Norovirus cases in the United States are increasing. Here's how to avoid it

With the winter cold and flu season approaching, Americans should be on the lookout for another ultra-contagious virus: our most common stomach bug.

The United States in December experienced the largest surge of norovirus since at least 2012, according to data from the Centers for Disease Control and Prevention.

During the week of Dec. 5, state health departments recorded 91 separate outbreaks nationwide, according to the CDC. The second highest figure for this week since 2012 was 65 homes.

Through November, there have been 55 laboratory-confirmed cases of norovirus in California, according to the state Department of Public Health. December data is not yet available.

Outbreaks are typically more widespread in January and February, data shows, raising concerns that the surge could continue.

Most cases of norovirus are spread directly from person to person, the CDC said, through actions such as contact with food or cooking utensils. Restaurants, cruise ships, healthcare facilities and schools are common sites of transmission.

Additionally, contaminated food, water, and surfaces can spread the virus.

Last week, the U.S. Food and Drug Administration issued advisories warning companies and consumers not to serve or eat oysters from Washington state, Canada and South Korea, which could be contaminated with norovirus.

Each year, the CDC reports some 2,500 outbreaks nationwide. But real-time monitoring data only covers 14 states: Alabama, Colorado, Massachusetts, Michigan, Minnesota, Nebraska, New Mexico, North Carolina, Ohio, Oregon, South Carolina, Tennessee, Virginia and Wisconsin.

According to the CDC, about half of foodborne illness outbreaks are caused by norovirus.

The most common symptoms of norovirus are vomiting, diarrhea, nausea, and stomach pain. Symptoms usually improve within one to three days, but infected people can still spread the virus for several days after symptoms disappear.

The best ways to prevent the spread of the virus: wash your hands, cook shellfish thoroughly, wash fruits and vegetables, clean and disinfect contaminated surfaces, wash clothes in hot water and stay home for two days afterwards the disappearance of symptoms.

The main treatment for norovirus is hydration to replace fluids lost by the patient. People with severe dehydration should seek medical attention, the CDC advises.

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