“…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).…”