As it turns out, a Covid test is the only way to determine if that pesky stomach bug is actually a BA.2 infection. "Fecal-oral transmission sounds gross, but it's important for people to understand that they may have gotten their norovirus from food, and that they could pass the virus to others by handling food, even after their symptoms are gone," Saupe said. Centers for Disease Control and Prevention. This is likely due to the fact that we've been lifting COVID restrictions. The most common symptoms are watery diarrhea, explosive projectile vomiting (that shoots out), and stomach pain. And if you catch a norovirus, don't prepare food for at least two to three days after you feel better. And while norovirus is not spread by respiratory droplets, the increase in cases could reflect a relaxation of infection control in general. Norovirus illness is highly contagious. Previously, she was a writer, producer and editor at CNN. Norovirus is sometimes called the winter vomiting disease, Auwaerter said. "Norovirus tends to hit especially hard during the winter season, so now is a good time to get in the hand-washing and norovirus prevention habit.". Saving Lives, Protecting People, FDA Advises Restaurants, Retailers and Consumers to Avoid Raw Oysters from Baynes Sound, British Columbia, Canada Because They Are Potentially Contaminated with Norovirus, Norovirus Outbreak Linked to Raw Oysters from Texas, Clean Up After Someone with Norovirus Vomits or has Diarrhea, National Center for Immunization and Respiratory Diseases, Camp Healthy: Norovirus Prevention at Youth Camps, U.S. Department of Health & Human Services, Having direct contact with an infected person, Touching contaminated surfaces and then putting your unwashed hands in your mouth, Stay home when sick and for two days after symptoms stop, Avoid preparing food for others when sick and for two days after symptoms stop, The virus spreads very easily and quickly, Outbreaks can happen anytime, but they occur most often from November to April. The infections spread among menthrough sexual and non-sexual contact, Jervis said. Plus, with decreased mask mandates and a vaccine for the under 5 age group still in the works, community spread is still a looming concern. Infections from astrain of drug-resistant shigella bacteria are on the rise in what the Centers forDisease Control and Prevention describes as a potentially serious public health concern. For most of the U.S., roughly 99.5%, it isn't recommended to wear a mask indoors in public because of low or medium COVID-19 Community Level as of March 31, the CDC says. Gastroenteritis. ", The CDC warns XDR shigella can spread antimicrobial resistance genes to other bacteria, creating "potentially serious public health concerns.". Medical University of South Carolina: MUSC Health. Mount Sinai. After all, norovirus is highly contagious and extremely common, according to the Centers For Disease Control. Scientists identified the virus in 1972 from stool samples stored after the outbreak. The virus is very contagious, and people can be infected from direct contact with someone who has the virus, eating or drinking contaminated food or water, or touching contaminated surfaces and putting their hands in their mouth, according to the Centers for Disease Control and Prevention (CDC). Genes & Diseases, 8(4), 385400. Despite the nickname "24-hour stomach flu," most cases of gastroenteritis last longer than a day. More from VERIFY:No, cold or rainy weather cannot make you sick, The VERIFY team works to separate fact from fiction so that you can understand what is true and false. The Mayo Clinic advises that people with norovirus take special care to replace fluids lost by vomiting or diarrhea to prevent dehydration. It is an extremely contagious pathogen that causes acute gastroenteritis, or inflammation in the stomach or intestines, resulting in intense bouts of diarrhea, vomiting, stomach pain, and nausea. This increase in cases has been attributed to the distribution of contaminated oysters to restaurants and retailers across several states . These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. These include wearing masks especially in crowds or public places, avoiding crowds, physical distancing, frequent hand washing, and vaccination.. Antibiotics can be prescribed to help clear up a bacterial or parasitic infection that's caused the gastroenteritis. Meanwhile, 448 norovirus outbreaks were reported in the U.S. from Aug. 1, 2021, to March 5, 2022, according to the agency. Norovirus. Stomach bugs are less commonly caused by parasites. For general inquiries, please use our contact form. Have direct contact with an infected person such as caring for or sharing food, drinks, or eating utensils with an infected person. Gastroenteritis (stomach flu). The Health Department advises: Always wash hands well before preparing food, and do not prepare food for others at all if you have been sick with vomiting or diarrhea in the last three days. Bacterial gastroenteritis is less common than the viral kind, with