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4 things to know about norovirus

Hand washing
Written by Sybil Millar

Winter is here – and so is norovirus, the illness that can quickly spread among groups of people, shutting down schools and sending cruise ship passengers into quarantine.

It’s important to understand how the virus spreads and how to protect yourself against contracting the illness. We spoke with our expert Dr. Andrew Simor, head, department of microbiology and infectious diseases consultant at Sunnybrook, to learn more:

1) It’s highly contagious, so wash your hands

Norovirus is highly contagious; in fact, “it’s the most common gastrointestinal infection, and you only need to ingest a small amount of the virus to become ill,” says Dr. Simor. The most effective way to avoid getting it is also one of the easiest things to do: practice good hand hygiene. This can mean washing your hands with soap and water or using an alcohol-based hand sanitizer, especially when handling food.

2) It’s primarily spread through the fecal-oral route

Norovirus is primarily spread when hands become contaminated by touching a person with the virus. This can happen after shaking hands with someone who has been vomiting or had diarrhea (and who hasn’t washed their own hands after using the bathroom), or by touching a surface or consuming food that is contaminated with the virus. When a person has projectile vomiting, droplets of vomitus can become aerosolized and can directly transmit virus to someone near the vomiting person.

3) No matter how many times you get it, you won’t become immune

Just because you get norovirus once, doesn’t mean you can’t get it again. In fact, it’s entirely possible, and it does happen. “There are many viral strains of norovirus, but after being ill with one strain of the virus, you won’t have developed any long-lasting immunity, even to the same strain you were already exposed to,” says Dr. Simor.

4) The best (and only) treatment: stay hydrated

If you do get norovirus, some of the symptoms to look out for include an upset stomach, vomiting, diarrhea, stomach pain and a loss of appetite. “It usually lasts for one or two days, but unfortunately, there’s no treatment for norovirus beyond making sure you’re getting enough fluids,” says Dr. Simor. While norovirus can affect people at any age, the elderly are at higher risk for complications, including dehydration.

About the author

Sybil Millar

Sybil Millar is the Communications Advisor for Infection Prevention and Control, Infectious Diseases, the Ross Tilley Burn Centre and the Critical Care program at Sunnybrook.

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