Delaware Division of Public Health (DPH) would like to alert the medical community about an increase in gastrointestinal illnesses noted in long term care, assisted living and rehabilitation facilities in Delaware. Gastrointestinal illness usually increases during the winter months. Investigation has determined that the length of illness has been relatively short at (24-48 hours) and involves nausea, vomiting and diarrhea which could indicate a viral pathogen. DPH has received reports from three facilities. These reports are being investigated and infection control recommendations have been provided to each facility.
Norovirus has been detected from specimens submitted to the DPH Laboratory (DPHL) from two of the facilities involved.
Norovirus is transmitted by the fecal-oral route. Contact or airborne transmission from fomites has been suggested to explain the rapid spread in hospital settings. Persons are considered communicable during the acute stage of disease and up to 48 hours after cessation of diarrhea. Community outbreaks have been caused by food and water vehicles. Secondary transmission among close contacts is common. The incubation period is between 24 to 48 hours (median in outbreaks 33 to 36), but some cases can occur within 12 hours of exposure.
DPH Bureau of Epidemiology provides recommendations on an individual basis based upon each facility’s special needs or situation. For more information on Norovirus, please visit the CDC website at: http://www.cdc.gov/ncidod/dvrd/revb/gastro/norovirus.htm
The DPH Laboratory has the capability to test for Norovirus and other viral pathogens. Arrangements for laboratory testing must be made through DPH Bureau of Epidemiology.
For further information, contact DPH, Bureau of Epidemiology at (302) 744-1033 or 1-888-295-5156 to report possible clusters and seek guidance with infection control recommendations, to arrange for laboratory testing, or to ask questions.
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