Results: As RV-vaccination was introduced, there was a decrease in the rate of RV-positive cases (per 1,000 hospital visits) from 3.82 to 0.73. A change was noted in the prevailing genotypes, from a predominance of G1P [8] strains to a predominance of G3P [8]. Most affected children were unimmunized. Sequence analysis of gene 9 and gene 4 showed that the circulating strains remained relatively stable over the years studied in this project.
Conclusion:In New Orleans, G3P[8] is becoming a predominant strain of RV. The cause of this change observed has not been determined. It is unclear whether this phenomenon represents natural variation or it is caused by introduction of vaccines.