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Global Trends in Norovirus Genotype Distribution among Children with Acute Gastroenteritis
Authors:Jennifer L Cannon  Joseph Bonifacio  Filemon Bucardo  Javier Buesa  Leesa Bruggink  Martin Chi-Wai Chan  Tulio M Fumian  Sidhartha Giri  Mark D Gonzalez  Joanne Hewitt  Jih-Hui Lin  Janet Mans  Christian Muoz  Chao-Yang Pan  Xiao-Li Pang  Corinna Pietsch  Mustafiz Rahman  Naomi Sakon  Rangaraj Selvarangan  Hannah Browne  Leslie Barclay  Jan Vinj
Abstract:Noroviruses are a leading cause of acute gastroenteritis (AGE) among adults and children worldwide. NoroSurv is a global network for norovirus strain surveillance among children <5 years of age with AGE. Participants in 16 countries across 6 continents used standardized protocols for dual typing (genotype and polymerase type) and uploaded 1,325 dual-typed sequences to the NoroSurv web portal during 2016–2020. More than 50% of submitted sequences were GII.4 SydneyP16] or GII.4 SydneyP31] strains. Other common strains included GII.2P16], GII.3P12], GII.6P7], and GI.3P3] viruses. In total, 22 genotypes and 36 dual types, including GII.3 and GII.20 viruses with rarely reported polymerase types, were detected, reflecting high strain diversity. Surveillance data captured in NoroSurv enables the monitoring of trends in norovirus strains associated childhood AGE throughout the world on a near real-time basis.
Keywords:norovirus  children  gastroenteritis  genotypes  vaccines  capsids  polymerase  surveillance  NoroSurv  dual typing  acute gastroenteritis  P-types  viruses  enteric infections  food safety
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