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U.S. Stumped by Spread of Gastrointestinal Virus
Reuters ^ | Thursday, January 23, 2003 | Paul Simao

Posted on 01/23/2003 1:43:00 PM PST by Willie Green

For education and discussion only. Not for commercial use.

ATLANTA (Reuters) - U.S. health officials said on Thursday they could not explain why a virus that causes millions of cases of acute gastroenteritis in the United States each year appeared to be spreading more widely in nursing homes, prisons and other institutional settings.

In its weekly morbidity and mortality health report, the U.S. Centers for Disease Control and Prevention said data collected from health departments across the nation indicated illnesses linked to noroviruses had risen in the past year.

The viruses, which are usually spread by fecal-contaminated food and water and personal contact, cause an estimated 23 million cases of acute gastroenteritis, including 50,000 hospitalizations and 300 deaths, in the nation each year.

Symptoms typically include diarrhea, nausea and vomiting.

The viruses, which often fail to be diagnosed or are misdiagnosed, have become a growing health concern after a number of highly publicized outbreaks of acute gastroenteritis on cruise ships sailing into U.S. ports.

They also were the most frequent cause of disability among soldiers serving in the 1991 Gulf War.

"This increased activity could be due to increased reporting or increased awareness, however when we speak to experienced health officials it is clear that what they're seeing is beyond that," said Dr. Marc-Alain Widdowson, a norovirus expert at Atlanta-based CDC.

He said CDC did not have the data to determine the extent of the rise in cases compared to previous years.

But investigations of more than 100 recent outbreaks of acute gastroenteritis in New Hampshire, Washington State and New York City since the beginning of 2002 have revealed significant exposure to noroviruses, according to the report.

NO DRUGS TO TREAT NOROVIRUSES

Although there are no drugs to treat noroviruses, most of those who become infected recover with fluid intake and prompt medical care. The rare deaths that do occur are usually caused by severe dehydration.

The spread of noroviruses can usually be prevented by using a bleach solution to clean up areas contaminated with vomit or feces, properly disposing of waste and monitoring those who come into contact with infected people.

In a separate report on Thursday, the CDC released an updated list of recommendations designed to help prevent the spread of hepatitis infections in U.S. correctional facilities.

They include vaccinating high risk inmates, such as intravenous drug users, against hepatitis B and monitoring those who test positive for hepatitis C for chronic infection and liver disease.

The CDC also recommended the hepatitis B vaccination for prison guards who come into frequent contact with blood products and said hepatitis prevention programs should be made a part of health education for all inmates.

Between 12 percent and 15 percent of all Americans with chronic hepatitis B and 39 percent of those with hepatitis C were released from a correctional facility in the year prior to testing positive for the viruses.


TOPICS: Culture/Society; Extended News; Government
KEYWORDS: montezuma; revenge
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To: blackdog
Oysters from Hooters in Wisconsin got me. I was stupid. My dad always told me to never eat shellfish from an establishment more than 100 miles from the coast.

Please don't say that...

Why am I eating 100 mussels?

21 posted on 01/23/2003 5:55:46 PM PST by dware (Why am I eating 100 mussels? http://www.freerepublic.com/focus/news/828114/posts?page=93)
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To: Centurion2000
Yes, in this current cultural climate a person really has to not assume that everyone else is socialized and civilized. Another good idea is to use the elbow when extracting paper from those towel dispensers.

But as far as restaurants go, it is a shame that managers do not take a more active role in educating their wage-earners, most of whom are immune to the diseases they carry and spread.

22 posted on 01/23/2003 5:58:03 PM PST by Cultural Jihad
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To: Capt. Tom
Workers in the mentioned facilities are not highly paid, motivated for profit workers.
All toil under strict government control and red tape. The clients do not have a choice.
It a perfect breeding ground.
23 posted on 01/23/2003 5:59:06 PM PST by earplug
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To: mewzilla
Its even worse if you know people or have worked in the restaurant industry. I don't know if this restaurant is still around but never eat at Jonah & the Whale in Ocean City, MD.

President Bush in that now infamous incident when he vomited in Japan was caused by a worker not properly washing his hands.
24 posted on 01/23/2003 6:02:28 PM PST by caa26
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To: Libloather
One possible explanation is that stupid Americans are no longer washing their hands. And as we all know, the proportion of folks below the stupidity line increases every minute. We've been dummed down all the way into the sewer.
25 posted on 01/23/2003 6:02:50 PM PST by Check6
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To: Dan Day
Bingo. It's airborn.
26 posted on 01/23/2003 6:09:06 PM PST by GWfan
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To: Tailback
Reminds me of a joke:

Marine and a Sailor enter a bathroom at the same time. After finishing their business, the Sailor walks to the sink to wask his hands, while the Marine walks to the door. In a "high and mighty" voice, the Sailor says to the Marine, "In the Navy they teach us to wash our hands after using the bathrooms." The Marine snorts, and throws this line back at the sailor over his shoulder as he walks out of the restroom, "In the Marines they teach us not to pi$$ on our hands."

