Norovirus update 24 March 2013: Nora Virus? A huge unnecessary health care cost in the United States! Unnecessary and costly use of ambulances in United Kingdom! Connection to IBS & nutcracker esophagus?

In Oregon U.S.A., at least 15 people got sick, and one man died, after a state forestry committee meeting.  Lab tests have confirmed norovirus, but investigators have yet to find the source.  Unfortunately the local media is already blaming the food, or employees, at the restaurant, even though there have been many cases this season that did not involve food and has inspectors stumped. So far only the people attending the forestry meeting got sick, no other customers are sick, none of the employees are sick, which suggests it’s not the restaurant.  The restaurant owner is upset: “I prayed to God that we didn’t do anything bad. We’re so diligent about food safety.”-Maggie Pike

The U.S. CDC says the norovirus (first appearing in 1968) is now the number one cause of stomach problems in children.  It’s now blamed for most cases of gastroenteritis. Norovirus has become the leading cause because treatments for the other causes have greatly reduced their occurrence, there is no vaccine or treatment for norvirus. Between 2009-10 one million U.S. kids were sick with it, and it’s estimated that the virus is costing families and insurance companies $273 million per year.  When you realize that there is no treatment for the norovirus itself, and most people are well within 48 hours,  you’ll begin to realize that most of the health care costs associated with norovirus are unnecessary, as long as people drink enough fluids. The main reason for people being hospitalized is dehydration.

The Rhode Island (U.S.A.) Department of Health confirmed an outbreak at Brown University (is that a joke by god or what? Brown…norovirus).   Officials say it’s the first time in ten years. At least 49 students are sick.

In Sacramento County, California U.S.A., a restaurant is being investigated for a stomach bug outbreak back in February.  It’s based on the number of complaints county officials got at the end of February.  The restaurant had just passed its health inspection before the complaints.

In the world of bicycle racing, in South Africa both Topeak-Ergon teams ended their runs (pun) in the Cape Epic race. Some reasons included crashes, but other team members developed gastrointestinal infections.

In the world of Baseball, Roy Halliday, pitcher for Philadelphia Phillies, says he lost ten pounds in two days after getting sick with vomiting bug.  And the Texas Ranges are dealing with a player that keeps getting sick.  Derek Holland is recovering from a recent bout with stomach bug.  Holland was sick with stomach bug last year as well.  Humans do not build resistance to norovirus.

A United Kingdom doctor, Martin Scurr, responded to a question from a woman who began having trouble swallowing after two bouts of stomach bug infections. He said her nutcracker esophagus might be connected to “a type of post-infection irritable bowel syndrome.”

The Queen of England made her first public appearance after getting sick.  It was for the 150th anniversary of London’s “Tube” subway system.

In Whitehaven U.K., the North Cumbria University NHS Hospitals Trust had to move patients from the West Cumberland Hospital, 75 miles away to the Northumbrian hospital, because of ongoing infections.  There are so many sick people in the hospital, that new patients have to be transferred.

In Norwich, England U.K., an academic teaching hospital imposed visitor restrictions. The Norfolk and Norwich University Hospital reported increased cases.  Also, in London the Lewisham Hospital relaxed visitor restrictions, however there were warnings that restrictions could be re-imposed because of the ongoing infections.

In Eastbourne, East Sussex U.K., the Eastbourne District General Hospital restricted visitation to three wards because of an outbreak.

In Lancashire U.K., the Lindum Hotel closed down for a second time, just five days after re-opening from another norovirus caused shutdown.  This time the hotel management decided to close after three guests became sick, saying they didn’t want to take any chances.

Also in U.K., Birmingham and Solihull Mental Health NHS Foundation Trust is closed to new patients because an outbreak has filled all their beds with sick people (and not just sick in the head).  And, an ambulance service is asking people sick with stomach bug not to call.  The service is reporting a 16% increase in calls, mostly for people with vomiting bug.  Ambulance operators are asking people to call only in “real emergencies”.

In the Central American country of Belize, the Ministry of Health is reporting increased cases of norovirus, commonly and incorrectly being called stomach flu.  The Ministry of Health is for some reason calling it Nora Virus.

In Saskatchewan, Canada, visitor restrictions were lifted at Saint Paul’s Hospital.

In Wellington, New Zealand, reports that an outbreak at the Karori Normal School is spreading.  The school’s principal says the outbreak at the school is the result of infections already present in the community.  New Zealand is also dealing with outbreaks of cryptosporidium, and people are being told to stay out of swimming pools if they are sick.