Two Epidemiologic Patterns of Norovirus Outbreaks: Surveillance in ...

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Since January 1992, the Public Health Laboratory Service. Communicable Disease ... NV through the Electron Microscopy Network. Ten electron microscopy ...
RESEARCH

Two Epidemiologic Patterns of Norovirus Outbreaks: Surveillance in England and Wales, 1992–2000 Benjamin A. Lopman,* Goutam K. Adak,* Mark H. Reacher,* and David W.G. Brown*

In the period 1992–2000, the Public Health Laboratory Service Communicable Disease Surveillance Centre collected standardized epidemiologic data on 1,877 general outbreaks of Norovirus (formerly “Norwalk-like virus”) infection in England and Wales. Seventy-nine percent of general outbreaks occurred in health-care institutions, i.e., hospitals (40%) and residential-care facilities (39%). When compared with outbreaks in other settings, those in health-care institutions were unique in exhibiting a winter peak (p