Surveillance of Municipal drinking-water supply after a Norovirus outbreak in Italy

BACKGROUND Norovirus (NoV), in the family Caliciviridae, is the major causative agent of non-bacterial acute gastroenteritis, whose possible routes of transmission include drinking water. During March 2011 an outbreak of gastroenteritis was identified by the local public health service in S. Stefano di Quisquina, Sicily, Italy. Over two weeks, 156 cases were identified and NoV genotype GII.4 v2010 was detected in stool samples from eleven out of twelve patients. The finding of identical genomic sequences between patients suggested a common infection source and an epidemiological investigation indicated a possible correlation to municipal drinking water consumption. One of the wells supplyin…