Norovirus outbreak among students of a boarding school in Kluang, Johor, Malaysia

Mohamad Nizam Subahir, Mohammad Saffree Jeffree, Mohd Rohaizat Hassan, Md Faizul Abd Razak, Syarifah Noor Ghulam Mohamad, Siat Yee Fong, Kamruddin Ahmed

Research output: Contribution to journalArticle

Abstract

Introduction: Norovirus (NoV) is a contagious virus causing acute gastroenteritis and is mainly responsible for diarrheal outbreak in closed settings. The aims of this study were to describe the epidemiological characteristic of an outbreak in a boarding school, to assess the extent of the outbreak and to implement appropriate control measures. Methodology: A descriptive study was conducted to describe the epidemiological characteristics of the outbreak. Data on demographic details, onset of abdominal symptoms, food intake history and contact with ill person three days prior to illness were obtained. Results: Twelve fresh stool and 14 food samples were tested for NoV and enteric pathogens, respectively. Out of 745 students, 42 (5.6%) were infected during this outbreak. Predominant clinical features were diarrhea (76.1%), vomiting (71.4%) and abdominal pain (67%). Eight (67%) stool samples and six (43.9%)food samples were positive for NoV and total coliforms, respectively. The dissemination of the disease was due to poor hygiene practices among students. Quarantine was imposed until the last case on September 28, 2016. The outbreak was declared over on September 30, 2016. Conclusions: A NoV outbreak was determined first time in Malaysia. Environmental assessment showed poor hygienic conditions in the school’s kitchen. The number of infected students increased considerably despite the implementation of preventive and control measures. Quarantine was effective to stop the outbreak which is characteristics of NoV outbreak.

Original languageEnglish
Pages (from-to)274-277
Number of pages4
JournalJournal of Infection in Developing Countries
Volume13
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019
Externally publishedYes

Fingerprint

Norovirus
Malaysia
Disease Outbreaks
Students
Quarantine
Food
Gastroenteritis
Hygiene
Abdominal Pain
Vomiting
Diarrhea
Eating
Demography
Viruses

Keywords

  • Boarding school
  • Children
  • Malaysia
  • Norovirus
  • Outbreak

ASJC Scopus subject areas

  • Parasitology
  • Microbiology
  • Infectious Diseases
  • Virology

Cite this

Subahir, M. N., Jeffree, M. S., Hassan, M. R., Razak, M. F. A., Mohamad, S. N. G., Fong, S. Y., & Ahmed, K. (2019). Norovirus outbreak among students of a boarding school in Kluang, Johor, Malaysia. Journal of Infection in Developing Countries, 13(4), 274-277. https://doi.org/10.3855/jidc.11199

Norovirus outbreak among students of a boarding school in Kluang, Johor, Malaysia. / Subahir, Mohamad Nizam; Jeffree, Mohammad Saffree; Hassan, Mohd Rohaizat; Razak, Md Faizul Abd; Mohamad, Syarifah Noor Ghulam; Fong, Siat Yee; Ahmed, Kamruddin.

In: Journal of Infection in Developing Countries, Vol. 13, No. 4, 01.04.2019, p. 274-277.

Research output: Contribution to journalArticle

Subahir, Mohamad Nizam ; Jeffree, Mohammad Saffree ; Hassan, Mohd Rohaizat ; Razak, Md Faizul Abd ; Mohamad, Syarifah Noor Ghulam ; Fong, Siat Yee ; Ahmed, Kamruddin. / Norovirus outbreak among students of a boarding school in Kluang, Johor, Malaysia. In: Journal of Infection in Developing Countries. 2019 ; Vol. 13, No. 4. pp. 274-277.
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