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Nati<strong>on</strong>al Guidelines <strong>on</strong> <strong>the</strong> Management <strong>of</strong> Outbreaks <strong>of</strong> Norovirus Infecti<strong>on</strong> in Healthcare Settings NDSC<br />

TABLE OF CONTENTS<br />

Viral Gastroenteritis Subcommittee Members (ii)<br />

Terms <strong>of</strong> Reference <strong>of</strong> <strong>the</strong> Viral Gastroenteritis Subcommittee (iii)<br />

Foreword (iv)<br />

Executive Summary (v)<br />

1. Introducti<strong>on</strong> 2<br />

2. Epidemiology 3<br />

2.1 Modes <strong>of</strong> Transmissi<strong>on</strong> 3<br />

2.2 Clinical Features 4<br />

3. Outbreaks 5<br />

3.1 Introducti<strong>on</strong> 5<br />

3.2 Steps in Outbreak Investigati<strong>on</strong> 5<br />

3.3 Identificati<strong>on</strong> <strong>of</strong> an Outbreak <strong>of</strong> Norovirus 6<br />

3.4 Outbreak C<strong>on</strong>trol Team 7<br />

3.4.1 Membership <strong>of</strong> <strong>the</strong> Outbreak C<strong>on</strong>trol Team 7<br />

3.4.2 Role <strong>of</strong> <strong>the</strong> Outbreak C<strong>on</strong>trol Team 7<br />

3.5 Resp<strong>on</strong>se to an Outbreak 8<br />

3.5.1. Early Communicati<strong>on</strong> 8<br />

3.5.2. Early C<strong>on</strong>trol Measures 8<br />

4. Specific Preventi<strong>on</strong> and C<strong>on</strong>trol Measures 10<br />

4.1 The point at which Noroviruses may be introduced into Hospital 10<br />

4.2 C<strong>on</strong>tainment at Individual Ward Level 10<br />

5. Communicati<strong>on</strong>s 13<br />

5.1 Wards 13<br />

5.2 Hospital 13<br />

5.3 Regi<strong>on</strong>al 13<br />

5.4 Nati<strong>on</strong>al 13<br />

5.5 Media 13<br />

6. Laboratory Diagnosis 14<br />

References 16<br />

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