2015 Outbreak of Norovirus Among Students Who Attended a Field Trip, Johnson County, Kansas

In March 2015, Prairie Ridge Elementary School students ill with vomiting and diarrhea following a March 2 field trip to the School of Economics in Blue Springs, Missouri. The third grade class that participated in the field trip, attended a "Mini-Town" simulation where they learned about entrepreneurship by operating their own "businesses" producing and selling goods and services.

There were a total of 86 students and 24 parent chaperones who attended the field trip. The
response rate for the survey was 75%. There were 38 persons who reported illness and 35 that
met the case definition, 30 children (85.7%) and 5 parent chaperones (14.3%). One person was hospitalized. No one died. One vomitus sample obtained from a student was positive for norovirus genogroup I.

A non-matched case control study was conducted. The only food item that was significantly associated with illness was the popcorn. Of the 43 attendees who reported eating popcorn 28 (65%) became ill. No other food items were significantly associated with risk of illness.

The facility was inspected on March 4 by Jackson County Missouri Environmental Health. The School of Economics was not a licensed food establishment. Subsequent inspection of the facility revealed inadequate hand washing facilities and no enforcement of hand hygiene during food preparation, both of which likely contributed to the outbreak.

Overview

Outbreak began:March 2015
Affected country:US
States/territories:KS
Pathogen:Norovirus
Vehicle(s):popcorn
Location(s):School Event
Brand name(s):Prairie Ridge Elementary School
Molecular test results:Genogroup I

Health impact

Total ill:35

Sources & documents

Report / reference links
Outbreak documents