In all seriousness though, the last thing you want to do in any public restroom is touch anything. For a class in bacteriology I did a research project where I cultured many different areas of many different public restrooms, and I grew bacteria everywhere, even the places that you touch after washing your hands.

I'm with you, man.

27 posted on 01/23/2003 6:16:58 PM PST by realpatriot71 (legalize freedom!)
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To: Willie Green
U.S. health officials said on Thursday they could not explain why a virus that causes millions of cases of acute gastroenteritis in the United States each year appeared to be spreading more widely in nursing homes, prisons and other institutional settings.

For cryin' out loud! It ain't rocket science.

1. All those places have a lot of people packed into a small space.

2. Basic sanitation (HAND WASHING) has fallen out of favor.

NEXT!

Y'know, if I had a fancy degree, I could make money off of this.

28 posted on 01/23/2003 6:17:25 PM PST by LibKill (ColdWarrior. I stood the watch.)
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To: Willie Green
Maybe all that cheap illegal immigrant labor isn't so cheap after all, if there are diseases being spread by lack of handwashing, through fecal contamination of food etc.
29 posted on 01/23/2003 6:27:18 PM PST by valkyrieanne
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To: LibKill
3. Many of the residents of these facilities have little or no control over the body functions that produce the methods of transmission. Visit your local nursing home. It is sad. Body fluids as far as the eye can see and the nose can smell.
30 posted on 01/23/2003 6:34:22 PM PST by gov_bean_ counter
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To: gov_bean_ counter
3. Many of the residents of these facilities have little or no control over the body functions that produce the methods of transmission. Visit your local nursing home. It is sad. Body fluids as far as the eye can see and the nose can smell.

Yes, my late granny spent her last years in such a place, but the staff actually kept it clean, and they washed their hands. It ain't rocket science.

Now, about that Mars Lander screw-up. That was rocket science.

31 posted on 01/23/2003 6:43:35 PM PST by LibKill (ColdWarrior. I stood the watch.)
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To: LibKill
You, your family and your grandmother were blessed. My experiences with same have not been so good.
32 posted on 01/23/2003 6:51:25 PM PST by gov_bean_ counter
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To: JameRetief
my first thought was antibacterial soaps - another is the latex gloves so many areas use now - deli, dr. office, markets. Just watch the user sometime and what they do with their hands then go on to handle your food.
33 posted on 01/23/2003 7:20:01 PM PST by malia
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To: norraad
"Do your own research, you'll be amazed!"

I read one study done on public computer keyboards. The most often found contaminant was human feces. (YUP!)

34 posted on 01/23/2003 7:27:37 PM PST by blam
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To: mommadooo3
Good 4 U mommadooo, the critter meds are just as good & pennies on the $ at the feed store(sometimes even better research is done to understand & keep our hoofers healthy).

Bt- if you need even better germ killer than garlic use high quality oil of oregano, be careful it's powerful!

35 posted on 01/23/2003 7:46:07 PM PST by norraad
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To: Willie Green
U.S. health officials said on Thursday they could not explain why a virus that causes millions of cases of acute gastroenteritis in the United States each year appeared to be spreading more widely in nursing homes, prisons and other institutional settings.

Cheap immigrant labor is the most likely cause along with bureaucracy that keeps incompetents employed.

36 posted on 01/23/2003 8:31:46 PM PST by ikka
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To: LibKill
and #3.) Inmates are allowed to fornicate without a worry in the world....

If inmates were locked up, as jail and prison time was meant to be, and not allowed to roam free... would there be as high a rate of any Hep A, B, or C? Nope.
If they were locked up, there wouldn't be a need for as many guards or weight rooms for them to become bigger and stronger thugs.
37 posted on 01/23/2003 10:01:55 PM PST by Terridan
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To: mewzilla
I think it may have something to do with demographic changes in the nursing home work force.
38 posted on 01/23/2003 10:04:23 PM PST by BenLurkin (Socialism is immoral.)
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To: Nick Danger
I don't believe antibiotics are useful against viruses anyway

Although the soaps are typically labeled antibacterial, they are actually antimicrobial, meaning they affect viruses as well as bacteria.

39 posted on 01/23/2003 10:38:06 PM PST by JameRetief
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To: malia
I used to love good deli. An Italian deli in my town had a big huge-bellied, pencil mustached, owner who lived in the back of the deli. He had wood floors with wood shavings, sausages and cheeses hanging from the ceiling encased in a moldy mess. His fat chubby hands would be wiped in his food crusted apron after each customer. The best deli in the world! I ran into another, just like it in Pleasantville, NY. No surgical gloves, antibacterial soaps, etc....

These deli's know and worship good food. I suspect that sanitation zealots are supporting a cottage industry in their efforts. As a result we get such culinary juggernauts like Subway, Domino's, and the like. Some day they will outlaw those good country hams in the Carolina's. Uncooked, salt cured, and ten years old to ripen! Smells like road kill when you cook it, but it's great old world food. Maybe scrapple makers will be arrested for food terrorism? Did you ever watch what goes into scrapple? My neighbor is butchering hogs this weekend and when he is done butchering, it's scrapple makin time!

40 posted on 01/24/2003 6:41:20 AM PST by blackdog
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