Evidence map›Paper›PMID 30782126›Full record

ArticleBMC infectious diseases2019

Changes in norovirus genotype diversity in gastroenteritis outbreaks in Alberta, Canada: 2012-2018.

Maria E Hasing, Bonita E Lee, Yuanyuan Qiu, Ming Xia, Kanti Pabbaraju, Anita Wong, Graham Tipples, Xi Jiang, Xiaoli L Pang

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Clinical and Genotypic Features of Norovirus Enteritis in Children Complicated by Convulsions: A Retrospective Study in Kunming, China.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Maria E HasingDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada.
Bonita E LeeDepartment of Paediatrics, University of Alberta, Edmonton, AB, Canada.
Yuanyuan QiuDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada.
Ming XiaDivision of Infectious Diseases, Cincinnati Children's Hospital Medical Centre, Cincinnati, OH, USA.
Kanti PabbarajuProvincial Laboratory for Public Health (Microbiology), University of Alberta Hospital, WMC 2B4.58, 8440-112 Street, Edmonton, Alberta, T6G 2J2, Canada.
Anita WongProvincial Laboratory for Public Health (Microbiology), University of Alberta Hospital, WMC 2B4.58, 8440-112 Street, Edmonton, Alberta, T6G 2J2, Canada.
Graham TipplesDepartment of Medical Microbiology and Immunology, University of Alberta, Edmonton, AB, Canada.
Xi JiangDivision of Infectious Diseases, Cincinnati Children's Hospital Medical Centre, Cincinnati, OH, USA.
Xiaoli L PangDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada. Xiao-Li.Pang@albertapubliclabs.ca.
University of Alberta · CAUniversity of Alberta Hospital · CACincinnati Children's Hospital Medical Center · US

Funding

Provincial Laboratory for Public Health Not applicable
6 · The paper itself

Abstract

backgroundThe emergence of norovirus genotype GII.4 variants has been associated with gastroenteritis pandemics worldwide, prompting molecular surveillance for early detection of novel strains. In this study, we aimed to analyze the outbreak activity of norovirus and characterize the norovirus strains circulating in Alberta between July 2012 and February 2018.

methodsStool samples from gastroenteritis outbreaks in Alberta were tested for norovirus at the Provincial Laboratory for Public Health using a multiplex real time-RT PCR assay. The ORF1 and ORF2-genotypes of norovirus positive samples were assigned based on phylogenetic analyses of partial polymerase and capsid sequences, respectively.

resultsA total of 530 norovirus outbreaks were identified. During July 2012 and June 2017 there was a gradual decrease in the annual number of GII.4 outbreaks, however, outbreak numbers increased from June 2017-February 2018. Four novel strains emerged: GII.17 Kawasaki in July 2014-June 2015, GII.P16/GII.4 Sydney in July 2015-June 2016, GII.P16/GII.2 and GII.P4 New Orleans/GII.4 Sydney in July 2016-June 2017. GII.Pe/GII.4 Sydney was the single predominant strain responsible for the majority (over 50%) of all norovirus outbreaks up to June 2015. Between June 2017 and February 2018, GII.P16/GII.4 Sydney was the leading strain causing 63% of all norovirus outbreaks.

conclusionsGII.4 stands as the predominant capsid genotype causing a large majority of the norovirus outbreaks in early 2018. An increase in genotype diversity was observed in the last years, characterized by a high circulation of non-GII.4 strains and GII.4 recombinants.

Indexed as

Genetic VariationAlbertaCaliciviridae InfectionsCapsid ProteinsDisease OutbreaksGastroenteritisHumansNorovirusPhylogenyCapsid ProteinsAlbertaCanadaGastroenteritisHumansMolecular epidemiologyNorovirusOutbreaks

Identifiers

PMID30782126
PMCPMC6381812
OpenAlexW2921618875

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.