Evidence map›Paper›PMID 42316287›Full record

ArticleVirology journal2026

Large-scale gastroenteritis outbreaks occurring in a university town of Guangzhou city during the global wave of the norovirus in China.

Yi Tian, Jun Yuan, Wenfeng Cai, Huaping Xie, Yanhui Yang, Lijiao Cao, Shi Cong, Xiangyu Kong, Qing Zhang, Miao Jin

Abstract read
In one paragraph

Article in Virology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Yi Tian *School of Basic Medicine, Cangzhou Medical College, Cangzhou, Hebei Province, China.
Jun Yuan *Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong Province, China.
Wenfeng Cai *Guangzhou Tianhe Center for Disease Control and Prevention, Tianhe district, Guangzhou, Guangdong province, China.
Huaping XieGuangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong Province, China. paopaobox@163.com.
Yanhui YangNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Lijiao CaoNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Shi CongNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Xiangyu KongNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Qing ZhangNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Miao JinNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID); NHC Key Laboratory for Medical Virology and Viral Diseases; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. jinmiao@ivdc.chinacdc.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Noroviruses are the primary viral pathogens responsible for epidemic acute gastroenteritis. The novel GII.4 Sydney 2012 variant, which emerged during the 2012/13 winter season, led to significant global outbreaks. This study reports large-scale outbreaks occurring in the university town of Guangzhou, China, from January 8 to April 3, 2013. These outbreaks affected 652 individuals across five universities and one middle school. Of the 386 samples tested, 114 were norovirus-positive, and 19 stool or swab samples were genotyped as the GII.4 Sydney 2012 strain. The genome sequence of the GII.4 Sydney 2012 variant, GZ3135, was determined and compared with those of earlier GII.4 variants. This comparison revealed residue substitutions at specific sites, including the HBGA binding pocket and putative antigenic epitopes. The investigation outcomes showed that GII.4 Sydney variant infected individuals with both secretor and nonsecretor phenotypes. This finding was consistent with the HBGA binding results that the recombinant P protein of the GII.4 Sydney variant bound to saliva samples of nonsecretors, as well as the Lewis x and Lewis a oligosaccharides. Taken together, our data suggested that the GII.4 Sydney 2012 variant gained new HBGA binding ability and antigenic features which may contribute to its widespread epidemics.

Indexed as

Caliciviridae InfectionsDisease OutbreaksGastroenteritisNorovirusChinaFecesGenome, ViralGenotypeHumansPhylogenyRNA, ViralSequence Analysis, DNAUniversitiesRNA, ViralEvolutionGastroenteritis outbreakGII.4 Sydney 2012Norovirus

Identifiers

PMID42316287
PMCPMC13281490

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.