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Improved testing methods help in fight against novovirus stomach bug

Stephen Gadd
May 1st, 2017


This article is more than 7 years old.

Roskilde sickness, which causes diarrhoea and vomiting, is one of the most common stomach bugs

It might look pretty, but it will certainly make you feel ill (photo: Charles D Humphrey, USCDCP)

We’ve all had it – a short-lived and nasty attack of diarrhoea and vomiting, which you often get in the winter, but which you can catch any time of year.

But now the number of novovirus infections could be reduced thanks to research by the Statens Serum Institut (SSI), the national disease control laboratory, into how it is spread.

Extremely infectious
Novovirus (often called ‘Roskilde sickness’ in Denmark) is extremely infectious and can be spread to an awful lot of people very quickly. As well as being transferred from person to person, it is also the cause of around 50 percent of all identified cases of food-borne illnesses in Denmark, the SSI reports.

READ ALSO: Rough flu season hitting Denmark

In order to control the disease, it is vital that quick action is taken by isolating and/or removing suspected contaminated foodstuffs.

One important tool for investigating where the infection comes from is by comparing two internationally-defined genetic areas of the novovirus genome from several infected persons. These areas comprise less than 10 percent of the total size of the genome.

Previous research from SSI has shown that by including larger and more variable areas of the genome, you can drastically improve the chance of identifying possible routes of infection.

Several sorts at a time
It is possible to be infected by several types of novovirus simultaneously. This is often seen in, for example, patients who have contracted the virus from contaminated oysters and salad.

A new combination of molecular biological methods has been developed by SSI for DNA sequencing called ‘Next Generation Sequencing’. This has made it possible to compare up to 100 percent of the novovirus gene. The method has resulted in previously-unknown novovirus variants being identified and has drastically improved the chances of proving simultaneous infections by different types of novovirus in samples taken from infected people.

“Using the new methods, we can track novovirus infections better and more precisely, and also take a broader range of samples from patients with different and hitherto unknown variants of the novovirus genome,” explained Jannik Fonager, a molecular biologist at SSI.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”