Acute gastroenteritis outbreak associated with multiple and rare norovirus genotypes after storm events in Santa Catarina, Brazil

Acute gastroenteritis outbreak associated with multiple and rare norovirus genotypes after storm events in Santa Catarina, Brazil

Norovirus is a major cause of acute diarrheal disease (ADD) outbreaks worldwide. In the present study, we investigated an ADD outbreak caused by norovirus in several municipalities of Santa Catarina state during the summer season, southern Brazil in 2023. As of the 10th epidemiological week of 2023,...

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Bibliographic Details
Published in:Journal of medical virology Vol. 95; no. 11; pp. e29205 - n/a
Main Authors: Fumian, Tulio Machado, Malta, Fábio Correia, Sarmento, Sylvia Kahwage, Fernandes, Sandra Bianchini, Negri, Cynthia Maria, Belettini, Senele Ana de Alcantara, Machado, Mariza Hoffmann, Guimarães, Maria Angelica Arpon Marandino, Assis, Rosane Maria Santos, Baduy, Gabriel Assad, Fialho, Alexandre Madi, Burlandy, Fernanda Marcicano
Format: Journal Article
Language:English
Published: London Wiley Subscription Services, Inc 01-11-2023
Subjects:
acute diarrheal disease
Brazil
Climate change
Diarrhea
Epidemics
Epidemiology
Extreme weather
Flood frequency
Gastroenteritis
Genotypes
Marine pollution
norovirus
outbreak
Outbreaks
Public policy
Rainfall
Rotavirus
Sanitation
Sanitation systems
Santa Catarina
Sequences
Sewage
storm events
Stormwater
System effectiveness
Virology
Wastewater pollution
Water pollution
Brazil
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Summary:Norovirus is a major cause of acute diarrheal disease (ADD) outbreaks worldwide. In the present study, we investigated an ADD outbreak caused by norovirus in several municipalities of Santa Catarina state during the summer season, southern Brazil in 2023. As of the 10th epidemiological week of 2023, approximately 87 000 ADD cases were reported, with the capital, Florianópolis, recording the highest number of cases throughout the weeks. By using RT‐qPCR and sequencing, we detected 10 different genotypes, from both genogroups (G) I and II. Some rare genotypes were also identified. Additionally, rotavirus and human adenovirus were sporadically detected among the ADD cases. Several features of the outbreak suggest that sewage‐contaminated water could played a role in the surge of ADD cases. Storm events in Santa Catarina state that preceded the outbreak likely increased the discharge of contaminated wastewater and stormwater into water bodies, such as rivers and beaches during a high touristic season in the state. Climate change‐induced extreme weather events, including intensified rainfall and frequent floods, can disturb healthcare and sanitation systems. Implementing public policies for effective sanitation, particularly during peak times, is crucial to maintain environmental equilibrium and counter marine pollution.
Bibliography:Tulio Machado Fumian and Fábio Correia Malta have equally contributed.
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ISSN:0146-6615
1096-9071
DOI:10.1002/jmv.29205