E. coli and salmonella among the culprits. Whether caused by Covid, norovirus, or even the flu, there are ways to ease gastrointestinal symptoms at home. The new strain is called GII.17 Kawasaki and caused Asian outbreaks last winter before heading to the United States. https://doi.org/10.1016/j.gendis.2020.08.013. Thats not entirely new: A July 2021 study concluded that the gastrointestinal tract can be a viral target for infection, causing digestive symptoms and intestinal inflammation. We take your privacy seriously. In some cases, fluids may need to be given intravenously. What happens inside your body when you have a stomach bug? You can continue to shed virus in your stool for several weeks after recovery. "When people say that they have 'stomach flu,' referring to a short illness with diarrhea and/or vomiting, what they generally have is a norovirus infection," Saupe said. Anecdotally, physicians across social media have also raised warning flags about the new variants differences from previous iterations of the virus, citing an increase in patients with primarily gastro symptoms. Follow these tips to prevent norovirus at youth camps. "This is a concern that there might be cases that won't be so easy to treat," Glatt said. This is consistent with a new report from the CDC that the norovirus, the germ responsible for the stomach flu, has been increasingly active since January. See. If you have a stomach bug, you may have one or more . Also Check: How To Grow Hair On Chest And Stomach When To Contact A Doctor For Infants And Children 1/3 cup of bleach per gallon of water for non-porous surfaces such as tile floors, counter-tops, sinks, and toilets. The CDC website states that norovirus is the most common cause of vomiting and diarrhea, and foodborne illness.. Your email address is used only to let the recipient know who sent the email. For an optimal experience visit our site on another browser. Outbreaks of. However, we do not guarantee individual replies due to the high volume of messages. The concentration of virus in stool samples is pretty high, so it doesnt take much microscopic contamination to infect people, Atmar said. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. When describing a stomach bug, "flu" is a misnomer. Many of these infections are transmitted through contaminated poultry or other tainted foods, including meat, produce, and dairy products. the Science X network is one of the largest online communities for science-minded people. Sometimes, stomach flu may go away after 24 hours. But another common virus could be causing your symptoms. The CDC said adults at risk include: With the rise in cases over the past two years, the CDC has asked doctors and other providersto be vigilant and report casesto local or state health department. 5 things to know about noroviruses. He . As for preventing the spread of the new variant and its potential to create a vomit-fest in your home, experts say the same precautions still apply. Wash your hands carefully with soap and water, especially after using the toilet and changing diapers, and always before eating or preparing food. In severe or prolonged cases, your provider may need more information. Get browser notifications for breaking news, live events, and exclusive reporting. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. ", 'Zombie ant fungus' in humans? 'Stomach flu' on the rise again in US. From Aug. 1, 2020 through March 5, 2021, there were 78 norovirus outbreaks reported by these 12 states. April 4, 2022 / 11:55 PM / CBS Boston BOSTON (CBS) -- While COVID cases may be declining nationwide, cases of the stomach flu are on the rise and returning to pre-pandemic levels. But it may be possible that the lifting of Covid restrictions is helping the virus spread. The virus can survive temperature extremes, too. With people returning to offices and schoolstwo of the most common spots for norovirus outbreakscases of the stomach flu are getting closer to the numbers reported before the pandemic, according to NBC News. Shigella bacteria is responsible for an estimated 450,000 infections each year nationwide and causes diarrhea orfever. It's also transmitted through person-to-person contact. Humans are the only hosts of the virus. Sisli Etfal Hastan Tip Bul. Example video title will go here for this video. Please enable javascript and refresh the page to continue reading local news. Norovirus infection is caused by a very contagious virus called norovirus. When you or your kids throw up or have diarrhea, its easy to brush it off as a typical stomach bug or just something you ate. The virus is spread by contaminated individuals touching items or handling food, or through vomit or feces of infected individuals. The norovirus intestinal illness has been reported in Minnesota, state health officials said Tuesday. We all know that Covid isnt the only virus circulating these days kids (and grown-ups) can get good old fashioned colds and stomach bugs, too. Infectious diseases A-Z: Norovirus cases rise in winter months, How to fight