2007
DOI: 10.3201/eid1301.060800
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Gastroenteritis Caused by Norovirus GGII.4, the Netherlands, 1994–2005

Abstract: From 1994 through 2005, gastroenteritis outbreaks caused by norovirus generally increased in the Netherlands, with 3 epidemic seasons associated with new GGII.4 strains. Increased percentages of GGII.4 strains during these epidemics, followed by a sharp decrease in their absolute and relative numbers, suggest development of immunity.

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Cited by 120 publications
(115 citation statements)
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“…The existence of this group of individuals has been cited in the literature as proof that long-term protective immunity to norovirus infection is not possible, a hypothesis in conflict with data gathered in contemporary NV GI. 1-1968 (53) and GII.2-1976 (52) challenge and outbreak investigations (80,81). Although speculative, these studies provide one possible explanation of why some volunteers can become repeatedly infected with NV GI.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The existence of this group of individuals has been cited in the literature as proof that long-term protective immunity to norovirus infection is not possible, a hypothesis in conflict with data gathered in contemporary NV GI. 1-1968 (53) and GII.2-1976 (52) challenge and outbreak investigations (80,81). Although speculative, these studies provide one possible explanation of why some volunteers can become repeatedly infected with NV GI.…”
Section: Discussionmentioning
confidence: 99%
“…Subsequently, the years following the high activity were characterized by decreased numbers of outbreaks, indicating that herd immunity may be an important regulator of GII.4 noroviruses (54,80,81). Clearly, the molecular basis for differential protective immunity/susceptibility following repeat norovirus infection is complex and a major challenge for the field.…”
mentioning
confidence: 99%
“…The primary transmission route is the faecal-oral one, either via person-to-person contact or by consumption of contaminated food or water (Lopman et al 2003;Siebenga et al 2007;Kroneman et al 2008;Scallan et al 2011;Mathijs et al 2012). Noroviruses are very resistant and can persist for several days in the environment (D'Souza et al 2006).…”
Section: Introductionmentioning
confidence: 99%
“…Human NoVs have been classified into three separate genetic groups (GGI, GGII, and GGIV), and in at least 30 genotypes by analysis of the capsid gene (ORF2) [Green, 2007]. GGII NoVs account for at least 90% of the NoV isolates, with GII.4 strains being responsible for the majority of episodes of diarrhea [Bull et al, 2006;Ramirez et al, 2006;Siebenga et al, 2007a]. The high incidence of NoV infections seems to be related to the sequential appearance and rapid spread of new variants and/or of recombinant NoV strains.…”
Section: Introductionmentioning
confidence: 99%