2005
DOI: 10.1016/j.watres.2005.06.035
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Norovirus pathway in water environment estimated by genetic analysis of strains from patients of gastroenteritis, sewage, treated wastewater, river water and oysters

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Cited by 132 publications
(113 citation statements)
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References 19 publications
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“…The removal of virus by treatment was 52% and 79% for GI and GII HuNoV, respectively. These results are representative of the results of numerous studies reporting detection of HuNoV in treated-sewage effluent samples (3,9,11,17,35,39). These reports raise concern in public safety, since HuNoV is highly infectious with Ͻ10 virus particles capable of causing disease (32).…”
supporting
confidence: 83%
“…The removal of virus by treatment was 52% and 79% for GI and GII HuNoV, respectively. These results are representative of the results of numerous studies reporting detection of HuNoV in treated-sewage effluent samples (3,9,11,17,35,39). These reports raise concern in public safety, since HuNoV is highly infectious with Ͻ10 virus particles capable of causing disease (32).…”
supporting
confidence: 83%
“…The results obtained from shellfish samples confirm that a multiple-NoV contamination was present in the oysters and that some strains were identical to the ones detected in French and/or Italian consumers. Multiple-NoV contamination of food is often suspected to be linked to sewage contamination, and shellfish have been shown to be one of the most common vehicles of outbreaks involving multiple norovirus strains (6,15,19,31). No other enteric viruses or bacteria were detected in stools or shellfish samples, and oysters met the European regulation stipulating fewer than 230 E. coli organisms per 100 g of shellfish meat.…”
Section: Discussionmentioning
confidence: 99%
“…This, together with the very low infectious dose of NoVs and their high resistance in the environment, explains why more than half of food-borne NoV outbreaks have been associated with food requiring handling but no subsequent heating, with water, or with foods such as raspberries or shellfish (6,15,17,19,20,26). In this respect, shellfish are a unique food since they filter large volumes of water for feeding, they grow in coastal areas that may be contaminated by sewage, and they are usually consumed uncooked (8,18,31). Therefore, in countries where raw oysters represent a traditional food, a number of food-borne outbreaks of NoV gastroenteritis have been reported (6,12,15,19).…”
mentioning
confidence: 99%
“…Discharges may be directly introduced into shellfish waters or into watercourses higher in the catchment. Clinical NoV strains (GI and GII) traced in environmental samples have clearly demonstrated the links between NoV in sewage effluents, freshwater, and shellfish and gastrointestinal illness (44,45,46).…”
Section: Contamination Sourcesmentioning
confidence: 99%