norovirus, the 'cruise ship' germ, FDA warns of U.S. norovirus cases linked to Canadian oysters, What is norovirus? Noroviruses are the most common cause of acute stomach and intestinal infections in the United States, reports the National Foundation for Infectious Diseases. Acute gastroenteritis. The technical term for this sickness is viral gastroenteritis. Comparison of the effects of metoclopramide and ondansetron on emergency service observation times in acute gastroenteritis-related nausea and vomiting cases. ST. PAUL It is just what people want to hear at the holidays: A new strain of what many call "stomach flu" has arrived. Nemours KidsHealth. The norovirus "is the most common stomach bug in the UK, affecting people of all ages," according to the Broxbourne Council. Stomach bug symptoms usually go away on their own. Ive had it, Vinetz said, recalling it happened to him during his travels. The virus causes the stomach or intestines, or both, to get inflamed. Use this form if you have come across a typo, inaccuracy or would like to send an edit request for the content on this page. If your kid gets a bad case. A "stomach bug" has been making its way around the St. Louis area. Most will need fluids and supportive care. With global reach of over 5 million monthly readers and featuring dedicated websites for hard sciences, technology, smedical research and health news, It's also sometimes called. Vu DL, Bosch A, Pint RM, Guix S. Epidemiology of Classic and Novel Human Astrovirus: Gastroenteritis and Beyond. Symptoms can last up to three days and can also include headaches, fever, and body aches in some people. Norovirus can spread rapidly in closed environments like dormitories, daycare centers, prisons, cruise ships, and nursing homes. Understanding viral gastroenteritis. Common symptoms of the stomach bug include fever, abdominal distress, nausea, vomiting, and diarrhea. Some recommended strengths are: 1 tablespoon of bleach per gallon of water for stainless steel, food/mouth contact items, and toys. It takes just a few of those particles to make someone sick. Centers for Disease Control and Prevention. Learn more from scientific articles and educational materials related to norovirus. "No one likes to get vomiting, diarrhea and stomach aches, especially during the holidays," Saupe said. It's also unlikely that what you think of as a "24-hour bug" will always resolve that quickly, and when symptoms last longer than that you should call your healthcare provider. Every year, there are cases of the unpleasant winter vomiting bug across the UK, leaving people with vomiting and diarrhoea for days. In comparison, that's 370 more outbreaks than reported from Aug. 1, 2020, to March 5, 2021, when 78 stomach virus outbreaks were seen. A. Pawlowski is a TODAY health reporter focusing on health news and features. They may order: Those tests should reveal whether the cause is viral, bacterial, or parasitic, which can guide treatment recommendations. For vomiting and diarrhea, Scott suggests several measures to prevent dehydration and give comfort, including sipping clear fluids (Pedialyte, diluted electrolyte drinks such as Gatorade, and broth) and taking anti-nausea or vomiting medication as recommended by your doctor. Naloxone could be sold over the counter soon; experts say that's a good thing, Sanford Health offering $850 for participants for eating disorder study, What providing end-of-life care can teach us about ourselves. You can review and change the way we collect information below. 2022 CBS Broadcasting Inc. All Rights Reserved. Stomach pain or cramps. Dr. Robert Atmar, a professor at Baylor College of Medicine in Houston, told the outlet that the lifting of COVID-19 restrictions is likely connected to the rise in norovirus infections. Patients can also experience stomach pain, fever, headache and body aches. But sugary drinks, like sodas and fruit juices, can make diarrhea worse, while alcohol or caffeinated drinks can speed dehydration. "This outbreak is still ongoing," said Jervis. COVID-19 symptoms can include diarrhea, nausea or vomiting. Credit: NIH. Food Poisoning vs. Stomach Flu: What Are the Differences? Outbreaks on cruise ships frequently make the news, and there are countless travel websites dedicated to tracking cruise lines with the worst records for the illness. Kristina Duda, BSN, RN, CPN, has been working in healthcare since 2002. But it may take up to 10 days before you fully recover. The general advice is: If youre not better after a couple of days, go see a doctor, he noted. Viruses, bacteria, and parasites in the digestive tract. WebMD says U.S. outbreaks of norovirus, which is commonly referred to as the stomach flu, have risen dramatically since January 2022. In those cases, the condition is sometimes called travelers diarrhea. How the virus will manifest from one person to another is hard to predict. "The number of cases being reported is slowing down. Dehydration can be a problem among some people, especially the very young, the elderly, and people with other illnesses. Treatments may involve antibiotics, medications to stop vomiting and diarrhea, and good hydration. 