Getting a handle on the nation’s norovirus burden is difficult, because reporting isn’t required and there’s not a widely used test for the disease, but experts from the US Centers for Disease Control and Prevention (CDC) who analyzed the latest data reported new estimates yesterday—up to 21 million infections each year, as many as 800 fatal.The new estimates provide some detailed and surprising numbers. For example, the CDC experts predict that the disease strikes five times during a typical American’s lifespan.Before yesterday’s new numbers, reported in Emerging Infectious Diseases, the most often cited norovirus burden numbers were from a 1999 report that covered a broad array of foodborne illnesses. While the new annual illness estimate is slightly lower than the earlier one, the CDC researchers reported overall upticks in hospitalization and death numbers.A new variant that emerged in Australia has fueled norovirus outbreaks in the United States over the past several months. The genotype II.4 (GII.4) Sydney variant has led to disease spikes in the United Kingdom, the Netherlands, Japan, Australia, France, and New Zealand, as well.Earlier this year the CDC said norovirus has passed rotavirus as the leading cause of gastroenteritis in US kids.For hospitalizations, the group put the annual number at 56,000 to 71,000 compared with the previous estimate of 50,000. The authors projected that the number of deaths from norovirus ranges from 570 to 800 each year, up from the 310 deaths listed in the 1999 report.Though not all patients with norovirus seek medical care for their norovirus infections, many do, and the new estimates suggest that the disease is linked to as many as 1.9 million outpatient visits each year and 400,000 emergency department visits.The new estimates also break the burden down by age, which could help public health professionals target their norovirus prevention strategies. Americans age 65 and older are at greatest risk for norovirus death, while children younger than 5 had the highest rates of norovirus-linked medical visits.CDC researchers said they based their estimates on studies published over the past 5 years that provided population-based norovirus incidence rates. They noted that all the studies they looked at showed increases during the winter months and in years when norovirus pandemic strains emerged.When they compared the US norovirus estimates to those of other industrialized countries, they found similar patterns, despite differences in healthcare delivery systems, especially for the United Kingdom, the Netherlands, and Canada. “The substantial incidence of norovirus disease burden is clearly not unique to the United States,” they wrote.Though health officials have made great progress in characterizing the disease, several knowledge gaps remain, such as more detailed information about age prevalence and the role of the virus in deaths, the team observed. They added that the findings lend support to the usefulness of a norovirus vaccine, which is in the late stages of clinical trials.In a related development, another CDC team yesterday published results from the first 2 years of gastroenteritis data from a new national surveillance system, which also shows a leading role for norovirus.The findings are from the National Outbreak Reporting System (NORS), which launched in early 2009 and is designed to follow gastroenteritis outbreaks caused by other transmission modes, besides just foodborne and waterborne.States and territories reported 4,455 outbreaks during the first 2 years of NORS surveillance, and norovirus was the leading cause of single-source outbreaks, implicated in 1,908 (68%). The group also found that norovirus was the leading cause of acute gastroenteritis-linked hospitalizations and deaths.The next most frequently reported causes were Salmonella, Shigella, and Shiga-toxin–producing Escherichia coli.Hall AJ, Lopman BA, Payne DC, et al. Norovirus disease in the United States. Emerg Infect Dis 2013 (published online Jul 10) [Full text]Hall AJ, Wikswo ME, Manikonda K, et al. Acute gastroenteritis surveillance through the National Outbreak Reporting System, United States. Emerg Infect Dis 2013 (published online Jul 10) [Full text]See also:Jan 24 CIDRAP News story “CDC: New norovirus strain fueling US outbreaks”Mar 21 CIDRAP News story “Norovirus overtakes rotavirus as leading GI illness in US kids”
