The Prevalence of Norovirus in returning international travelers with diarrhea

Background: There is a high incidence of diarrhea in traveling populations. Norovirus (NV) infection is a common cause of diarrhea and is associated with 7% of all diarrhea related deaths in the US. However, data on the overall prevalence of NV infection in traveling populations is limited. Furthermore, the prevalence of NV amongst travelers returning to Europe has not been reported. This study determined the prevalence of NV among international travelers returning to Germany from over 50 destinations in and outside Europe. Methods: Stool samples of a total of 104 patients with a recent (< 14days) history of international travel (55 male, mean age 37 yrs.) were tested for the presence of NV genogroup (GG) I and II infection using a sensitive and well established quantitative RT PCR method. 57 patients experienced diarrhea at the time of presentation at the Department of Infectious Diseases & Tropical Medicine. The remaining 47 patients had no experience of diarrhea or other gastrointestinal symptoms for at least 14 days prior to their date of presentation at our institute. Results: In our cohort, NV infection was detected in 15.7% of returning travelers with diarrhea. The closer to the date of return symptoms appeared, the higher the incidence of NV, ranging as high as 21.2% within the first four days after return. Conclusions: In our cohort, NV infection was shown to be frequent among returning travelers especially in those with diarrhea, with over 1/5 of diarrhea patients tested positive for NV within the first four days after their return to Germany. Due to this prevalence, routine testing for NV infection and hygienic precautions may be warranted in this group. This is especially applicable to patients at an increased risk of spreading the disease, such as healthcare workers, teachers or food-handlers

Assessing the impact of modern recharge on a sandstone aquifer beneath a suburb of Doncaster, UK

A major water quality issue in urban areas underlain by a productive aquifer is the impact of modern recharge. Using a variety of sample sources including multi-level boreholes, detectable concentrations of CFCs and SF6 have been found throughout the upper 50 m of the saturated aquifer beneath a suburb of Doncaster, UK, indicating that modern (<50-year old) recharge has penetrated to at least this depth. Additional support for this deep penetration is provided by the detection of sulphite-reducing clostridia and faecal streptococci. Despite the upper aquifer being a poorly cemented sandstone, the residence time indicators suggest that some modern recharge is travelling via fracture systems in addition to that moving down by simple piston flow. However, the overall impact of 80 years of steady urbanisation on water quality in the aquifer beneath this suburb has in general been limited. This is attributed to a combination of factors including previous land use, dilution by direct recharge of rainfall through green-space areas including gardens, and locally high storage in the friable upper aquifer