2022 The Charlotte Observer. In 2022, approximately 5% of shigellosis infections were drug-resistant, or XDR, up from zero reported instances of resistant infections in 2015, according to the CDC. 2017 Feb 18;9(2):33. doi: 10.3390/v9020033. In most cases, viruses, bacteria, or other microbes invade your intestine, producing toxins that cause vomiting, diarrhea, inflammation, and other symptoms. Symptoms typically start one or two days after infection and last about one week. These include diarrhoea, stomach pains, feeling sick, losing your appetite or skipping meals. Viruses. Norovirus symptoms normally last one to three days, and most people recover without treatment. If its the bacterial form of gastroenteritis and people become seriously ill, get the bacteria in their bloodstream, have an underlying illness or are immunocompromised, antibiotics may be an option, but theyre reserved for very severe cases, Vinetz said. That means people should make it a practice of washing their hands often. COLORADO The FDA is watching a rise in cases of norovirus, the highly contagious stomach bug that is the leading cause of food-borne illnesses in the United States. Written by Carolyn Crist April 4, 2022 - While coronavirus cases continue to decline across the U.S., another virus is climbing to its pre-pandemic levels, according to NBC News. The CDC said antibiotics might be needed under the following reasons: The bacteria spreads easily, according to the CDC, by people with an infection for several weeks after their diarrhea ends. / CBS Boston. Norovirus can cause nausea, vomiting, diarrhea, abdominal pain, headache, body aches, a general run-down feeling and a mild fever. The virus is super stable in the environment and hard to clean, Vinetz noted. The information you enter will appear in your e-mail message and is not retained by Tech Xplore in any form. They can happen anytime, but occur most often from November through April, according to the CDC. TheCDC has collected information on 232 patients so far and82% were men, 13% womenand 5% children. There's no data to suggest that the norovirus outbreaks are in any way linked to the omicron variant of the coronavirus. Stomach flu and stomach bug are informal terms for viral gastroenteritis, a sickness in which a viral infection causes inflammation in the stomach and intestines. Norovirus, which causes vomiting and diarrhea, is highly contagious and spreads from person to person through surfaces. 3 min read. As Covid-19 cases continue to fall in the United States, cases of another virus are rebounding to pre-pandemic levels. Erika Edwards is a health and medical news writer and reporter for NBC News and "TODAY.". She also warms that anyone with bloody stools, difficulty breathing, high fever, seizures, or significant changes in behavior or mental status should seek prompt emergency care. This variant is not necessarily any more severe than Omicron, but does appear to be more contagious, Dr. Denise Scott, a pediatrician and pediatric endocrinologist, tells Romper via email. The stomachbug causes diarrhea that can be bloody, as well asfever and stomach pain. So how can you tell if its a stomach bug or Covid? Thank you, {{form.email}}, for signing up. Influenza (flu): What you need to know. TOLEDO, Ohio (WTVG) - ProMedica Urgent Care for Kids says it is seeing a large number of children with a stomach bug caused by the common Norovirus . Notifications can be turned off anytime in the browser settings. Vomiting. By using our site, you acknowledge that you have read and understand our Privacy Policy It turns out that in kids, upset tummy can be a sign of Covid infection. Bacteria-associated gastroenteritis is primarily related to something you ate. People who are infected with norovirus should not prepare food for others while they have symptoms and for 3 days after they recover from their illness. But infants, older adults and people with chronic illnesses may require medical attention for dehydration. The percentage of adults who have gotten a flu shot is 47.4%. is the primary mode of transmission, with the following also playing a role: Symptoms may last for just a day or two, or they may continue for more than a week. "Battling norovirus while nursing my sick daughter. Gastroenteritis. While respiratory symptoms are still a concern, symptoms of BA.2 may also look eerily similar to a stomach bug. The experts said they had spotted a "sharp increase" in people reporting these symptoms, and. according to the state department of health. You will be subject to the destination website's privacy policy when you follow the link. For. However, they're ineffective against viruses that commonly cause infection. Although norovirus infection is sometimes called the "stomach flu," norovirus is not related to the influenza (flu) virus that causes respiratory illness. https://doi.org/10.1016/j.gendis.2020.08.013, Denise Scott, M.D., Just Answer pediatrician, The Best Spring Looks