Norovirus gastroenteritis among children in Iraqi Kurdistan

Manar Najim Al-Mashhadani1, Osamu Nakagomi, Winifred Dove

  • 1University of Liverpool, Liverpool, United Kingdom.

Insights

Norovirus caused 30% of acute gastroenteritis hospitalizations in young children in Iraq. Genotype GII/4 was the most common strain identified, highlighting its prevalence in pediatric populations.

Area of Science:

  • Public Health
  • Virology
  • Pediatrics

Background:

  • Acute gastroenteritis is a significant cause of childhood hospitalization globally.
  • Norovirus is a leading viral pathogen responsible for acute gastroenteritis outbreaks.
  • Limited data exists on norovirus epidemiology in pediatric populations in the Kurdistan region of Iraq.

Purpose of the Study:

  • To determine the prevalence of norovirus among children under 5 hospitalized with acute gastroenteritis in Kurdistan, Iraq.
  • To identify the circulating norovirus genogroups and genotypes.
  • To understand the molecular epidemiology of norovirus in this vulnerable population.

Main Methods:

  • A total of 260 children under 5 years old hospitalized with acute gastroenteritis were enrolled.
  • Stool samples were analyzed using reverse transcription-polymerase chain reaction (RT-PCR) for norovirus detection.
  • Sequencing was performed on detected norovirus strains to determine genotypes.

Main Results:

  • Norovirus was detected in 78 (30%) of the 260 hospitalized children.
  • Genogroup II (GII) was the predominant genogroup (74%), followed by Genogroup I (GI) (23%).
  • The GII/4 genotype was the most frequently identified strain among the 28 sequenced noroviruses.

Conclusions:

  • Norovirus is a significant contributor to acute gastroenteritis hospitalizations in young children in Kurdistan, Iraq.
  • The findings underscore the epidemiological importance of norovirus, particularly the GII/4 genotype, in pediatric populations in the region.
  • This data can inform public health strategies for prevention and control of viral gastroenteritis in children.

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