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Alarm raised over acute stomach ailment

08 January 2025

 

Washing of hands with soap and water is top CHP advice

The Centre for Health Protection (CHP) of the Department of Health (DH) has raised an alarm over the increasing number of cases of acute gastro enteritis (AGE) caused by norovirus.

AGE symptoms include nausea, vomiting, diarrhoea, abdominal pain, low-grade fever and malaise. The symptoms are usually self-limiting and most people will get better within one to three days.

The increase in cases was shown in the latest surveillance data, including the number of AGE outbreaks as well as data from Accident and Emergency Departments (A&Es) and sentinel residential care homes for the elderly (RCHEs).

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"There has been a significant increase in the number of patients attending A&Es with AGE symptoms and residents in sentinel RCHEs with vomiting,” CHP said in a statement.

“The number of AGE outbreaks increased sharply from seven recorded in the week ending December 28 last year to 19 in the week ending January 4, with some patient samples tested positive for norovirus in laboratory testing," CHP said.

"In the past two weeks most outbreaks were recorded at RCHEs. The causes include improper handling of vomitus and improper use of bleach for cleaning and disinfection. Besides, some residents of the RCHEs became infected in the community after their vacations, further spreading the infection in the RCHEs," it added.

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The CHP expects the norovirus activity to remain high during winter, with the risk rising because of the resumption of classes after the holidays.

The spokesman stressed that norovirus is highly infectious and susceptible individuals can be infected by exposure to even a small amount of norovirus. The virus can be transmitted through various channels such as eating contaminated food, contact with vomit or fecal matter from infected persons, and contact with contaminated objects.

“Vomiting in a confined space with poor ventilation poses a potential risk for an outbreak. Therefore, it is of utmost importance to properly and promptly clean up vomitus, and thoroughly disinfect the environment,” CHP said.

It also encouraged the washing of hands with soap and water, instead of using alcohol-based handrub, as alcohol does not effectively kill some viruses frequently causing AGE, such as norovirus.

CHP urged the public to observe the following measures against gastroenteritis:

Ensure proper personal hygiene;

Wash hands thoroughly before handling food and eating, after using the toilet or after changing diapers;

Wear gloves and wash hands after handling vomitus or faecal matter;

Clean and disinfect contaminated areas or items promptly and thoroughly with 1:49 diluted household bleach (by adding one part of bleach containing 5.25 per cent sodium hypochlorite to 49 parts of water). Wash hands thoroughly afterwards;

Stay home from work or school, and seek medical advice if suffering from vomiting or diarrhea;

Maintain good indoor ventilation;

Pay attention to food hygiene;

Use separate utensils to handle raw and cooked food;

Avoid food that is not thoroughly cooked;

Drink boiled water; and

Do not patronize unlicensed food premises or food stalls.

Members of the public may visit the CHP's webpage (https://www.chp.gov.hk/en/healthtopics/content/24/33.html) for more information and preventive advice on norovirus infection.

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