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Updated: May 15, 2026

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EPA Method 1615. Measurement of Enterovirus and Norovirus Occurrence in Water by Culture and RT-qPCR. Part III. Virus Detection by RT-qPCR
Published on: January 16, 2016
[A viral meningitis outbreak associated with Echo30 in drinking water]
Xiang-Dong Lu1, Liang-Liang Cui, Yan Ma
1Jiangyin Center for Disease Control and Prevention, Jiangyin 214434, China.
Summary
An Echo 30 viral meningitis outbreak occurred in a school, affecting 103 students. Drinking contaminated water was identified as the primary cause, highlighting the need for safe water practices to prevent future epidemics.
Area of Science:
- Epidemiology
- Virology
- Public Health
Context:
- A school experienced an outbreak of viral meningitis with symptoms including fever, dizziness, headache, vomiting, and nausea.
- The outbreak involved 103 students, with a notable concentration in the third grade and a specific building.
Purpose:
- To investigate the source, scope, and control measures of a viral meningitis outbreak in a school setting.
- To identify the causative agent and transmission routes of the infection.
Summary:
- A case-control study identified exposure to warm water and intake of un-boiled water as significant risk factors.
- Enterovirus, specifically Echo 30, was confirmed as the causative agent in 81.5% of analyzed student samples.
- The epidemic curve suggested a continuous common source of infection, with drinking water identified as the major risk factor.
Impact:
- The findings underscore the critical role of safe drinking water in preventing viral outbreaks in educational institutions.
- Recommendations for enhanced water safety protocols are crucial for mitigating future public health risks.
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