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Critical Review on the Public Health Impact of Norovirus Contamination in Shellfish and the Environment: A UK Perspective
Journal article   Open access   Peer reviewed

Critical Review on the Public Health Impact of Norovirus Contamination in Shellfish and the Environment: A UK Perspective

Francis Hassard, Jasmine H. Sharp, Helen Taft, Lewis LeVay, John P. Harris, James E. McDonald, Karen Tuson, James Wilson, David L. Jones and Shelagh K. Malham
Food and environmental virology, Vol.9(2), pp.123-141
2017
PMCID: PMC5429388
PMID: 28176295
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Published1.17 MBDownloadView
CC BY V4.0 Open Access

Abstract

Environmental Sciences Environmental Sciences & Ecology Food Science & Technology Life Sciences & Biomedicine Microbiology Science & Technology Virology
We review the risk of norovirus (NoV) infection to the human population from consumption of contaminated shellfish. From a UK perspective, risk is apportioned for different vectors of NoV infection within the population. NoV spreads mainly by person-to-person contact or via unsanitary food handling. NoV also enters the coastal zone via wastewater discharges resulting in contamination of shellfish waters. Typically, NoV persists in the marine environment for several days, with its presence strongly linked to human population density, wastewater discharge rate, and efficacy of wastewater treatment. Shellfish bioaccumulate NoV and current post-harvest depuration is inefficient in its removal. While NoV can be inactivated by cooking (e.g. mussels), consumption of contaminated raw shellfish (e.g. oysters) represents a risk to human health. Consumption of contaminated food accounts for 3-11% of NoV cases in the UK (similar to 74,000 cases/year), of which 16% are attributable to oyster consumption (11,800 cases/year). However, environmental and human factors influencing NoV infectivity remain poorly understood. Lack of standard methods for accurate quantification of infective and non-infective (damaged) NoV particles represent a major barrier, hampering identification of an appropriate lower NoV contamination limit for shellfish. Future management strategies may include shellfish quality assessment (at point of harvest or at point of supply) or harvesting controls. However, poor understanding of NoV inactivation in shellfish and the environment currently limits accurate apportionment and risk assessment for NoV and hence the identification of appropriate shellfish or environmental quality standards.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.246 Diarrheal Diseases
1.246.710 Enteric Viruses
Web Of Science research areas
Environmental Sciences
Food Science & Technology
Microbiology
Virology
ESI research areas
Microbiology
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