Reports of norovirus among hikers on the Pacific Crest Trail in Southern California have raised concerns among trail communities as the highly contagious virus continues circulating across the United States.
Wrightwood is a mountain community northeast of Los Angeles. The Pacific Crest Trail is a 2,650-mile route stretching from the Mexican border in California to the Canadian border in Washington.
While most people recover without complications, the CDC estimates the virus contributes to about 900 deaths each year, primarily among adults age 65 and older.
Several hikers sought treatment at medical facilities in Hesperia and Victorville and later reported being told they had norovirus, according to SFGATE. At least one hiker was airlifted from the trail after becoming severely dehydrated, according to the outlet.
Trail known for Unexpected Acts of Generosity, Volunteers
Along the Pacific Crest Trail, hikers have a network of volunteer-supported food and water sources.Many hikers rely on volunteers who often provide rides, meals, lodging, and other assistance referred to as “trail angels.” Hikers also encounter “trail magic,” a term for unexpected acts of generosity such as snacks, drinks or water left along the route. Various water sources and stations are mapped along the trail for hikers to refill their water.
In Southern California’s desert and mountain sections, hikers often depend on water caches maintained by volunteers because reliable streams and springs can be scarce, especially during warmer months.
Some hikers and volunteers told SFGATE that several illnesses may have been linked to a water cache in Swarthout Valley between Cajon Pass and Mount Baden-Powell, where ill hikers were seen filling their bottles with water.
What is Norovirus?
According to the CDC, norovirus is a highly contagious virus that causes acute gastroenteritis, an inflammation of the stomach and intestines.It is the leading cause of foodborne illness in the U.S. and can spread rapidly in settings where people share food, water, or living spaces.
Symptoms often develop 12 to 48 hours after exposure and most commonly include vomiting, diarrhea, nausea, and stomach pain.
Some people also experience fever, headache, and body aches. Most healthy adults recover within 1 to 3 days, although they can continue to spread the virus for several days after symptoms end.
There is no specific antiviral treatment for norovirus, and antibiotics are ineffective because norovirus is a virus rather than a bacteria. The CDC recommends drinking plenty of fluids to prevent dehydration, as severe dehydration may require medical treatment and intravenous fluids.
While cruise ship outbreaks account for about 90 percent of diarrheal disease outbreaks on cruise ships, the CDC notes, they account for only a small percentage of all reported norovirus outbreaks.
“Norovirus can persist on surfaces for days or weeks and is resistant to many common disinfectants,” says the CDC.
Most outbreaks occur in healthcare facilities, schools, restaurants, and other places where people gather.
Alcohol-based hand sanitizers may help reduce germs but are generally less effective against norovirus than proper handwashing.
Bleach-based products approved for norovirus control are recommended for cleaning contaminated surfaces.
