Every year, an infectious disease spreads like wildfire across North America bringing along with it misery for those who ends up being afflicted. People find themselves rushing to run to the bathroom to relieve that feeling of being sick to their stomachs. Although the condition only lasts a few days, the nightmare is not soon forgotten.

For those wondering, I’m not talking about…

bieber_fever(Although it it quite contagious…)

Instead I’m talking about an illness with many names. Some fifty years ago, it was known as the Winter Vomiting Disease. Then in the 1970s, it was called Norwalk Virus, named after the city in which the virus was originally isolated. Some know it as the cruise ship virus due to its ability to turn a joyful voyage on the sea into a ugly nightmare. Officially, however, it’s known as…

(Norovirus…or noro)

Having studies this organism in the lab, I can tell you it is quite possibly the perfect outbreak pathogen. It has everything going for it…

  1. It can survive for weeks on surfaces – it can be picked up quite easily;
  2. It has a low infectious dose – you only need to ingest a few to develop illness;
  3. It continues to spread after you feel better;
  4. It can resist regular disinfection procedures.

To say the least, this is a true…

eenie-meenie(Eenie Meenie…)

The moment noro finds its way into a confined environment, such as a cruise ship, college dormitory, school, or hospital ward, the situation becomes one of extreme vexing. The virus simply moves its way around from person to person until the entire population has been affected.

To gain any kind of control over this problem, officials need to use equally extreme interventions, such as closing a ward, cancelling the cruise ship trip, or banishing dorm residents for a week. If this were to happen under any other circumstance, it would lead to a massive request for these authorities to say…

sorry(And here’s some money too…)

But when the cause of the conflict is noro, there really is no other recourse.

Although noro hits each year around this time, some seasons end up being far more troublesome than others. The virus seems to affect more people and cause even greater damage. Even more vexing, those who believe they are immune to the virus – because they already had suffered from it – suddenly find themselves back at the toilet again wondering…

mean(What Do You Mean?!)

This happens to be one of those years. It’s not really anyone’s fault, mind you. The trouble is due to the natural ability of the virus to evolve. Much like that other, more famous virus, influenza, noro has several circulating strains, known as genotypes. Just this year alone, the CDC has estimated the number of virus types spreading in the United States is at least six…

norovirus(Although not distributed evenly…)

Unless a person happens to have had come into contact with all of these different genotypes, the risk for infection is always present. This sets up a rather inconvenient truth in which we much admit no matter how many times we may end up with the illness, we must…

neversaynever(No matter how much we would like to…)

There is a small bright side to this situation. Unlike respiratory viruses, noro needs to get into our gastrointestinal tracts in order to harm us. There is only one cell type the virus likes to attack and it’s deep inside the intestines. If we can prevent entry of the invader, we may be able to stay safe.

Granted, this does mean we have to ask one question…

wherenow(Where Are U Now?)

Yet as this image suggests, the answer is relatively easy. Most of the time noro spreads, it’s because it was on someone’s hands. People can pick up the virus from a surface, such as a sink tap or a washroom door handle and readily transfer it to other surfaces or, in the case of self-inoculation, the mouth.

Contamination of objects may not lead to an outbreak. But, when hands come into contact with food, all bets are off. This route usually is the one causing large numbers of infections in restaurants and on cruise ships. Usually, the incident occurs because one or more people simply did not wash their hands properly prior to handling fresh foods not meant for cooking. The end result sadly, is a mass of people disposing of their recent meals from both ends.

This latter situation is exactly why adhering to food safety protocols is so important. It’s also why I feel avoiding even the simplest actions to keep food safe makes…

nosense(No Sense!)

As each year passes and more cases are recorded, I imagine the virus will reach a certain level of infamy. People all over the world may find themselves wanting to avoid the gut-wrenching symptoms and those days of vexation. Granted, it won’t be easy as noro is an able opponent. Yet, as far as I can see, all we need is a combination of purpose, prowess, power and possibly…

bieber-pronger(Pronger!)

With these in place, we can do our best to ensure the virus stays out of our guts for good.

PS: Have you ever had norovirus? If you have, let me know how it felt.

PPS: For the record, I had it and hated it although not as much as when Chris Pronger pretty much did the same thing to the Ottawa Senators during the 2007 Stanley Cup Finals as he did to Bieber yesterday.

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