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Related CBS/Monty Brinton(LOS ANGELES) — Mom star Jaime Pressly is going to be a mom herself again — she’s expecting twin boys with her longtime boyfriend, Hamzi Hijazi.People magazine reports exclusively that the 39-year-old CBS sitcom star is pregnant with twins. The report includes a picture of Pressly holding up a drugstore pregnancy test that reads “pregnant.” “Twins don’t run on either side of our families so we were completely shocked,” Pressly told the magazine. “This wasn’t IVF or anything like that. It was just a shock, and I’m like, ‘Doctor, that’s impossible!’” Pressly told People that she and Hijazi, 38, a shoe store owner, have been trying to get pregnant for “quite a while.”The actress also has a 10-year-old son, Dezi James, with her ex, DJ Eric Calvo.“He’s been begging Hamzi and I to give him a sibling since he was in kindergarten,” Pressly said of her son. “He’s very patient and sweet and gentle and is going to be the best little babysitter ever. He’s constantly kissing my belly.”Copyright © 2017, ABC Radio. All rights reserved.Powered by WPeMatico
Advertisement peguNBA Finals | Brooklyn Vs343Wingsuit rodeo📽Sindre Ebd0j( IG: @_aubreyfisher @imraino ) 3cf6Would you ever consider trying this?😱30wetvCan your students do this? 🌚c914bqRoller skating! Powered by Firework Trevor Booker is nearing agreement on a contract with the Shanxi Brave Dragons of the Chinese Basketball Association, Alex Kennedy of HoopsHype.com reports.Advertisement A couple of months ago during annual youth basketball camp, he seemed perfectly willing to go anywhere for his next career stop.“Wherever welcomes me, I’ll be happy to go,” Booker said.Advertisement Booker confirmed on Wednesday that he has agreed to a deal with the Shanxi Brave Dragons of the Chinese Basketball Association. That team is based in Taiyuan, China.Advertisement Booker hasn’t generated much interest in free agency from NBA teams this summer, so he appears poised to head overseas for the first time in his career in an attempt to showcase himself for a potential return to North America next spring. The 30-year-old suited up in 68 regular-season contests between the Nets, Pacers, and 76ers in 2017-18, averaging 6.3 points, 4.7 rebounds, and 1.2 assists in 17.0 minutes per contest.Also Read-NBA: Dallas Mavericks sign Donte Ingram to a deal Advertisement
Advertisement 7smiruNBA Finals | Brooklyn Vs9yxWingsuit rodeo📽Sindre E5ie( IG: @_aubreyfisher @imraino ) Would you ever consider trying this?😱omxygxCan your students do this? 🌚1oet1dRoller skating! Powered by Firework Mauricio Pochettino’s works at Tottenham Hotspur have garnered quite the praise for himself, and has helped him gain the trust of the club’s top brass, prompting him to sign a new long-term deal with the club. However, the manager casts doubt over his future despite contract assurance. Advertisement Pochettino’s magic in north London seems to have working wonders for Spurs, who have qualified for the Champions League thrice in a row since the 2015-16 season up until now, following the Argentine’s arrival at White Hart Lane back in May 2014. Having built up a stable lineup from a group of the club’s academy graduates, including star striker Harry Kane, the club’s hierarchy, having been impressed by him, offered another 5-year extention to his previous initial 5-year deal, which Pochettino signed in last summer.However, lack of trophies might play a role in his stay to an extent. Pochettino, 45, claimed, Spurs were a victim of their own success, and that he would stay with the club “till the end”. However, he had other things to say about his future, considering the opportunities that potentially await him at Manchester United and Real Madrid.Advertisement “It depends on the mood of my chairman, on the decision of the company, it’s not only my decision.“I signed for five years. I am respecting my contract. But to sign a five-year contract does not mean you’ll be here for ever,” Pochettino said.Advertisement Read also:-Pochettino credits Carabao Cup’s away goal rule for Spurs exit Advertisement
By Nick Creely AROUND THE GROUNDS VIC PREMIER CRICKET ROUND 15 For a day and a half, the young Casey-South…[To read the rest of this story Subscribe or Login to the Gazette Access Pass] Thanks for reading the Pakenham Berwick Gazette. Subscribe or Login to read the rest of this content with the Gazette Digital Access Pass subscription.