Norovirus in the wilderness? How an outbreak spread on the Pacific Crest Trail

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Norovirus in the wilderness? How an outbreak spread on the Pacific Crest Trail
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Having this virus is bad enough at home, where you might spend hours hugging the toilet. Imagine having it out camping. Investigators wanted to find out how backpackers were getting and spreading it.

But it also crops up in the wilderness — like in an outbreak among hikers like Quinn last year which was documented in a recent investigation by the Centers for Disease Control and Prevention.Lodge near Snoqualmie Pass last summer, a volunteer named Robert Henry closed the dorm-style lodge and emailed health authorities.

Hamlet and his team hiked out to the cabin and tested water from the stream. They also swabbed the toilets, the door handles, the tabletops, the poker chips — anything people were touching. While the water samples came back clean,"every single [surface] swab tested positive for fecal contamination," he says.

Shanna Miko, a nurse epidemiologist at CDC, was part of the field team on the Pacific Crest Trail study — and it wasn't her first norovirus-in-the-woods investigation. Last year, she traced an"These are very well-planned trips. For many people, they're once-in-a-lifetime," she says.

If you do fall ill, shelter in place if you can. This is for your own safety, and for the sake of others,"so you aren't seeding norovirus particles along the trail and putting others at risk," Miko says. This is not the time to try to push ahead but to rest and hydrate."If possible, try to keep your defecation far from the trail and bury it, and don't prepare food anywhere near where you're using the restroom or vomiting," she says.

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