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Peer reviewedOpen accessGastroenteritis

Molecular surveillance of norovirus, 2005–16: an epidemiological analysis of data collected from the NoroNet network

The Lancet Infectious Diseases·

Janko van Beek, Miranda de Graaf, Haider Al-Hello, David J Allen, Katia Ambert-Balay, Nadine Botteldoorn, Mia Brytting, Javier Buesa, Maria Cabrerizo, Martin Chan, Fiona Cloak, Ilaria Di Bartolo, Susana Guix, Joanne Hewitt, Nobuhiro Iritani, Miao Jin, Reimar Johne, Ingeborg Lederer, Janet Mans, Vito Martella, Leena Maunula, Georgina McAllister, Sandra Niendorf, Hubert G Niesters, Alexander T Podkolzin, Mateja Poljsak-Prijatelj, Lasse Dam Rasmussen, Gábor Reuter, Gráinne Tuite, Annelies Kroneman, Harry Vennema, Marion P G Koopmans

DOI
10.1016/s1473-3099(18)30059-8
PMID
29396001
PMCID
OpenAlex
W2785242895
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

The findings highlight the need for sustained global norovirus surveillance to monitor immune escape, recombination, and genetic diversity trends that will inform future vaccine policy decisions.

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Structured evidence summary

Research question

The study examined global genetic diversity and epidemiology of noroviruses using surveillance data to inform vaccine development.

Study design

This was an epidemiological analysis of genetic sequences from norovirus specimens collected through the NoroNet surveillance network between 2005 and 2016. Sequences from outbreak investigations and sporadic gastroenteritis cases were genotyped and analyzed for genetic diversity, drift variants, and recombination patterns.

Population and setting

The study analyzed specimens from outbreak investigations and sporadic gastroenteritis cases across Europe, Asia, Oceania, and Africa.

Main findings

A total of 16,635 norovirus sequences were analyzed, with 8.2% belonging to genotype GI and 91.7% to GII. Continuous changes in global norovirus genetic diversity were observed during the surveillance period.

Public-health relevance

The findings highlight the need for sustained global norovirus surveillance to monitor immune escape, recombination, and genetic diversity trends that will inform future vaccine policy decisions.

Important limitations

This summary relies on the supplied single-article abstract and bibliographic metadata. Full assessment of study limitations, methodological constraints, and sampling biases requires access to the complete published paper.

GIDS interpretation

This article is discoverable through classifier links to gastroenteritis, surveillance, outbreak investigation, vaccination, and health policy topics. It represents molecular epidemiology work relevant to understanding pathogen diversity patterns over time.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topicaddresses topicevaluates interventionhas pathogen typeinforms policy domainstudied population settinguses study design