1. A gastroenteritis outbreak associated with drinking water in a college in northwest China.
- Author
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Lixia Zhang, Xiu'E Li, Rui Wu, Hailong Chen, Jifeng Liu, Zengguo Wang, Yuan Xing, Muhammad Ishaq, Hafiz, Jingjun Wang, Pengbo Yu, Jiru Xu, and Chaofeng Ma
- Subjects
GASTROINTESTINAL diseases ,DISEASE outbreaks ,DRINKING water quality ,DRINKING water analysis ,NOROVIRUSES ,EPIDEMIOLOGY ,ESCHERICHIA coli - Abstract
An acute gastroenteritis outbreak occurred at a private college in June 2014 in northwest China. This outbreak involved two teachers and 629 students (range: 17-27 years, average 21.3 years). The main symptoms included non-bloody watery diarrhea, stomach ache, nausea, and vomiting, and the duration of illness ranged from 1 to 7 days. Eight of 18 water samples were disqualified. Thirty-four norovirus (NoV) RNA-positive samples were identified from 48 stool-related samples (genotyping results: 13 GII, 13 GI and 8 GI + GII mixture). Fourteen NoV samples were successfully characterized for genotype, including two GII.6, five GI.6, four GI.3, and three GI.1. Enteropathogenic Escherichia coli (EPEC) and enteroadherent Escherichia coli (EAEC) DNA was detected from patient stool specimens and water samples from well one; two EAEC strains and one EPEC strain were isolated from patient stool specimens. The risk ratios (RRs) associated with wells one and two were 1.66 and 1.49, respectively, and the RR associated with living in north dormitory building one was 2.59. The patients' epidemiological characteristics, symptoms, and duration of illness indicated that NoVcontaminated water might be the origin of this outbreak, and RR analysis suggested that the two wells were linked to the outbreak. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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