An Intermittent Gastroenteritis Outbreak of Rotavirus Genotype G9P[8] in a Hotel in Songkhla Province, Thailand, April–May 2019
DOI:
https://doi.org/10.59096/osir.v15i2.262423Keywords:
rotavirus, food poisoning outbreak, SongkhlaAbstract
A series of acute gastroenteritis outbreaks occurred among participants of two seminars at a hotel in Songkhla Province during 26–29 Apr 2019 and 8–10 May 2019. Investigations were done to determine the causes of the outbreaks and recommend control measures. A case was defined as a participant who developed diarrhea, vomiting, nausea or abdominal pain between 26–30 April (Seminar 1) or 8–13 May (Seminar 2). Samples of the drinking and cooking water used during the seminars were taken and rectal swabs from cases and food handlers were collected for bacterial culture and viral reverse transcription polymerase chain reaction tests. A retrospective cohort study was conducted to identify risk factors. Of 349 participants interviewed, 237 were cases, giving an attack rate of 67.9%. The ages of the cases ranged from 11–57 years (median 15 years). The most common symptoms were watery diarrhea (94.1%), abdominal pain (81.0%) and nausea (57.8%). Rotavirus was detected in five cases, three food handlers and a sample of water used for cooking. All were of the same genotype G9P[8]. Implicated dishes included spicy seafood salad (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.7–11.8), shrimp in sauce (AOR 2.9, 95% CI 1.0-8.2), roast duck with vegetables (AOR 2.9, 95% CI 1.2–7.3) and water from a cooler (AOR 2.0, 95% CI 1.0–3.9). Contaminated water and infected food handlers were probable sources of cross-contamination. After the hotel’s water system was repaired and the food handlers were educated on safe food handling practices and good personal hygiene, no other outbreaks associated with the hotel were reported.
References
Kapikian AZ, Hoshino Y, Chanock RM. Rotaviruses, In: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE, Editors. Fields virology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 1787–834.
Tate JE, Burton AH, Boschi-Pinto C, Steele AD, Duque J, Parashar UD. 2008 estimate of worldwide rotavirus-associated mortality in children younger than 5 years before the introduction of universal rotavirus vaccination programmes: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(2):136–41.
Santos N, Hoshino Y. Global distribution of rotavirus serotypes/genotypes and its implication for the development and implementation of an effective rotavirus vaccine. Rev Med Virol. 2005 Jan–Feb;15(1):29–56.
Damanka SA, Agbemabiese CA, Dennis FE, Lartey BL, Adiku TK, Enweronu-Laryea CC, et al. Genetic analysis of Ghanaian G1P[8] and G9P[8] rotavirus A strains reveals the impact of P[8] VP4 gene polymorphism on P-genotyping. PLoS One [Internet]. 2019 Jun 26 [cited 2022 Apr 14];14(6):e0218790. <https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0218790>
Kirkwood C, Bogdanovic-Sakran N, Barnes G, Bishop R. Rotavirus serotype G9P[8] and acute gastroenteritis outbreak in children, Northern Australia. Emerg Infect Dis. 2004 Sep;10(9):1593–600.
Anderson EJ, Weber SG. Rotavirus infection in adults. Lancet Infect Dis. 2004 Feb;4(2):91–9.
Bonsdorff CH, Hovi T, Makela P, Morttinen A. Rotavirus infections in adults in association with acute gastroenteritis. J Med Virol. 1978;2(1):21–8.
Foster SO, Palmer EL, Gary GW Jr, Martin ML, Herrmann KL, Beasley P, et al. Gastroenteritis due to rotavirus in an isolated Pacific island group: an epidemic of 3,439 cases. J Infect Dis. 1980 Jan;141(1):32–9.
Marrie TJ, Lee SH, Faulkner RS, Ethier J, Young CH. Rotavirus infection in a geriatric population. Arch Intern Med. 1982 Feb;142(2):313–6.
Cubitt WD, Holzel H. An outbreak of rotavirus infection in a long-stay ward of a geriatric hospital. J Clin Pathol. 1980 Mar;33(3):306–8.
Dupuis P, Beby A, Bourgoin A, Lussier-Bonneau MD, Agius G. Epidemic of viral gastroenteritis in an elderly community. Presse Med. 1995 Feb;24(7):356–8.
Abbas AM, Denton MD. An outbreak of rotavirus infection in a geriatric hospital. J Hosp Infect. 1987 Jan;9(1):76–80.
Lewis DC, Lightfoot NF, Cubitt WD, Wilson SA. Outbreaks of astrovirus type 1 and rotavirus gastroenteritis in a geriatric inpatient population. J Hosp Infect. 1989 Jul;14(1):9–14.
