Norovirus
Norovirus is a highly contagious virus that causes vomiting and diarrhea, and is the leading cause of foodborne illness in the United States.
Norovirus is a very contagious virus that causes vomiting and diarrhea.
Most people with norovirus illness get better within 1 to 3 days; but they can still spread the virus for a few days after.
It is often referred to as the "stomach flu," although it's not related to the influenza virus. Norovirus is responsible for a significant portion of gastroenteritis outbreaks worldwide, particularly in places like cruise ships, nursing homes, schools, and restaurants.
How is Norovirus Spread?
Norovirus spreads very easily from person to person and can be transmitted in several ways:
- Direct contact with an infected person, especially through shaking hands or touching surfaces they have contaminated.
- Contaminated food or water: The virus can spread when food or drink is contaminated by an infected person who handles it.
- Surface contamination: Norovirus can survive on surfaces for days or even weeks, so touching contaminated surfaces (like doorknobs or countertops) and then touching your face (eyes, mouth, nose) can spread the virus.
How to Prevent the Spread of Norovirus
Since Norovirus is highly contagious, preventing its spread requires careful hygiene and sanitation:
- Handwashing: Wash hands thoroughly with soap and water, especially after using the toilet, changing diapers, and before preparing or eating food. Alcohol-based hand sanitizers are less effective against norovirus.
- Disinfecting surfaces: Clean and disinfect surfaces that may have been contaminated, especially in places like kitchens and bathrooms. Use a bleach-based cleaner, as norovirus is resistant to many common disinfectants.
- Avoiding contaminated food: Ensure that food, especially raw vegetables, fruits, and shellfish, are properly washed and cooked. Be cautious with food prepared by people who are sick.
- Stay away from others if you're sick: If you have norovirus symptoms, avoid close contact with others, stay home from work or school, and refrain from preparing food for others. People infected with norovirus are contagious from the moment they feel sick until at least 48 hours after recovery.
- Isolation of sick individuals: If possible, isolate the sick person in a separate room and limit their use of shared facilities.
- Proper disposal of contaminated items: Dispose of any clothing, linens, or items that have come into contact with vomit or diarrhea by cleaning them thoroughly in hot water.

Treatment for Norovirus
There is no specific antiviral treatment for norovirus. Treatment mainly focuses on relieving symptoms and preventing dehydration:
- Hydration: The primary treatment is to stay hydrated. This is especially important because vomiting and diarrhea can lead to dehydration. Oral rehydration solutions (ORS) that contain electrolytes are often recommended. In severe cases, intravenous fluids may be required.
- Rest: Get plenty of rest to allow the body to recover.
- Anti-nausea or anti-diarrheal medications: ver the counter medication for nausea and diarrhea may help some adults with symptom relief, but these should be used cautiously and only under a healthcare provider’s guidance.
- Diet: After the vomiting subsides, start with bland, easy-to-digest foods (like crackers, rice, or toast) and gradually return to a normal diet as you feel better.
While the illness is unpleasant, most people recover within 1-3 days without the need for medical treatment beyond supportive care.

Key Points
- Norovirus is highly contagious and spreads through contaminated food, water, surfaces, and direct contact.
- Preventive measures focus on hand hygiene, disinfecting surfaces, and avoiding close contact with infected individuals.
- There is no cure for norovirus; treatment is supportive, mainly focusing on staying hydrated and symptom relief.
