Household transmission of acute gastroenteritis during the winter season in Japan
Objectives Acute gastroenteritis, including illness caused by norovirus, is sometimes transmissible among susceptible persons who experience close contact, including those within a household, and it disturbs social activities of patients and their family. However, epidemiological assessment of the t...
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Format: | Article |
Language: | English |
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SAGE Publishing
2018-07-01
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Series: | Journal of International Medical Research |
Online Access: | https://doi.org/10.1177/0300060518776451 |
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author | Ryota Matsuyama Fuminari Miura Shinya Tsuzuki Hiroshi Nishiura |
author_facet | Ryota Matsuyama Fuminari Miura Shinya Tsuzuki Hiroshi Nishiura |
author_sort | Ryota Matsuyama |
collection | DOAJ |
description | Objectives Acute gastroenteritis, including illness caused by norovirus, is sometimes transmissible among susceptible persons who experience close contact, including those within a household, and it disturbs social activities of patients and their family. However, epidemiological assessment of the transmissibility and its heterogeneity has not been conducted. The present study aimed to quantify the frequency of household transmission that was likely caused by norovirus, and characterize its determinants. Methods A household survey was conducted, analyzing the history of suspected norovirus infection from January to March, 2017. Noro-like illness was clinically defined as a patient with either: (i) diarrhea or vomiting multiple times a day; or (ii) diarrhea or vomiting persisting for 2 or more days. Results Among 380 households, 132 households (34.7%) were eligible for epidemiological analysis, with an estimated secondary attack risk of 13.8% (38/276). Age-specific secondary attack risk was highest among index case patients aged 0 to 14 years (25.8%). The prevalence of vomiting in this age group was higher than in other age groups, with an odds ratio of household transmission estimated at 4.3. Conclusions Age-dependent heterogeneity was successfully identified, offering critical insights into future considerations for norovirus control at various social settings. |
first_indexed | 2024-12-19T04:31:22Z |
format | Article |
id | doaj.art-65a3ae0d6d2b49e783b8f7d94089ab9c |
institution | Directory Open Access Journal |
issn | 0300-0605 1473-2300 |
language | English |
last_indexed | 2024-12-19T04:31:22Z |
publishDate | 2018-07-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of International Medical Research |
spelling | doaj.art-65a3ae0d6d2b49e783b8f7d94089ab9c2022-12-21T20:35:53ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002018-07-014610.1177/0300060518776451Household transmission of acute gastroenteritis during the winter season in JapanRyota MatsuyamaFuminari MiuraShinya TsuzukiHiroshi NishiuraObjectives Acute gastroenteritis, including illness caused by norovirus, is sometimes transmissible among susceptible persons who experience close contact, including those within a household, and it disturbs social activities of patients and their family. However, epidemiological assessment of the transmissibility and its heterogeneity has not been conducted. The present study aimed to quantify the frequency of household transmission that was likely caused by norovirus, and characterize its determinants. Methods A household survey was conducted, analyzing the history of suspected norovirus infection from January to March, 2017. Noro-like illness was clinically defined as a patient with either: (i) diarrhea or vomiting multiple times a day; or (ii) diarrhea or vomiting persisting for 2 or more days. Results Among 380 households, 132 households (34.7%) were eligible for epidemiological analysis, with an estimated secondary attack risk of 13.8% (38/276). Age-specific secondary attack risk was highest among index case patients aged 0 to 14 years (25.8%). The prevalence of vomiting in this age group was higher than in other age groups, with an odds ratio of household transmission estimated at 4.3. Conclusions Age-dependent heterogeneity was successfully identified, offering critical insights into future considerations for norovirus control at various social settings.https://doi.org/10.1177/0300060518776451 |
spellingShingle | Ryota Matsuyama Fuminari Miura Shinya Tsuzuki Hiroshi Nishiura Household transmission of acute gastroenteritis during the winter season in Japan Journal of International Medical Research |
title | Household transmission of acute gastroenteritis during the winter season in Japan |
title_full | Household transmission of acute gastroenteritis during the winter season in Japan |
title_fullStr | Household transmission of acute gastroenteritis during the winter season in Japan |
title_full_unstemmed | Household transmission of acute gastroenteritis during the winter season in Japan |
title_short | Household transmission of acute gastroenteritis during the winter season in Japan |
title_sort | household transmission of acute gastroenteritis during the winter season in japan |
url | https://doi.org/10.1177/0300060518776451 |
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