A norovirus epidemic and gastrointestinal disease outbreak linked to raw oyster consumption occurred in British Columbia in March 2022, with a total of 339 cases documented. A second norovirus epidemic linked to spot prawns was announced on June 1 - a few months later. There were 60 instances by June 10.

Meanwhile, the United States experiences the majority of its norovirus outbreaks from November through April. The Centers for disease control and prevention (CDC) said there might be 50 percent more norovirus diseases in years if a new strain of the virus emerges.

In the United States, the norovirus typically results in:

  • 19 to 21 million people cases of vomiting and diarrhea infections annually;
  • 2,270,000 outpatient clinic appointments, largely with small children, yearly;
  • 900 fatalities, primarily in elderly 65 and older;
  • 109,000 hospitalizations; and
  • 465,000 trips to emergency rooms, largely with small children

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What Causes Norovirus? NIH New Research Reveals More

Siyun Wang, an assistant professor of food safety engineering at the Faculty of Land and Food System at the University of British Columbia, told Global News Canada that while norovirus illnesses often peak in the winter, it does not imply they are not a problem in the summer.

Wang pointed out that shellfish tend to amass poisons inside them because they are filter feeders, straining out tiny bits of prey and food particles that can contain biotoxins from flowing water.

Since norovirus is a human-borne virus, Wang claims that human activities are very closely linked to marine life pollution because people may spread the norovirus. Wang added that sewage dumped into the ocean might have extremely high levels of viral particles.

Meanwhile, CDC added that one could get norovirus by inadvertently ingesting minuscule amounts of vomit or feces from an infected individual.

A person may run the risk of this if they:

  • Eat or drink contaminated food or liquids;
  • Touch contaminated surfaces or items and then put your fingers in your mouth; and/or
  • Come into close contact with a person with the norovirus, such as by providing care for them or sharing food or eating utensils.

However, the National Institutes of Health (NIH) have shown that salivary glands may support the growth of a group of viruses known to cause severe diarrheal illnesses like norovirus and rotaviruses, including the one notorious for massive outbreaks on cruise ships.

The possibility of enteric virus transmission through saliva in people has to be verified by researchers. The researchers claimed that if they determine that it is, they may also find that this method of transmission is much more widespread than the traditional method. 

A discovery like that, they suggested, would help explain why a large number of enteric virus infections each year reported globally do not sufficiently take into account fecal contamination as the exclusive route of transmission.

How to Prevent Norovirus

It's crucial to wash your hands with soap and water for at least 20 seconds to avoid the spread of germs, especially after using the restroom, changing a baby's diaper, handling food, and before taking a bite or a drink. Sur in English, citing the experts, said hand sanitizers are ineffective in preventing norovirus.

Additionally, they advise cleaning produce before consuming it and properly boiling seafood. Disinfecting should also be done on any surfaces that may have been affected.

The experts suggested that anybody with the virus stay home, avoid work, and keep children home from daycare or school.

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