Evidence map›Paper›PMID 42105550›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2026

Global trends in norovirus genotype distribution among medically attended children with acute gastroenteritis, 2020-2025.

Jennifer L Cannon, Joseph Bonifacio, Tulio M Fumian, Kanti Pabbaraju, Corinna Pietsch, Mark D Gonzalez, Mohammad Enayet Hossain, Rangaraj Selvarangan, Javier Buesa, Chao-Yang Pan and 32 more

Abstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

42 authors.

Jennifer L CannonCDC Foundation, Atlanta, GA, USA.
Joseph BonifacioResearch Institute for Tropical Medicine, Manila, Philippines.
Tulio M FumianOswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil.
Kanti PabbarajuAlberta Precision Laboratory, Edmonton, Alberta, Canada.
Corinna PietschLeipzig University Hospital, Leipzig, Germany.
Mark D GonzalezChildren's Healthcare of Atlanta, Atlanta, GA, USA.
Mohammad Enayet HossainInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Rangaraj SelvaranganChildren's Mercy Kansas City, Kansas City, MO, USA.
Javier BuesaUniversity of Valencia, Valencia, Spain.
Chao-Yang PanCalifornia Department of Public Health, Richmond, CA, USA.
Naomi SakonOsaka Institute of Public Health, Osaka, Japan.
Jen-Hung ChangTaiwan Centers for Disease Control, Taipei, Taiwan.
Joanne HewittNew Zealand Institute for Public Health and Forensic Science, Porirua, New Zealand.
Dawn CroucherNew Zealand Institute for Public Health and Forensic Science, Porirua, New Zealand.
Peter A WhiteUniversity of New South Wales, Sydney, Australia.
Lewis K MercerUniversity of New South Wales, Sydney, Australia.
Watchaporn ChuchaonaChulalongkorn University, Bangkok, Thailand.
Francisco Javier Duarte MartinezCosta Rican Institute of Research and Education in Nutrition and Health (INCIENSA), Cartago, Costa Rica.
Mariel López MoyaCosta Rican Institute of Research and Education in Nutrition and Health (INCIENSA), Cartago, Costa Rica.
Nguyên Vân TrangThe National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam.
Luiza Miyanda HatyokaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Janet MansUniversity of Pretoria, Pretoria, South Africa.
Sandra NiendorfRobert Koch Institute, Berlin, Germany.
Sonja JacobsenRobert Koch Institute, Berlin, Germany.
Linda MendozaLaboratorio Nacional de Salud, Guatemala City, Guatemala.
Cindi Dayana AlvarezLaboratorio Nacional de Salud, Guatemala City, Guatemala.
Karina Alejandra GomesINEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.
Juan Ignacio DegiuseppeINEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.
Alejandra IngunzaInstituto de Investigacion Nutricional, Lima, Peru.
Tintu VargheseChristian Medical College, Vellore, India.
Margarita K LayUniversidad de Antofagasta, Antofagasta, Chile.
Fabian Gómez SantiagoInstituto de Diagnóstico y Referencia Epidemiológicos, Mexico City, Mexico.
Eddie BartlettCherokee Nation Operational Solutions, Tulsa, OK, USA.
Boris ReljaCDC Foundation, Atlanta, GA, USA.
Leslie BarclayCenters for Disease Control and Prevention, Atlanta, GA, USA.
Michelo SimuyandiCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Claudio F LanataInstituto de Investigacion Nutricional, Lima, Peru.
Mustafizur RahmanInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Yong PoovorawanChulalongkorn University, Bangkok, Thailand.
Fang-Tzy WuTaiwan Centers for Disease Control, Taipei, Taiwan.
Xiao-Li PangUniversity of Alberta, Calgary, Edmonton, Alberta, Canada.
Jan VinjéCenters for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: ahx8@cdc.gov.

Funding

Natural history, immunity, and transmission patterns of sapovirus in a Nicaraguan birth cohortR01AI127845 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECKER-DREPS, SYLVIA IRENE, VINJE, JAN · 2016 to 2020
$3.5M
Gastroenteritis virus infections in South African children: secretor status-linkedsusceptibility, prevalence and genetic diversity and humoral responses to norovirusinfectionR01AI176494 · NIAID · UNIVERSITY OF PRETORIA · PI Janet Mans · 2023 to 2026
$532k
NIAID NIH HHS R01 AI127845NIAID NIH HHS R01 AI176494
6 · The paper itself

Abstract

backgroundNorovirus is a leading cause of acute gastroenteritis, with a broad diversity of genotypes infecting children. NoroSurv is an established global network for norovirus strain surveillance among medically attended children < 5 years of age.

methodsParticipating laboratories uploaded norovirus sequences from stool specimens collected from 2020 to 2025 to a web portal, which assigned norovirus genotypes and strain data. Norovirus seasons were defined as September 1 to August 31.

resultsParticipants in 22 countries across 6 continental regions uploaded 4113 norovirus sequences, including 26 genotypes and 53 strains. GII.4 accounted for 53% (2167/4113), followed by GII.3 (12%), GII.17 (11%), GII.6 (7%), and GII.2 (5%). GII.4 Sydney was the most common variant (47%; 1912/4113), but new GII.4 variants/clusters emerged regionally, with GII.4 San Francisco, GII.4 Wichita and GII.4 Allegany more frequently detected than GII.4 Sydney in 2021-2022 in Africa, 2022-2023 in Central and South America and 2023-2024 in Central America. In 2023-2024, a dramatic rise in GII.17 detection was observed in most regions (32% of all 2024-2025 sequences). In North, Central and South America, Europe and Asia Pacific, GII.17 detection increased as GII.4 detection declined in 2024-2025. Other genotypes (GI.3, GII.1, GII.2, GII.3 and GII.6) had regional peaks, accounting for up to 37% of sequences during a specific season.

conclusionsOur data may help guide norovirus vaccine development and provide a baseline of global norovirus strain distribution for evaluating the effectiveness of future vaccines in children. We continue to monitor the shifting distribution of norovirus genotypes through NoroSurv surveillance.

Indexed as

Caliciviridae InfectionsGastroenteritisGenotypeNorovirusAcute DiseaseChild, PreschoolFecesGenetic VariationGlobal HealthHumansInfantMalePhylogenySeasonsacute gastroenteritischildrengenotypeGII.17GII.4globalNoroSurvnorovirusviral gastroenteritis

Identifiers

PMID42105550
PMCPMC13181615

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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.