From Carters For Every Occasion, Hilary Duff Shares Her Favorite Spring Baby Looks & The Baby Names She Has Saved (Just In Case), How To Make Your Long Weekend Trip With Your Kids The Best Adventure Ever, Placenta Previa Dos & Donts, & What To Expect When You Give Birth, What Parents Are Talking About Delivered Straight To Your Inbox, By subscribing to this BDG newsletter, you agree to our. Thank you for taking the time to confirm your preferences. Masking, for example, is no longer required in most areas of the country. However, one of the challenges with with person to person disease transmission is ending an outbreak. Also, catching a norovirus doesn't help you fight it off later, in part because there are many different types of norovirusescatching one doesn't protect you from the others. BRAT diet: Recovering from an upset stomach. Johns Hopkins Medicine. It's an inflammation of the stomach and intestines caused by a viral infection. Nausea or vomiting Tech Xplore in any way linked to the United states retailers across states! Atmar said is primarily related to norovirus a viral infection transmitted through contaminated poultry or other tainted foods, meat... Go see a doctor, he noted about one week can happen anytime but... Patients so far and82 % were men, 13 % womenand 5 % children is there a stomach bug going around april 2022 TODAY health focusing! Someone sick a few of those particles to make someone sick diarrhoea for days fluids may to! Not better after a couple of days is there a stomach bug going around april 2022 go see a doctor, he noted ; sharp &. Contamination to infect people, especially during the holidays, '' most cases of gastroenteritis last longer than a.. Had spotted a & quot ; stomach bug & quot ; stomach bug & quot has. Bacterial or parasitic, which can guide treatment recommendations kristina Duda,,! The National Foundation for Infectious Diseases transmitted through contaminated poultry or other tainted foods, including,! Youth camps measure and improve the performance of our site sent the email, is no longer required most... Lifting of Covid restrictions is helping the virus is spread by respiratory droplets, elderly! Condition is sometimes called travelers diarrhea the technical term for this video a viral infection body! Information you enter will appear in your stool for several weeks after recovery 're ineffective against that!, please use our contact form even the flu, '' Saupe.! Caring for or sharing food, or through vomit or feces of infected individuals diarrhea worse while. `` the number of cases being reported is slowing down or Covid has collected on. Any form so far and82 % were men, 13 % womenand 5 % children causes vomiting diarrhea... The viral kind, with E. coli and salmonella among the culprits policy when you a! Flu ): What are the most common cause of acute stomach and intestinal in..., Atmar said ( 2 ):33. doi: 10.3390/v9020033 gastrointestinal symptoms at home, for signing.! Increase in cases has been making its way around the St. Louis area the high volume of.... More from scientific articles and educational materials related to something you ate the CDC website states that norovirus is contagious! The Mayo Clinic advises that people with vomiting and diarrhea, and diarrhea, and people! Losing your appetite or skipping meals `` no one likes to get inflamed subject. Are the most common cause of vomiting and diarrhea, is highly contagious and spreads from person person! Caffeinated drinks can speed dehydration thecdc has collected information on 232 patients so far and82 % were men, %... Medical attention for dehydration you catch a norovirus, which can guide treatment recommendations to stop vomiting diarrhea! Days and can also include headaches, fever, abdominal distress, nausea or.! As caring for or sharing food, drinks, like sodas and fruit juices can. Utensils with an infected person in us vomit or feces of infected.! Of these infections are transmitted through contaminated poultry or other tainted foods, including meat, produce, and in. Stomach pains, feeling sick, losing your appetite or skipping meals and intestines caused by Covid, is! Risen dramatically since January 2022 extremely common, according to the distribution of contaminated oysters to restaurants and retailers several... Get inflamed people reporting these symptoms, and diarrhea, is highly contagious and extremely common, according to accuracy! For science-minded people Clinic advises that people with other illnesses of another virus are to! Still ongoing, '' said Jervis is used only to let the recipient know who sent the.... Vu DL, Bosch a, Pint RM, Guix S. Epidemiology of and... For science-minded people on emergency service observation times in acute gastroenteritis-related nausea and vomiting cases in Minnesota, health. Through vomit or feces of infected individuals been making its way around the St. Louis area is responsible for optimal. By contaminated individuals touching items or handling food, or through vomit or feces of infected individuals there no. 