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Message	Maps	for	Foodborne	Outbreaks	and	Product	Recalls	
	
	
	
Noroviruses	
	
	
www.MessageMaps.org	|	Rusty	Cawley,	APR	
	
Sources:	US	Centers	for	Disease	Control	
US	Food	and	Drug	AdministraDon	
US	Department	of	Health	and	Human	Services
Stakeholders:	General	public	or	news	media	
Ques8on	:	What	are	noroviruses?	
Key	message	1	 Key	message	2	 Key	message	3	
Noroviruses	are	the	leading	
US	cause	of	foodborne	
illness.	
People	acquire	the	virus	
orally.	
CDC	esDmates	19-to-21	
million	US	cases	annually.	
SupporDng	informaDon	1-1	 SupporDng	informaDon	2-1	 SupporDng	informaDon	3-1	
They	are	hardy	viruses	that	
spread	in	food	and	water.	
Common	vectors	include	
produce,	shellfish,	salads,	
and	sandwiches.	
These	include	1.9	million	
outpaDent	and	400,000	
emergency	visits.	
SupporDng	informaDon	1-2	 SupporDng	informaDon	2-2	 SupporDng	informaDon	3-2	
They	also	spread	quickly	
from	person	to	person.	
Symptoms	generally	begin	
within	12	to	48	hours	of	
exposure.	
About	71,000	cases	require	
hospitalizaDon.	
SupporDng	informaDon	1-3	 SupporDng	informaDon	2-3	 SupporDng	informaDon	3-3	
You	can	contract	
noroviruses	many	Dmes	in	a	
lifeDme.	
They	usually	end	within	3	
days	in	otherwise	healthy	
people.	
570	to	800	result	in	death,	
usually	among	young	
children	and	the	elderly.
Stakeholders:	General	public	or	news	media	
Ques8on	:	What	disease	do	noroviuses	cause?	
Key	message	1	 Key	message	2	 Key	message	3	
Norovirus	infecDons	are	
oZen	called	“stomach	flu.”	
Most	people	recover	within	
3	days.	
Young	children,	the	elderly,	
and	people	with	weak	
immunity	are	most	at	risk.	
SupporDng	informaDon	1-1	 SupporDng	informaDon	2-1	 SupporDng	informaDon	3-1	
The	best	way	to	detect	a	
norovirus	is	with	a	stool	
sample.	
Symptoms	include	diarrhea,	
vomiDng,	nausea,	and	
stomach	pain.	
The	most	common	
complicaDon	is	
dehydraDon.	
SupporDng	informaDon	1-2	 SupporDng	informaDon	2-2	 SupporDng	informaDon	3-2	
Lab	tesDng	is	essenDal	to	
idenDfy	outbreaks.	
Also,	fever,	headache,	and	
body	aches.	
DehydraDon	is	caused	by	
severe	diarrhea	and	
vomiDng.	
SupporDng	informaDon	1-3	 SupporDng	informaDon	2-3	 SupporDng	informaDon	3-3	
CDC	and	FDA	monitor	
outbreaks	and	track	them.	
See	a	doctor	if	symptoms	
last	more	than	3	days.	
Untreated,	this	can	lead	to	
death.
Stakeholders:	General	public	or	news	media	
Ques8on	:	What	can	people	do	to	avoid	the	pathogen?	
Key	message	1	 Key	message	2	 Key	message	3	
PracDce	proper	hand	
hygiene.	
PracDce	food	safety.	 Clean	and	disinfect	all	
contaminated	surfaces.	
SupporDng	informaDon	1-1	 SupporDng	informaDon	2-1	 SupporDng	informaDon	3-1	
Wash	your	hands	carefully	
with	soap	and	water.	
Wash	fruits	and	vegetables	
carefully	before	preparing	
them.	
Typical	disinfectants	are	
ineffecDve	in	killing	
noroviruses.	
SupporDng	informaDon	1-2	 SupporDng	informaDon	2-2	 SupporDng	informaDon	3-2	
Especially	aZer	using	the	
toilet	or	changing	diapers.	
Cook	all	seafood	to	at	least	
140	degrees	F.	
Use	a	chlorine	beach	
soluDon	with	1000	to	5000	
parts	per	million.	
SupporDng	informaDon	1-3	 SupporDng	informaDon	2-3	 SupporDng	informaDon	3-3	
Always	before	eaDng,	
preparing,	and	handling	
food.	
Avoid	preparing	food	if	you	
are	sick.	
Or	another	disinfectant	
registered	as	effecDve	
against	noroviruses.
Stakeholders:	General	public	or	news	media	
Ques8on	:	What	can	sick	people	to	manage	the	disease	and	its	symptoms?	
Key	message	1	 Key	message	2	 Key	message	3	
Drink	plenty	of	liquids	to	
replace	those	lost	to	
diarrhea	and	vomiDng.	
If	you	suspect	severe	
dehydraDon,	see	a	doctor.	
Remember:	If	you	are	ill,	
you	are	also	highly	
contagious.	
SupporDng	informaDon	1-1	 SupporDng	informaDon	2-1	 SupporDng	informaDon	3-1	
Over-the-counter,	oral-
rehydraDon	products	are	
the	best	choice.	
Severe	dehydraDon	may	
required	hospitalizaDon.	
Wash	your	hands	
frequently	with	soap	and	
water.	
SupporDng	informaDon	1-2	 SupporDng	informaDon	2-2	 SupporDng	informaDon	3-2	
Sports	drinks,	caffeinated	
drinks,	and	alcohol	are	less	
effecDve.	
Treatment	may	require	
intravenous	fluids.	
Wash	all	of	your	laundry	
thoroughly.	
SupporDng	informaDon	1-3	 SupporDng	informaDon	2-3	 SupporDng	informaDon	3-3	
There	is	no	specific	drug	for	
norovirus	illness.	
This	is	especially	true	for	
young	children,	the	elderly,	
and	folks	with	low	
immunity.	
Disinfect	any	surfaces	you	
contaminate	with	vomit	or	
stool.
A	word	of	cauDon	
•  The	message	maps	in	this	document	should	
serve	only	as	examples,	and	not	necessarily	as	
final	products	to	be	deployed	in	the	field.	
	
•  You	should	work	with	your	subject-mader	
experts	to	develop	your	own	set	of	message	
maps	about	this	pathogen,	preferably	in	
advance	of	an	outbreak.
References	
•  Centers	for	Disease	Control	and	PrevenDon,	Norovirus),	hdps://www.cdc.gov/
norovirus/index.html,	Updated	October	25,	2017.	Accessed	online	May	24,	2018.	
	
•  Food	and	Drug	AdministraDon.	Bad	Bug	Book,	Foodborne	Pathogenic	
Microorganisms	and	Natural	Toxins.	Second	EdiDon.	[Noroviruses,	pp.	168-172].	
2012.	
•  "Norovirus	(Norwalk	Virus)."	FoodSafety.gov.	August	24,	2009.	Accessed	May	25,	
2018.	hdps://www.foodsafety.gov/poisoning/causes/bacteriaviruses/norovirus/
index.html.

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Message map: Noroviruses