Norovirus Warning: The Hidden Dangers of Public Restrooms

Norovirus is a common gastrointestinal illness virus, and its transmission routes include fecal-oral transmission, food transmission, and water transmission. Recent reports of a woman contracting norovirus after using a public restroom have sparked widespread discussion. According to medical experts, public restrooms can harbor a range of pathogens, including norovirus, in their toilet water. If an individual touches these pathogens and then fails to practice proper hand hygiene before eating, they can easily become infected through fecal-oral transmission.

Background Image

21 February 2025

The virus can spread through various routes, including consuming contaminated food or water, touching contaminated surfaces and then touching one's mouth, touching contaminated objects and then touching one's mouth or nose, and airborne transmission when an infected person vomits. Contaminated water can also spread the virus. It is essential to note that norovirus can survive on surfaces for up to 7 days and can withstand low temperatures, making it highly contagious and challenging to control.

To prevent norovirus infection, it is crucial to practice good hygiene, including washing hands frequently with soap and running water, especially after using the restroom or before handling food. Ensuring that food is cooked thoroughly and avoiding contaminated water can help prevent the spread of the virus. Despite the possibility of norovirus transmission through aerosols, the risk of infection in public restrooms is relatively low. Experts explain that the primary mode of norovirus transmission is the fecal-oral route, and infections in public restrooms typically occur due to insufficient flushing or the formation of virus-laden aerosols during the flushing process.

风云梦远
Fri Feb 21 14:45:25 +0800 2025
#女子上公厕染上诺如病毒#诺如病毒最早发现于1968年美国诺瓦克镇的爆发性肠胃炎患者,并在2002年正式确立为人类杯状病毒科-诺如病毒属的病毒。它为无包膜单股正链mRNA病毒,直径约27-40纳米;它可以根据基因组特征分为十个类型,其中I、II、IV、VIII、IX型可能感染人类,以前两者最为主要。诺如病毒的核心传染方式即粪-口传播。具体而言,包括沾染被感染者粪便、呕吐物或二者产生的气溶胶,摄入被污染的食物和水源等,尤其在海产品和生食蔬果里最容易传播。由于诺如病毒属于单股正链mRNA病毒,相对容易变异,通常2-3年就可能出现一次较大范围流行的新变种,如2021年属于GII.15型;而诺如病毒更有显著季节性特征,以当前所处的深秋到早春最为流行。【这次如果确认是公厕感染,很可能就是未及时冲水/冲水过程中形成的带病毒气溶胶。不过这个途径并非主要过程,实际感染概率很低;及时冲水并做好通风是预防这一情况的关键。】【诺如病毒最典型的临床表现为腹泻和呕吐,此外有部分恶心、头痛、发热和肌肉酸痛,绝大多数属于轻症自限性疾病,病症多持续2-3天后自限康复,病死率极低】。在我国,诺如病毒感染症是合并入丙类传染病中的“其它感染性腹泻病”中(例如图2为2025年1月丙类传染病合计,左栏为确诊病例,右栏为死亡病例)。由于诺如病毒无包膜,医用酒精(或酒精免洗洗手液)是无法杀灭病毒,但标准的肥皂洗手或含氯消毒剂依然有效。对于诺如病毒尚未有特效药和疫苗,因此只有预防为主;总体而言,在高发期防范诺如病毒需要严格洗手,对海鲜等高风险食物保证煮熟,饮用合格水源并避免污染。此外如果出现疑似患者,需要及时治疗隔离。祝早日康复。Post picture

Dr. Zhang Xiang, Deputy Researcher of the Infection Management Department at Jiangsu Province People's Hospital, emphasizes that while there is a risk of norovirus transmission through aerosols in public restrooms, this is not the primary transmission route, and the risk is generally not high. However, Dr. Zhang stresses the importance of thoroughly washing hands after using public restrooms and suggests wearing masks during special periods. Public restroom management personnel should strengthen cleaning, disinfection, and ventilation within the facilities to mitigate the risk of transmission.

Preventing norovirus infections requires a combination of good personal hygiene practices and environmental measures. Practicing strict handwashing, particularly after using the toilet, before eating, and after coming into contact with someone who is sick, is one of the most crucial steps. Using standard soap and water is effective in killing the virus, whereas alcohol-based hand sanitizers are not sufficient due to the virus's lack of a lipid envelope. Ensuring that drinking water sources are safe and consuming cooked and properly handled food can significantly reduce the risk of infection.

Norovirus, a type of single-stranded RNA virus, is relatively prone to mutation, with new variants emerging every 2-3 years that can lead to widespread outbreaks. The typical clinical manifestations of norovirus infection are diarrhea and vomiting, with the majority of cases being mild and self-limiting, lasting only 2-3 days before resolving on their own. The mortality rate is extremely low. Currently, there is no specific treatment or vaccine available for norovirus, making prevention the primary focus. As a result, individuals are advised to practice good hygiene, such as frequent handwashing and proper sanitation, to reduce the risk of transmission. This is particularly important in public places, such as restrooms, where the risk of exposure to norovirus may be higher.

广东广播电视台
Fri Feb 21 14:27:40 +0800 2025
【#上公厕感染诺如当事人回应#:当时短期内只有轻微的干呕症状#医生称上公厕感染诺如概率小#】近日,广东一男子称妻子上完公厕感染诺如引发热议,据@荔枝新闻报道,@江苏省人民医院南医大一附院微博感染管理处副研究员张翔表示,诺如病毒确实存在气溶胶传播的风险,也就是说在公共卫生间如厕确实有被传播的风险,但这绝对不是主要途径,风险一般也不会太高,大家不必过于恐慌。但是要提醒大家如厕完一定要彻底清洗双手,特殊时期去公共厕所可以佩戴口罩,公厕管理人员要加强厕所内清洁与消毒通风。#女子上公厕染上诺如病毒#荔枝新闻的微博视频
173
26

Given that norovirus infections are most prevalent during the late fall to early spring period and can easily spread through contaminated food, water, and surfaces, heightened vigilance during these times is necessary. The absence of a specific treatment or vaccine for norovirus infections underscores the importance of preventive measures. Therefore, the public is advised to be diligent about hygiene practices, especially during periods of high incidence, and to seek medical attention promptly if symptoms suggestive of norovirus infection occur. By adopting these preventive strategies, individuals can significantly reduce their risk of contracting norovirus and contributing to its spread.

Share this article

Related Articles