Norovirus

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HealthLink BC File number
87
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What is norovirus?

Norovirus is a virus that causes acute gastroenteritis, an infection of the digestive tract (stomach and intestine). Norovirus outbreaks occur in B.C. communities every year. Outbreaks occur year-round but are more common in the winter months. Outbreaks of illness are common in nursing homes, daycare centres, schools, children’s camps and on cruise ships.

What are the symptoms?

Within 1 to 2 days of exposure to norovirus you may experience the following symptoms:

  • Upset stomach
  • Vomiting
  • Diarrhea

Other symptoms include nausea, cramping, chills and fever.

The illness usually begins suddenly and lasts for 1 to 3 days. Complications may occur if you lose too much fluid from vomiting and diarrhea and do not drink enough fluids. This is called dehydration. Symptoms of dehydration include less urination, dry mouth and throat, and dizziness. This is more common in babies and the elderly. Severe illness is very rare and hospital care is usually not needed.

How does the virus spread?

Norovirus is found in the vomit and diarrhea of people who are sick. When someone vomits, people nearby may become infected by swallowing tiny droplets from the air.

The virus can also spread from surfaces like countertops or sink taps. The virus can survive for a long time on these surfaces if they are not cleaned. You can become ill when you touch these surfaces and then place your hands or fingers in your mouth.

The virus can also spread if an infected person does not wash their hands or if someone with this illness handles food, water or ice.

Some foods can be contaminated with the virus at their source. For example, shellfish may be contaminated by sewage water before they are harvested.

Is there a treatment?

Medications are not usually used to treat norovirus. People infected with norovirus usually get better within a few days.

Antibiotics should not be taken for norovirus. Antibiotics only work to fight bacteria and not viruses.

It is important to drink enough clear fluids to avoid dehydration. Drink fluids such as water, juices, clear soups, or oral rehydration fluids for vomiting or diarrhea.

See a health care provider if diarrhea or vomiting lasts more than 2 or 3 days, or if dehydration is a concern.

How can you prevent infection?

There is no vaccine or medication that can prevent norovirus infection. You can get norovirus more than once. The best way to prevent infection is to stop the virus from spreading. To help stop the spread of the virus, follow these tips:

  • Wash your hands, especially after using the toilet, changing diapers or before eating or preparing food. Proper hand washing requires running water, soap and cleansing of the hands for at least 20 seconds. For more information visit HealthLinkBC File #85 Hand washing: Help stop the spread of germs
  • Disinfect bathrooms used by sick people with a fresh 1:50 solution of bleach and water

How to make a 1:50 (1,000 ppm) solution of bleach and water:

Add 20 ml of bleach to 1 litre of water and mix. Make sure you add the bleach solution to the water when preparing the solution, not vice versa.

Use B.C.’s FOODSAFE Chlorine Dilution Calculator tool to make the proper sanitizer strength based on the concentration of your bleach product www.foodsafe.ca/dilution-calculator.html

Caution: Mixing bleach with products that contain acid or ammonia makes a toxic gas that causes serious breathing problems, choking and potentially death.

  • Throw out any food that has been handled by a person with the virus or exposed while a person vomited
  • Wash dishes and utensils with hot water and detergent or in a dishwasher
  • Wash laundry soiled with vomit or diarrhea in a washing machine using detergent
  • People who work as food handlers or care providers should stay away from work while they are sick and for 2 days after they are better. Even when diarrhea and vomiting have stopped, the virus can still be in the stool (bowel movement) for as long as 2 weeks. Be sure to wash your hands carefully and often
  • If someone is ill with norovirus, discourage visitors to the home. Wait for at least 2 days after everyone is better and the living space is cleaned and disinfected
  • A household member who is sick with vomiting or diarrhea should stay in a separate room if possible. They should not be around others, as the virus easily spreads. Everyone in the household should wash their hands often with soap and water. Use different towels or paper towels for drying hands to help stop the spread to other people
  • Do not eat raw or undercooked shellfish. Cook shellfish and crustaceans to an internal temperature of 90°C (194°F) for a minimum of 90 seconds. Oysters are a known risk for causing food-related illness if consumed as a raw product. Norovirus illness can be avoided if raw oysters are cooked to an internal temperature of 90°C (194°F) for a minimum of 90 seconds. For information on how to properly cook shellfish visit: canada.ca/en/health-canada/services/meat-poultry-fish-seafood-safety/shellfish-food-safety.html

How can I reduce the risk of infection from cleaning up vomit or diarrhea?

If you are cleaning up vomit or diarrhea, follow these tips to reduce the risk of getting infected:

  • Wear disposable gloves. Reusable rubber gloves may be used, but they should be washed after use
  • Use paper towels to soak up excess liquid and put the paper towels and any solid matter into a plastic garbage bag
  • Clean the soiled area with soap and hot water. Do not use the same cleaning cloth or sponge to clean other areas as this may spread the virus
  • Disinfect the washed area with a fresh 1:50 solution of bleach and water. See the “How to make a 1:50 solution of bleach and water” text box for more information. Household cleaners other than bleach do not work as well for noroviruses
  • Put all cleaning cloths and disposable gloves into a plastic garbage bag and throw out
  • Wash your hands well using soap and water for at least 20 seconds