2000
DOI: 10.1086/315500
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Members of the Family Caliciviridae (Norwalk Virus and Sapporo Virus) Are the Most Prevalent Cause of Gastroenteritis Outbreaks among Infants in Japan

Abstract: Norwalk virus (NV) and Sapporo virus (SV) were approved as type species of the genus Norwalk-like viruses and the genus Sapporo-like viruses, respectively, within the family Caliciviridae. To clarify the importance of NV and SV as causes of gastroenteritis outbreaks in infants, stool samples obtained from 36 outbreaks of nonbacterial gastroenteritis that occurred during 1976-1995 in an infant home in Sapporo, Japan, were examined for diarrhea viruses using electron microscopy, enzyme immunoassays, reverse tran… Show more

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Cited by 84 publications
(49 citation statements)
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“…The predominance of NoVs GII strains detected in the present study is in agreement with previous reports of a higher prevalence of GII strains over GI in outbreaks, as well as studies on sporadic gastroenteritis (3,4,8,9,11,20,23,24,25,26,33,35). The reason for this is unknown, although differences in biological properties, such as virulence, routes of transmission, or stability of the virus in the environment, are possible explanations (4).…”
Section: Discussionsupporting
confidence: 92%
“…The predominance of NoVs GII strains detected in the present study is in agreement with previous reports of a higher prevalence of GII strains over GI in outbreaks, as well as studies on sporadic gastroenteritis (3,4,8,9,11,20,23,24,25,26,33,35). The reason for this is unknown, although differences in biological properties, such as virulence, routes of transmission, or stability of the virus in the environment, are possible explanations (4).…”
Section: Discussionsupporting
confidence: 92%
“…In addition to being the cause of a majority of nonbacterial acute epidemic outbreaks of gastroenteritis in many countries (4,13,17), norovirus infection also may be the most prevalent cause of gastroenteritis outbreaks among infants (27) and norovirus has been classified as a category B pathogen according to the National Institute of Allergy and Infectious Diseases classification of pathogens important for biodefense. Improved, rapid, and broadly reactive diagnostics to detect noroviruses are necessary in order to accurately diagnose and track outbreaks and to increase understanding of virus epidemiology.…”
Section: Discussionmentioning
confidence: 99%
“…1) (1). Sapovirus particles were first detected in human diarrheic stool samples in 1976 in the United Kingdom using electron microscopy (EM) (2), and the virus was soon recognized as a new gastroenteritis pathogen (3)(4)(5)(6)(7)(8)(9)(10)(11). However, the prototype strain of the Sapovirus genus was from another outbreak in Sapporo, Japan, in 1982 (strain Hu/SaV/Sapporo/1982/JPN), because it has been studied extensively for sapovirus virological and genetic characteristics (10,(12)(13)(14).…”
Section: Historymentioning
confidence: 99%