What is Noroviruses? Norovirus is a virus that is the most common cause of gastroenteritis (stomach bugs). It affects approx 1 million people in the UK each year. It is also known as the winter vomiting virus. How do I get Norovirus? Norovirus is highly contagious. During infection, particles from either vomit or diarrhoea are distributed as an aerosol into the environment, these particles then settle on surfaces such as tables, chairs, toilet surfaces e.g.the seat or the handle. The virus can remain infective on these surfaces for several days. It can be spread by contact with any of these surfaces, by eating contaminated food or water, and by contact with an infected person. Who is at risk of getting Norovirus? Norovirus affects people of all ages. How do I know if I have Norovirus? Symptoms will begin around 12-48hrs after becoming infected and may last for 12 to 60hrs. Some may experience the symptoms longer. Symptoms include nausea, vomitting and diarrhoea. Some people may have a fever, headache or aching limbs. We will take a sample of either faeces or vomit and send it the laboratory where it will be tested for the virus. The test usually takes one to two days. Why does Norovirus often cause outbreaks? Norovirus often causes outbreaks because it is easily spread and able to survive in the environment for several days. Outbreaks are more likely to occur in enclosed areas where people have a lot of contact such as schools, hospitals and nursing homes. Treatment There is no specific treatment for norovirus apart from letting it run its course. Those affected should ensure they drink plenty of water to replace the fluids they have lost through diarrhoea and vomiting, to avoid dehydration. Most people will make a full recovery within 12 to 48hrs however some people such as the very young and the elderly are at more risk of dehydration and may require hospital treatment. How can I prevent others from becoming infected? The best way of preventing the spread of infection is to quarantine yourself until you have been symptom-free for at least 48 hours. If you are a patient the appropriate measures will be taken by ward staff and the infection control team. This may include being isolated in a side room or a bay area with other infected patients, for at least 48 hours. Thorough hand washing with soap and water is paramount. Surfaces such as tables, toilets, lockers etc should be kept hygienically clean. Should I come to hospital if I have diarrhoea or feel unwell? You should not visit friends or relatives or attend hospital clinics until you have been free of diarrhoea for 48 hours. If your symptoms haven’t improved after three days of sickness or if you experience sudden worsening of symptoms or pain, or you suspect that someone you are caring for is severly dehydrated contact NHS 24 for advice in the first instance. In a medical emergency always dial 999. Where can I find out more information? If you have any concerns or questions about infection control or the advice given in this leaflet, please speak to the Senior Charge Nurse on the ward. You can get more information from the healthcare staff looking after you or from the local Infection Control Team. Further information can also be obtained from:- Useful Websites: Health Protection Scotland http://www.hps.scot.nhs.uk NHS Fife Infection Control Team Old College Victoria Hospital Kirkcaldy Fife KY2 5AH 01592 648833 Health Protection Agency http://www.hpa.org.uk Infection.control@faht.scot.nhs.uk National Patient Safety http://www.npsa.nhs.uk If you need any more information, please ask the staff in your ward for help. Hospital staff phone number: If you require this information in another community language or alternative format for example BRAILLE, British Sign Language, easy read or cd please contact Angela Heyes on angelaheyes@nhs.net or telephone 01592 226783. Issued: Revision Produced by NHS Fife Infection Control Services Norovirus Information for hospital patients and visitors