Volume 29, Number 9—September 2023
Dispatch
Emergence of GII.4 Sydney[P16]-like Norovirus-Associated Gastroenteritis, China, 2020–2022
Figure 1
![Figure 1. Emergence of recombinant GII.4 Sydney[P16] norovirus associated with acute gastroenteritis among children treated as outpatients in Shanghai, before and during COVID-19 pandemic, Shanghai, China, during January 2016–March 2022. A) Numbers of cases of norovirus-associated acute gastroenteritis. Red arrow indicates an abrupt increase in norovirus activity. B) Genotype (polymerase-capsid) distribution of norovirus. Different norovirus genotypes are indicated by color (key). Start date of COVID-19 pandemic declared by World Health Organization was March 11, 2020; absent labels indicate period (September–December 2019) during which fecal sample collection was paused. Emergence of recombinant GII.4 Sydney[P16] norovirus associated with acute gastroenteritis among children treated as outpatients in Shanghai, before and during COVID-19 pandemic, Shanghai, China, during January 2016–March 2022. A) Numbers of cases of norovirus-associated acute gastroenteritis. Red arrow indicates an abrupt increase in norovirus activity. B) Genotype (polymerase-capsid) distribution of norovirus. Different norovirus genotypes are indicated by color (key). Start date of COVID-19 pandemic declared by World Health Organization was March 11, 2020; absent labels indicate period (September–December 2019) during which fecal sample collection was paused.](/eid/images/23-0383-F1.jpg)
Figure 1. Emergence of recombinant GII.4 Sydney[P16] norovirus associated with acute gastroenteritis among children treated as outpatients in Shanghai, before and during COVID-19 pandemic, Shanghai, China, during January 2016–March 2022. A) Numbers of cases of norovirus-associated acute gastroenteritis. Red arrow indicates an abrupt increase in norovirus activity. B) Genotype (polymerase-capsid) distribution of norovirus. Different norovirus genotypes are indicated by color (key). Start date of COVID-19 pandemic declared by World Health Organization was March 11, 2020; absent labels indicate period (September–December 2019) during which fecal sample collection was paused.
1These authors contributed equally to this article.