Evidence map›Paper›PMID 32702014›Full record

ArticlePloS one2020

Norovirus transmission mediated by asymptomatic family members in households.

Benjarat Phattanawiboon, Nutthawan Nonthabenjawan, Patcharaporn Boonyos, Chanya Jetsukontorn, Worakarn Towayunanta, Kobkool Chuntrakool, Karn Ngaopravet, Kriangsak Ruchusatsawat, Ballang Uppapong, Somchai Sangkitporn and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Epidemiology of Norovirus Outbreaks in Kindergartens, Primary Schools, and Junior High Schools in Xi'an, China, From October 2020 to February 2023.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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  6. Human norovirus in Brazil: an update of reports in different settings.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
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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

14 authors at 3 institutions in 2 countries.

Benjarat PhattanawiboonThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.
Nutthawan NonthabenjawanThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.
Patcharaporn BoonyosThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.
Chanya JetsukontornThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.
Worakarn TowayunantaPublic Health Center 41, Bangkok, Thailand.
Kobkool ChuntrakoolPublic Health Center 41, Bangkok, Thailand.
Karn NgaopravetPublic Health Center 41, Bangkok, Thailand.
Kriangsak RuchusatsawatDepartment of Medical Sciences, National Institute of Health, Ministry of Public Health, Nonthaburi, Thailand.
Ballang UppapongDepartment of Medical Sciences, National Institute of Health, Ministry of Public Health, Nonthaburi, Thailand.
Somchai SangkitpornDepartment of Medical Sciences, National Institute of Health, Ministry of Public Health, Nonthaburi, Thailand.
Eisuke MekadaResearch and Education Promotion Foundation, Bangkok, Thailand.
Yoshiharu MatsuuraResearch Institute for Microbial Diseases, Osaka University, Osaka, Japan.
Masashi TatsumiThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.
Hiroto MizushimaThailand-Japan Research Collaboration Center on Emerging and Re-emerging Infections, Nonthaburi, Thailand.ORCID 0000-0003-3647-7575
Ministry of Public Health · THThai Health Promotion Foundation · THThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The transmission of human norovirus excreted from infected persons occasionally causes sporadic infections and outbreaks. Both symptomatic patients and asymptomatic carriers have been reported to contribute to norovirus transmission, but little is known about the magnitude of the contribution of asymptomatic carriers. We carried out a 1-year survey of residents of a district of Bangkok, Thailand to determine the percentage of norovirus transmissions originating from asymptomatic individuals. We screened 38 individuals recruited from 16 families from May 2018 to April 2019 for GI and GII genotypes. Norovirus was detected every month, and 101 of 716 stool samples (14.1%) from individuals with no symptoms of acute gastroenteritis were norovirus-positive. The average infection frequency was 2.4 times per person per year. Fourteen genotypes were identified from the positive samples, with GII.4 being detected most frequently. Notably, 89.1% of the norovirus-positive samples were provided by individuals with no diarrhea episode. Similar to cases of symptomatic infections in Thailand, asymptomatic infections were observed most frequently in December. We detected 4 cases of NV infection caused by household transmission, and 3 of the 4 transmissions originated from asymptomatic individuals. We also identified a case in which norovirus derived from an asymptomatic individual caused diarrhea in a family member. These results suggest that asymptomatic individuals play a substantial role in both the maintenance and spreading of norovirus in a community through household transmission.

Indexed as

AdolescentAdultAgedAsymptomatic InfectionsCaliciviridae InfectionsChildDiarrheaDisease OutbreaksFecesFemaleGastroenteritisGenotypeHumansMaleMiddle AgedNorovirusRNA, Viral

Identifiers

PMID32702014
PMCPMC7377487
OpenAlexW3044418267

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.