ArticleBMC public health2016
Evidence-Based interventions of Norovirus outbreaks in China.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Evaluating the effects of control interventions and estimating the inapparent infections for dengue outbreak in Hangzhou, China.PloS one · 2019Trial
- Numerical solutions for norovirus epidemic spread: implications for public health control.Scientific reports · 2025Article
- Evaluating the effectiveness of different intervention measures for an outbreak of mycoplasma pneumoniae in hangzhou based on a dynamic model.Scientific reports · 2025Article
- Assessment of transmissibility and measures effectiveness of SARS in 8 regions, China, 2002-2003.Frontiers in cellular and infection microbiology · 2023Article
- Evaluation of the transmissibility of norovirus and the effectiveness of prevention and control measures for schools in Jiangsu Province.Annals of medicine · 2023Article
- Shigellosis seasonality and transmission characteristics in different areas of China: A modelling study.Infectious Disease Modelling · 2022Article
- Relative transmissibility of shigellosis among different age groups: A modeling study in Hubei Province, China.PLoS neglected tropical diseases · 2021Article
- Evaluating the effectiveness of measures to control the novel coronavirus disease 2019 in Jilin Province, China.BMC infectious diseases · 2021Article
- Study of Risk Factors for Total Attack Rate and Transmission Dynamics of Norovirus Outbreaks, Jiangsu Province, China, From 2012 to 2018.Frontiers in medicine · 2021Article
- Feasibility of containing shigellosis in Hubei Province, China: a modelling study.BMC infectious diseases · 2020Article
- Surveillance of the 'bud event of norovirus-associated gastroenteritis' in schools: does it work in the prevention of norovirus infection outbreaks in Shanghai?Epidemiology and infection · 2020Article
- Relative transmissibility of shigellosis among male and female individuals: a modeling study in Hubei Province, China.Infectious diseases of poverty · 2020Article
- Epidemiological characteristics and transmissibility of shigellosis in Hubei Province, China, 2005 - 2017.BMC infectious diseases · 2020Article
- Simulation of key interventions for seasonal influenza outbreak control at school in Changsha, China.The Journal of international medical research · 2020Article
- Incidence dynamics and investigation of key interventions in a dengue outbreak in Ningbo City, China.PLoS neglected tropical diseases · 2019Article
- Transmissibility of Norovirus in Urban Versus Rural Households in a Large Community Outbreak in China.Epidemiology (Cambridge, Mass.) · 2018Article
- Mobile population dynamics and malaria vulnerability: a modelling study in the China-Myanmar border region of Yunnan Province, China.Infectious diseases of poverty · 2018Article
- Outbreak detection and evaluation of a school-based influenza-like-illness syndromic surveillance in Tianjin, China.PloS one · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn resource-limited settings where laboratory capacity is limited and response strategy is non-specific, delayed or inappropriate intervention against outbreaks of Norovirus (NoV) are common. Here we report interventions of two norovirus outbreaks, which highlight the importance of evidence-based modeling and assessment to identify infection sources and formulate effective response strategies.
methodsSpatiotemporal scanning, mathematical and random walk modeling predicted the modes of transmission in the two incidents, which were supported by laboratory results and intervention outcomes.
resultsSimulation results indicated that contaminated water was 14 to 500 fold more infectious than infected individuals. Asymptomatic individuals were not effective transmitters. School closure for up to a week still could not contain the outbreak unless the duration was extended to 10 or more days. The total attack rates (TARs) for waterborne NoV outbreaks reported in China (n = 3, median = 4.37) were significantly (p < 0.05) lower than worldwide (n = 14, median = 41.34). The low TARs are likely due to the high number of the affected population.
conclusionsWe found that school closure alone could not contain Norovirus outbreaks. Overlooked personal hygiene may serve as a hotbed for infectious disease transmission. Our results reveal that evidence-based investigations can facilitate timely interventions of Norovirus transmission.
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