Things rarely happen until they do: 4136 sick from Norovirus in bottled water, Spain, 2016

In April 2016, an outbreak of gastrointestinal illness (4,136 cases) occurred in Catalonia, Spain. We detected high levels of norovirus genotypes I and II in office water coolers associated with the outbreak. Infectious viral tiiter estimates were 33–49 genome copies/L for genotype I and 327–660 genome copies/L for genotype II.

During April 11–25, 2016, a total of 4,136 cases of gastroenteritis were reported by the Public Health Agency of Catalonia (ASPCAT; Figure, panel A). A case-patient was defined as an exposed person who had vomiting or diarrhea (3 or more loose stools within 24 hours) and >2 of the following: nausea, abdominal pain, or fever (≥37.8°C). Six patients required hospitalization.

The epidemiologic investigation conducted by the ASPCAT pointed toward an association of the outbreak with drinking bottled spring water from office water coolers; the water had been bottled at a source in Andorra (M. Jané-Checa and A. Martínez-Mateo, Public Health Agency of Catalonia, pers. comm., 2016 Sep 1). Compared with other modes of transmission such as food or person to person, norovirus outbreaks associated with drinking water are rare in developed countries. On April 15, 2016, as a precautionary measure, the company producing the bottled water recalled >6,150 containers of water of suspected quality that had already been distributed to 925 companies. The water complied with all requirements of the European Commission directive on the exploitation and marketing of natural mineral waters, but these requirements do not include any virologic determination.

Norovirus in bottled water associated with gastroenteritis outbreak, Spain, 2016

Emerging Infectious Diseases, Volume 23, Number 9—September 2017

Albert Blanco, Susana Guix, Noemí Fuster, Cristina Fuentes, Rosa Bartolomé, Thais Cornejo, Rosa Maria Pintó, and Albert Bosch

https://wwwnc.cdc.gov/eid/article/23/9/16-1489_article

 

We just distribute the poop: 3166 sick – probably noro — in Spain linked to bottled water

Gastroenteritis caused by bottled water has affected 3,166 people in Catalonia, according to the regional health department.

05_eden LOGOThe origin of the intoxication is a norovirus that was discovered in bottles distributed throughout Barcelona and Tarragona on April 7, 8, 11, 12 and 13.

The water was drawn from a natural spring called Arinsal, in the principality of Andorra between Spain and France. It was distributed in Catalonia by a company named Eden.

Eden notes that it receives the sealed bottles from Andorra and merely distributes them.

Health authorities are calling all businesses that sold the product in a bid to tally a final number of affected customers. Because the gastroenteritis had mild effects, not all patients went to the doctor, department sources said.

The first tests conducted on patient samples show the presence of a norovirus, a microorganism that is responsible for half of all common gastroenteritis. It is present in animal droppings, which can contaminate the water.

678 sick with gastro linked to bottled water in Spain

The health authority of the northeastern Spanish region of Catalonia says more than 670 people have been affected by an outbreak of gastroenteritis linked to bottled water.

05_eden LOGOThe authority said on its official Twitter account that, as of Saturday, 678 people had been treated for symptoms including nausea, vomiting, abdominal pain, diarrhea and high fever.

Catalonia’s regional health agency said in a statement that bottles of water have been withdrawn from retail outlets and scientific samples are being taken from bottling plants and distributors to determine the source of the outbreak. It did not name the company.

The bottled water company Grupo Eden Springs, however, said in a statement it had withdrawn pallets of bottled water that came from its source in Font d’Arinsal, near Barcelona.