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Bimodal Seasonality and Alternating Predominance of Norovirus GII.4 and Non-GII.4, Hong Kong, China, 2014-2017 1 .

Martin Chi-Wai Chan, Kirsty Kwok, Lin-Yao Zhang, Kirran N Mohammad, Nelson Lee, Grace C Y Lui, E Anthony S Nelson, Raymond W M Lai, Ting F Leung, Paul K S Chan
Emerging Infectious Diseases 2018 April 18
We report emerging subtropical bimodal seasonality and alternating predominance of norovirus GII.4 and non-GII.4 genotypes in Hong Kong. GII.4 predominated in summer and autumn months and affected young children, whereas emergent non-GII.4 genotypes predominated in winter months and affected all age groups. This highly dynamic epidemiology should inform vaccination strategies.

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