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Kimberly K. Repp, Trevor P. Hostetler, William E. Keene, A Norovirus Outbreak Related to Contaminated Surfaces, The Journal of Infectious Diseases, Volume 208, Issue 2, 15 July 2013, Pages 295–298, https://doi.org/10.1093/infdis/jit148
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Abstract
We investigated an outbreak of norovirus infection affecting 12 of 16 auto dealership employees (75%) subsequent to a staff meeting. Take-out sandwiches initially seemed the likely source, but a cohort study found no association between illness and food consumption. Employees reported seeing a toddler with diarrhea in a dealership restroom shortly before the luncheon. Indistinguishable norovirus was isolated from employees and the child (genotype GII6.C) and from a diaper-changing station in the restroom (genogroup GII). Counterintuitively, this point-source outbreak following a meal was caused by environmental exposures, not food. Environmental exposures should be considered even in routine outbreak investigations.