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. 2020 Aug;26(8):1731–1739. doi: 10.3201/eid2608.200346

Table 3. Prevalence of crAssphage and human norovirus on environmental surfaces on 5 cruise ships with norovirus outbreaks .

Sampled objects† CrAssphage
Norovirus
No. positive/total no. (%) Concentration* (range) No. positive/total no. (%) Concentration* (range)
Cabins of norovirus-positive patients
Toilet seatsP 11/16 (68.5) 3.3 (1.2–5.6) 9/16 (56.3) 5.5 (3.1–7.4)
Toilet door handlesM 7/16 (43.75) 2.3 (1.0–3.1) 5/16 (31.3) 5.1 (3.7–5.7)
Telephone handlesP 9/16 (56.4) 2.4 (1.7–3.5) 3/16 (18.8) 4.9 (4.9–5.5)
Remote control surfacesP 14/16 (87.5) 2.6 (1.4–4.1) 5/16 (31.3) 3.6 (2.9–5.1)
Cabin door handlesM 6/16 (37.5) 2.0 (0.8–3.4) 6/16 (37.5) 4.4 (3.1–6.0)
Overall
47/80 (58.8)
2.5 (0.8–5.6)

29/80 (36.3)
4.8 (3.1–7.4)
Public area (passenger area)
ATM buttonsP 2/3 (66.6) 2.8 (2.4–3.4) 1/3 (33.3) 1.8
Menu folderL 2/5 (40) 1.9(1.7–2.1) 1/5 (20.0) 4.9
Condiment containersM 2/5 (40) 2.2(2.1–2.3) 0/5 (0)
Buffet utensilsM 1/2 (50) 1.6 0/2 (0)
Ice cream handleP 1/4 (25.0) 2.2 0/3 (0)
Casino chipsP 3/5 (60) 2.7 (2.1–2.8) 0/5 (0)
Medical center clipboardsP 3/5 (60) 2.3 (2.1–2.5) 1/5 (20) 5.1
Gift shop register touch screensP 3/5 (60) 3.0 (2.7–3.0) 0/5 (0)
Youth center toysP 2/4 (50.0) 2.1 (2.1–2.2) 0/4 (0)
Atrium hand railsW 2/5 (40.0) 3.0 (2.1–3.9) 1/5 (20) 4.1
Internet café keyboardsP 3/5 (60) 1.8(1.8–2.5) 0/5 (0)
Wheelchair handle restsP 2/5 (25) 2.9 (2.0–3.8) 0/5 (0)
Hand contact surfaces exposed to public vomiting incidentM 2/4 (50) 3.2 (2.8–3.5) 1/4 (25) 4.3
Toilet seat surfaces in public rest roomP 3/3 (100) 4.7 (2.4–4.7) 0/3 (0) 0
Overall
21/64 (51.5)
2.4 (1.6–3.2)

5/64 (7.8)
3.3 (1.8–5.1)
Public area (crew area)
Time clock machinesP 3/5 (60) 2.2 (2.1–2.5) 0/5 (0)
Edges of trolley for dirty linensP 5/5 (100) 2.3 (1.8–3.2) 0/5 (0)
Elevator buttons in food service areasP 3/5 (60) 2.3 (2.1–3.1) 0/5 (0)
Computer keyboardP 2/5 (40) 2.3 (2.0–2.5) 0/5 (0)
Countertop surfaces in crew smoking roomW 2/5 (40) 2.3(2.1–2.5) 0/5 (0)
Overall 15/25 (60) 2.3 (1.8–3.2) 0/25 (0)

1log10 genomic copies per sampled object.
2Each superscripted character indicates surface material of sampled object as follows: P, plastic; M, metal; W, wood; and L, leather.