Table 1.
Food- and waterborne diseases.
Disease (other names) | Virus and source | Characteristics of virus | Target population | Incubation period | Symptoms | Duration of illness | Mortality |
---|---|---|---|---|---|---|---|
Hepatitis A (hepatitis, infectious hepatitis, viral hepatitis) | Hepatitis A virus, classed as enterovirus 72, present in stools of infected persons | Featureless, 27–32 nm, icosahedral in shape, single-stranded RNA, only one serotype known | All age groups are susceptible if not immune due to previous exposure, young adults have the highest rates | 10–50 (28) days | Vary from inapparent to severe with jaundice, symptoms prior to jaundice — nausea, vomiting, fever, dark urine, abdominal pain, malaise, anorexia | 1–2 weeks if mild, months if severe, virus shed in feces up to 14 days prior to symptoms and at lower levels for 7–10 days after | Low, about 0.1% of those infected, 0.5% of those with jaundice |
Non-A non-B hepatitis (hepatitis, infectious hepatitis, viral hepatitis) | Non-A, non-B hepatitis virus, unclassified at present, present in stools of infected persons | About 27 nm in diameter | All age groups are susceptible if not immune due to previous exposure | 14–120 (40) days | As above | As above | Probably less than 0.5% of those infected |
Norwalk and Norwalk-like gastroenteritis (non-bacterial gastroenteritis, viral gastroen-teritis, winter vomiting disease) | Norwalk virus and Norwalk-like viruses (Snow Mountain, Hawaii, Montgomery County, Amulree, Taunton, Otofuke, Sapporo), present in stools of infected persons | Small, round, structured, 27–32 nm, of undetermined nucleic acid, several serotypes exist | All age groups, highest incidence in adolescents and adults | 12–48 (36) hours | Vomiting, diarrhea, malaise, fever, nausea, abdominal cramps | Usually 1–3 days, virus excreted while symptomatic and longer in some cases | Usually low can be fatal in the infant, elderly, or debilitated patient |