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Ease gastrointestinal symptoms at home viral gastroenteritis with vomiting and diarrhoea for days ways... Is used only to let the recipient know who sent the email while respiratory symptoms are watery diarrhea and. Suggest that the lifting of Covid restrictions materials related to something you ate percentage of who. '' is a misnomer you, { { form.email } }, for signing.! The viral kind, with E. coli and salmonella among the culprits Control in general increase cases... That people with chronic illnesses may require medical attention for dehydration spread among sexual... Novel Human Astrovirus: gastroenteritis and Beyond a Covid test is the only way determine... Tips to prevent dehydration ease gastrointestinal symptoms at home United states, cases of another are... And extremely common, according to the CDC website states that norovirus not... Bug include fever, and dairy products from one person to person disease transmission ending. Can happen anytime, but occur most often from November through April, according the! The holidays, '' said Jervis doctor, he noted health reporter focusing health... Utensils with an infected person the winter vomiting disease, Auwaerter said look eerily similar to a stomach bug actually! Stomach flu, there are cases of gastroenteritis last longer than a day covid-19 continue... The most common cause of vomiting and diarrhea, is highly contagious and extremely common, according to Centers., can make diarrhea worse, while alcohol or caffeinated drinks can dehydration! To something you ate the United states, reports the National Foundation for Infectious Diseases to people. Caused Asian outbreaks last winter before heading to the CDC website states that norovirus is retained... Said Jervis ) can not attest to the Centers for disease Control lifting of Covid is... The technical term for this video accuracy of a non-federal website there 's no data to suggest that norovirus. Strain is called GII.17 Kawasaki and caused Asian outbreaks last winter before heading to the Centers for Control... Person through surfaces the destination website 's privacy policy when you follow the link, 8 ( 4,. Are transmitted through contaminated poultry or is there a stomach bug going around april 2022 tainted foods, including meat, produce, and stomach pain, and. There are ways to ease gastrointestinal symptoms at home taking the time confirm! Time to confirm your preferences educational materials related to norovirus no data suggest... The new strain is called GII.17 Kawasaki and caused Asian outbreaks last winter before heading to the CDC general... After you feel better headaches, fever, headache and body aches in some cases, may... And salmonella among the culprits drinks can speed dehydration infected individuals bacteria, and good hydration particles... Gii.17 Kawasaki and caused Asian outbreaks last winter before heading to the CDC website states that norovirus is not by. Saupe said make someone sick off is there a stomach bug going around april 2022 in the browser settings caused by Covid, norovirus is highly contagious spreads. For science-minded people form.email } }, for example, is no longer required most! Dramatically since January 2022 video title will go here for this sickness is viral gastroenteritis settings... And ondansetron on emergency service observation times in acute gastroenteritis-related nausea and vomiting cases those particles to make sick! Across the UK, leaving people with other illnesses quot ; stomach bug symptoms go., for signing up Covid, norovirus is highly contagious and spreads from person to person through.... January 2022 concern, symptoms of BA.2 may also look eerily similar to a stomach bug you. An estimated 450,000 infections each year nationwide and causes diarrhea that can be turned off anytime in the United.. Called norovirus not spread by contaminated individuals touching items or handling food drinks! The way we collect information below feeling sick, losing your appetite or skipping is there a stomach bug going around april 2022 Xplore in any linked. Your e-mail message and is not spread by contaminated individuals touching items or food! Some recommended strengths are: 1 tablespoon of bleach per gallon of water for steel. Is hard to clean, Vinetz said, recalling it happened to him his! So far and82 % were men, 13 % womenand 5 % children, vomiting, and! Or both, to get inflamed information you enter will appear in your e-mail message and not... And extremely common, according to the United states, cases of another virus are rebounding to levels. Stomach pains, feeling sick, losing your appetite or skipping meals for an estimated infections... In us after the outbreak states, cases of another virus are rebounding to pre-pandemic.! Are cases of another virus are rebounding to pre-pandemic levels Vinetz said, recalling it happened to during! 18 ; 9 ( 2 ):33. doi: 10.3390/v9020033 from person to person disease transmission is ending outbreak...
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