FIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING CONTAGIOUS!!!!!!!!!!!!!!!!!!!!!!!!!!!

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FIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING CONTAGIOUS!!!!!!!!!!!!!!!!!!!!!!!!!!! It s contagious!! HANDWASHING TO ATTACK NOROVIRUS!! HELP FIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING CONTAGIOUS!!!!!!!!!!!!!!!!!!!!!!! Norovirus outbreaks are happening in our local communities. Noroviruses refer to a group of viruses that causes inflammation of the stomach and intestines, called gastroenteritis (or, more commonly, the stomach flu ). In the US, noroviruses are the second leading cause of illness (the common cold is the first). Outbreaks have occurred in settings such as cruise ships, restaurants, nursing homes, hospitals, schools, daycare facilities, and other locations where the virus can spread quickly to a large group of people. Causes: The highly contagious noroviruses are spread by fecal-oral contamination of water and food. Infection can occur as a result of contaminated: Municipal water supplies, swimming pools, wells, among other sources Raw (or improperly steamed) shellfish, especially clams and oysters

Food and drinks (due to infected food handlers who either do not wash their hands or wash their hands improperly after using the bathroom) Surfaces (eg, touching a door knob and then placing hands in mouth) Norovirus can also spread by direct contact with an ill person, such as in schools, a daycare center or nursing home. Risk Factors A risk factor is something that increases your chance of getting a disease or condition. The following factors increase your chance of developing noroviruses. If you have any of these risk factors, tell your doctor: Age: more common in adults and children than the very young Being exposed to a contaminated water supply (eg, recreational lake) Consuming contaminated foods or liquids Touching contaminated surfaces Taking care of someone who is infected with the virus (eg, in a nursing home or daycare center) o Note: A person is contagious from the start of symptoms to at least three days after recovery (and sometimes up to three weeks). Even if you have been infected with norovirus in the past, you can become ill again if it is a different strain or if it is over 24 months since your last exposure. Symptoms If you experience any of these symptoms do not assume it is due to norovirus. These symptoms may be caused by other, less serious

health conditions. If you experience any one of them, see your physician. Nausea Vomiting o An infected person may vomit often (sometimes violently and without warning) during one day. Diarrhea Abdominal pain Headache Low-grade fever Chills Muscle aches Tiredness Dehydration o This may require medical attention, especially in children, the elderly, and those with compromised immune systems. You can prevent dehydration by drinking a lot of fluids, including water and juice. After exposure to the virus, symptoms typically appear within 24-48 hours, but you can begin feeling ill as early as 12 hours. Symptoms usually last 24-60 hours. Diagnosis Your doctor will ask about your symptoms and medical history, and perform a physical exam. Diagnosis can be made based on a stool specimen; typically, though, your doctor can determine this illness without ordering any laboratory tests. Treatment

Currently, there are no treatments for gastroenteritis caused by noroviruses. Because gastroenteritis is caused by a virus, antibiotics cannot cure it, and there are no antiviral medications or vaccines. Typically, though, the illness is brief. The only complication would be dehydration due to vomiting and diarrhea. In certain groups of people (eg, the young and the elderly), this may require hospitalization to replenish fluids. Prevention Noroviruses can survive freezing temperatures, as well as temperatures up to 140 F. The virus can also live in water with up to 10 parts per million of chlorine, which is much higher than what public water supplies have. There are ways, though, to limit exposure. To help reduce your chance of getting noroviruses take the following steps: Wash hands thoroughly after using the bathroom (or changing diapers) and before handling food or eating. If you are caring for someone who is infected, make sure the person (especially a child) thoroughly washes his or her hands. Wash fruits and vegetables; steam oysters and clams. Do not prepare food if you have symptoms, and wait three days after you have recovered before handling food again. Throw away contaminated food. If you are ill or caring for someone who is ill, immediately clean and disinfect contaminated surfaces using bleach cleaner. Remove and wash (using hot water and soap) soiled linens. If you are sick, do not attend work. Staying home will prevent you from passing the virus to others. If you work in a healthcare facility, isolate sick individuals to reduce the virus from spreading.

Treatment: Currently, there are no treatments for gastroenteritis caused by noroviruses. Because gastroenteritis is caused by a virus, antibiotics cannot cure it, and there are no antiviral medications or vaccines. Typically, though, the illness is brief. The only complication would be dehydration due to vomiting and diarrhea. In certain groups of people (eg, the young and the elderly), this may require hospitalization to replenish fluids. To help reduce your chance of getting noroviruses take the following steps: Wash hands frequently with soap and water (alcohol cleaners don t destroy the virus). Keep your hands away from your face. If you are caring for someone who is infected, make sure the person (especially a child) thoroughly washes his or her hands. Do not prepare food if you have symptoms, and wait three days after you have recovered before handling food again.(yea!!) If you are sick, do not attend work or school!!!! Staying home will prevent you from passing the virus to others.