FN Archimer Export Format PT J TI Emergence of new norovirus variants on spring cruise ships and prediction of winter epidemics BT AF VERHOEF, L DEPOORTERE, E BOXMAN, I DUIZER, E VAN DUYNHOVEN, Y HARRIS, J JOHNSEN, C KRONEMAN, A LE GUYADER, Soizick LIM, W MAUNULA, L MELDAL, H RATCLIFF, R REUTER, G SCHREIER, E SIEBENGA, J VAINIO, K VARELA, C VENNEMA, H KOOPMANS, M AS 1:1;2:2;3:3;4:1;5:1;6:4;7:5;8:1;9:6;10:7;11:8;12:9;13:10;14:11;15:12;16:1;17:9;18:13;19:1;20:1; FF 1:;2:;3:;4:;5:;6:;7:;8:;9:PDG-DOP-DCN-EMP-MIC;10:;11:;12:;13:;14:;15:;16:;17:;18:;19:;20:; C1 Natl Inst Publ Hlth & Environm, Ctr Infect Dis Contro, NL-3720 BA Bilthoven, Netherlands. European Ctr Dis Prevent & Control, Stockholm, Sweden. Food & Consumer Prod Safety Author, Zutphen, Netherlands. Hlth Protect Agcy, London, England. Statens Serum Inst, DK-2300 Copenhagen, Denmark. IFREMER, Ctr Nantes, F-44311 Nantes, France. Hong Kong Special Adm Reg, Publ Hlth Lab Ctr, Hong Kong, Hong Kong, Peoples R China. Univ Helsinki, FIN-00014 Helsinki, Finland. Norwegian Inst Publ hlth, Oslo, Norway. Inst Med & Vet Sci, Adelaide, SA 5000, Australia. State Publ Hlth Serv, Baranya Cty Inst, Pecs, Hungary. Robert Koch Inst, D-1000 Berlin, Germany. Inst Salud Carlos III, Madrid, Spain. C2 RIVM, NETHERLANDS ECDC, SWEDEN FOOD & CONSUMER PROD SAFETY AUTHOR, NETHERLANDS HPA, UK STATENS SERUM INST, DENMARK IFREMER, FRANCE HONG KONG SPECIAL ADM REG, CHINA UNIV HELSINKI, FINLAND NORWEGIAN INST PUBL HLTH, NORWAY INST MED & VET SCI, AUSTRALIA STATE PUBL HLTH SERV, HUNGARY ROBERT KOCH INST, GERMANY INST SALUD CARLOS III, SPAIN SI NANTES SE PDG-DOP-DCN-EMP-MIC IN WOS Ifremer jusqu'en 2018 copubli-europe copubli-int-hors-europe copubli-sud IF 6.449 TC 86 UR https://archimer.ifremer.fr/doc/2008/publication-3942.pdf LA English DT Article AB In June 2006, reported outbreaks of norovirus on cruise ships suddenly increased; 43 outbreaks occurred on 13 vessels. All outbreaks investigated manifested person-to-person transmission. Detection of a point source was impossible because of limited investigation of initial outbreaks and data sharing. The most probable explanation for these outbreaks is increased norovirus activity in the community, which coincided with the emergence of 2 new GGII.4 variant strains in Europe and the Pacific. As in 2002, a new GGII.4 variant detected in the spring and summer corresponded with high norovirus activity in the subsequent winter. Because outbreaks on cruise ships are likely to occur when new variants circulate,. an active reporting system could function as an early warning system. Internationally accepted guidelines are needed for reporting, investigating, and controlling norovirus illness on cruise ships in Europe. PY 2008 PD FEB SO Emerging Infectious Diseases SN 1080-6040 PU Centers for Disease Control and Prevention VL 14 IS 2 UT 000252969600007 BP 238 EP 243 ID 3942 ER EF