Rotavirus is the leading cause of severe childhood diarrhea worldwide. Person-to-person spread is the most common mode of transmission, and foodborne disease and outbreaks are infrequently associated with rotavirus. In the United States, rotavirus is thought to cause less than 1% of all foodborne illness, with an estimated 15,433 cases of gastroenteritis and 34 hospitalizations being associated with foodborne rotavirus infections annually. Still, the economic burden of foodborne rotavirus disease is approximately $18 million in direct health care costs and lost productivity. As is the case with other viral outbreaks associated with food, most foodborne rotavirus illness arises from contamination by an infected food handler. Thus, adherence to strict hygienic rules, along all levels of the farm-to-fork continuum, is essential to curtail rotavirus food contamination. Two recently introduced childhood vaccines have resulted in reduced transmission of rotavirus in the community, leading to a decline of rotavirus disease among unvaccinated older children and adults (herd immunity), and thus may also decrease the burden of foodborne rotavirus disease.
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