Division of Viral Disease, National Center for Immunization and Respiratory Diseases. Rotavirus [Internet]. Atlanta: Center for Disease Prevention and Control; 2021 Mar 26 [cited 2022 Apr 25]. <https://www.cdc.gov/rotavirus/clinical.html#>
Stuempfig ND, Seroy J. Viral gastroenteritis [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [cited 2022 Apr 28]. <https://www.statpearls.com/ArticleLibrary/viewarticle/22095>
El Sayed Zaki M, Abo El Kheir N. Molecular study of astrovirus, adenovirus and norovirus in community acquired diarrhea in children: One Egyptian center study. Asian Pac J Trop Biomed. 2017 Nov;7(11):987–90.
Filho EP, da Costa Faria NR, Fialho AM, de Assis RS, Almeida MM, Rocha M, et al. Adenoviruses associated with acute gastroenteritis in hospitalized and community children up to 5 years old in Rio de Janeiro and Salvador, Brazil. J Med Microbiol. 2007 Mar;56(Pt 3):313–9.
Bosch A, Pinto RM, Guix S. Human astroviruses. Clin Microbiol Rev. 2014 Oct;27(4):1048–74.
Kapikian AZ, Wyatt RG, Levine MM, Yolken RH, Vankirk DH, Dolin R, et al. Oral administration of human rotavirus to volunteers: induction of illness and correlates of resistance. J Infect Dis. 1983 Jan;147(1):95–106.
Ward RL, Bernstein DI, Shukla R, Young EC, Sherwood JR, NcNeal MM, et al. Effects of antibody to rotavirus on protection of adults challenged with a human rotavirus. J Infect Dis. 1989 Jan;159(1):79–88.
Ward RL, Bernstein DI, Shukla R McNeal MM, Sherwood JR, Young EC, et al. Protection of adults rechallenged with a human rotavirus. J Infect Dis. 1990 Mar;161(3):440–5.
Ward RL, Bernstein DI, Young EC, Sherwood JR, Knowlton DR, Schiff GM. Human rotavirus studies in volunteers: determination of infectious dose and serological response to infection. J Infect Dis. 1986 Nov;154(5):871–80.
Middleton PJ, Abbott GD, Szymanski MT, Bortolussi R, Hamilton JR. Orbivirus acute gastroenteritis of infancy. Lancet. 1974 Jun;303(7869):1241–4.
Jiraphongsa C, Bresee JS, Pongsuwanna Y, Kluabwang P, Poonawagul U, Arporntip P, et al. Epidemiology and burden of rotavirus diarrhea in Thailand: results of sentinel surveillance. J Infect Dis. 2005 Sep 1;192 Suppl 1:S87–93.
Hopkins RS, Gaspard GB, Williams FP Jr, Karlin RJ, Cukor G, Blacklow NR. A community waterborne gastroenteritis outbreak: evidence for rotavirus as the agent. Am J Public Health. 1984 Mar;74(3):263–5.
Japan Ministry of Health and Welfare, National Institute of Infectious Diseases. An outbreak of group A rotavirus infection among adults from eating meals prepared at a restaurant, April 2000–Shimane. IASR. 2000;21:145.
Centers for Disease Prevention and Prevention. Foodborne Outbreak of group A rotavirus gastroenteritis among college students, District of Columbia, March–April 2000. MMWR [Internet]. 2000 Dec 22 [cited 2022 Apr 18];49(50):1131–3. <https://www.cdc.gov/mmw r/preview/mmwrhtml/mm4950a2.htm>
Safe Drinking Water Foundation. Groundwater [Internet]. Saskatoon (CA): Safe Drinking Water Foundation; 2021 [cited 2022 Apr 28]. <https://www.safewater.org/fact-sheets-1/2017/1/23/groundwater>
Center for Disease Prevention and Control. Water treatment [Internet]. Atlanta: Centers for Disease Prevention and Control; 2022 [cited 2022 Apr 28]. <https://www.cdc.gov/healthy water/drinking/public/water_treatment.html>
Minnesota Department of Health. Food contamination and foodborne Illness prevention [Internet]. Minnesota:Minnesota Department of Health; 2022 [cited 2022 Apr 28]. <https://www.health.state.mn.us/people/foodsafety/prevention.html2022>
Rentokil PCI. Food safety for hotels and restaurants [Internet]. West Sussex (GB): Rentokil initial plc; [cited 2022 Apr 28]. <https://www.rentokil-pestcontrolindia.com/hos pitality/food-safety-for-the-hospitality-sector/>
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