Noroviruses are a genus of non-enveloped, single-stranded RNA viruses in the family Caliciviridae. The positive-sense RNA genome is approximately 7500 nucleotides long. Known noroviruses fall into five different genogroups (GI–GV); three groups infect humans, the other two mice, and cattle and other bovines. All are considered strains of a single species, Norwalk virus.
Noroviruses are extremely contagious, with fewer than 20 virus particles being infectious. They are transmitted directly from person to person and indirectly via contaminated water and food. After infection, the virus replicates in the small intestine, causing acute gastroenteritis, which develops 12–48 hours after exposure and lasts for 24–72 hours. The characteristic symptoms include nausea, forceful vomiting, watery diarrhoea and abdominal pain. Infection is usually self-limiting and rarely severe. Noroviruses cause 18% of acute gastroenteritis episodes in humans, with around 685 million cases and 200,000 deaths every year, mainly in very young, elderly or immunosuppressed people. No vaccine is available. Hand washing with soap and water is effective in reducing transmission.