Landlocked Colorado Hit With 'Cruise Ship' Illness - Denver Post

Denver Post reporter Jennifer Brown writes in the paper's Sunday edition that Colorado has seen a tenfold increase in the number of cases of norovirus, the gastrointestinal illness most commonly associated with passengers aboard cruise ships.

While still small in total numbers -- 145 reports of norovirus outbreaks last year, Brown says in all 6,517 people have contracted the virus and 13 died from it.  Her report is exclusive.

The most commonly affected are senior citizens living in nursing homes or other communal environments.  Other locations include child-care centers, camps and hospitals.

Brown interviews Dr. Aron Hall, a medical epidemiologist with the Centers for Disease Control and Prevention.  "Although not life-threatening, it's a pretty miserable experience," he tells the Post.  Norovirus is, in fact, life-threatening to the elderly and those with compromised immune systems.

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Norovirus (formerly Norwalk agent) is an RNA virus (taxonomic family Caliciviridae) that causes approximately 90% of epidemic non-bacterial outbreaks of gastroenteritis around the world, and may be responsible for 50% of all foodborne outbreaks of gastroenteritis in the US.
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Norovirus (formerly Norwalk agent) is an RNA virus (taxonomic family Caliciviridae) that causes approximately 90% of epidemic non-bacterial outbreaks of gastroenteritis around the world, and may be responsible for 50% of all foodborne outbreaks of gastroenteritis in the US.

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Many countries also have constricted access to the sea. If a country's only coastline is on a sea that is almost landlocked, such as the Baltic Sea, the Mediterranean Sea, and the Black Sea, this may allow ocean access to be easily blocked. This may be of strategic importance, with one or two other countries controlling the entrance, and/or be relevant to tides and freshwater content. Areas without a warm water port will be landlocked during the winter months.