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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Main Authors: Ryota Matsuyama, Fuminari Miura, Shinya Tsuzuki, Hiroshi Nishiura
Format: Article
Language:English
Published: SAGE Publishing 2018-07-01
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.
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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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