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. 2018 May 25;6(2):58–66. doi: 10.14252/foodsafetyfscj.2017028

Table 2. Contamination factors of foodborne norovirus outbreaks reported to the National Outbreak Reporting System and CaliciNet, United States, August 2009–July 2015.

GII.4 outbreaks non-GII.4 outbreaks P-value
n = 258 n = 235
Outbreak contributing factor known, n (%)1 129 (50%) 111 (47%)
Contaminated raw product, n (%) 10 (8%) 8 (7%) 1.0
Cross-contamination, n (%) 6 (5%) 6 (5%) 1.0
Food worker implicated, n (%)2 94 (73%) 88 (79%) 0.3
Bare hand contact, n (%) 54 (57%) 45 (51%) 0.5
Gloved hand contact, n (%) 23 (24%) 29 (33%) 0.3
Other hand contact, n (%) 30 (32%) 24 (27%) 0.5
Level of preparation, n (%)3 82 (81%) 58 (81%)
Eaten raw, n (%) 61 (60%) 47 (65%) 0.5
Heat processed, n (%) 32 (32%) 15 (21%) 0.1
Point of contamination, n (%)4 135 (49%) 140 (51%)
Before preparation, n (%) 3 (2%) 8 (6%) 0.2
Preparation, n (%) 132 (98%) 132 (94%) 0.2

1At least one contributing factor (not C-N/A, P-N/A, or S-N/A listed) is selected. Multiple contributing factors may be selected for each outbreak; therefore, the sum of contributing factors may be larger than the number of outbreaks with a known contributing factor.

2Among the outbreaks with at least one known contributing factor (not C-N/A, P-N/A, or S-N/A listed) is selected (n = 244).

3Among the outbreaks with at least one implicated food item listed (n = 173). Multiple levels of preparation may be selected for each outbreak; therefore, the sum of level of preparation methods may be larger than the number of outbreaks with a known level of preparation

4Among the outbreaks where point of contamination listed as either before preparation or preparation (n = 275).

Statistical comparisons made between GII.4 and non-GII.4 outbreaks. Chi-square test was used to compare the outbreak contributing factors, level of preparation, and point of contamination.