Notes From the Field: Multiple Modes of Transmission During a Thanksgiving Day Norovirus Outbreak — Tennessee, 2017

Details

• Alternative Title:
  MMWR. Morbidity and Mortality Weekly Report, Vol. 67, No. 46, November 23, 2018: Notes From the Field: Multiple Modes of Transmission During a Thanksgiving Day Norovirus Outbreak — Tennessee, 2017
• Journal Article:
  MMWR Morb Mortal Wkly Rep
• Personal Author:
  Brennan, Julia ; Cavallo, Steffany J. ; Garman, Katie ; Lewis, Kailey ; Irving, D.J. ; Moore, Christina ; Thomas, Linda ; Hill, Jeffrey ; Villegas, Raquel ; Norman, Joe F. ; Dunn, John R. ; Schaffner, William ; Jones, Timothy F.
• Description:
  On November 28, 2017, the manager of restaurant A in Tennessee reported receiving 18 complaints from patrons with gastrointestinal illness who had dined there on Thanksgiving Day, November 23, 2017. Tennessee Department of Health officials conducted an investigation to confirm the outbreak, assess exposures, and recommend measures to prevent continued spread.
  
  On November 23, one patron vomited in a private dining room, and an employee immediately used disinfectant spray labeled as effective against norovirus* to clean the vomitus. After handwashing, the employee served family-style platters of food and cut pecan pie. For the November 23 Thanksgiving Day, restaurant A served 676 patrons a limited menu from 11 a.m. to 8 p.m. The manager provided contact information, seating times, and seating locations for 114 patrons with reservations. All patrons with contact information were telephoned, and a questionnaire was used to assess illness and exposures for anyone living in the household who ate at restaurant A on November 23. Stool specimens were requested from ill patrons. Among the 676 patrons, 137 (20%) were enrolled in a case-control study.
  
  A probable case was defined as diarrhea (three or more loose stools in 24 hours) or vomiting within 72 hours of eating at restaurant A on November 23; probable cases with norovirus RNA detected in a stool specimen by real-time reverse transcription–polymerase-chain reaction (RT-PCR) were considered confirmed. On November 30, environmental swabs for norovirus testing were collected in the restaurant. Patient and environmental samples were tested by real-time RT-PCR and sequenced at the Tennessee State Public Health Laboratory.
  
  
• Subjects:
  Air Pollution, Indoor Caliciviridae Infections Disease Outbreaks Feces Foodborne Diseases Hand Disinfection Holidays Humans NoroVirus Restaurants Vomiting

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• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6746a4
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Pubmed ID:
  30468435
• Pubmed Central ID:
  PMC6289081
• Document Type:
  Text ; Journal Article
• Genre:
  Journal Article
• Place as Subject:
  Tennessee
• Rights:
  Public Domain
• Pages in Document:
  p. 1300-1301
• Volume:
  67
• Issue:
  46
• Citation:
  MMWR: Morbidity and Mortality Weekly Report 2018; v. 67, no. 46
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:4ee9bc63ccfeb34e46eaf24c9f3d2b4d597a824d3eb89da0876248bd205b723aa80b7cbad319e210cea837c27fb113221d26cfd3b1814488ed33cf7b18c6a0df
• Download URL:
  https://stacks.cdc.gov/view/cdc/61499/cdc_61499_DS1.pdf
• File Type:
  [PDF - 86.94 KB ]