Norovirus is another good reason to wash your hands Recent outbreaks of noroviruses (gastroenteritis) have been reported in eastern North Dakota. Noroviruses cause nausea, vomiting, diarrhea and stomach cramping. Low-grade fever, chills, headaches, muscle aches, and a general sense of tiredness are also common. It is extremely easily spread from person to person and both vomit and stools are infectious. The illness often begins 24 to 48 hours after exposure to the virus. People can spread the disease from the moment they become ill to at least two to three days after diarrhea stops. To prevent the spread of norovirus: * Wash your hands frequently, especially after toilet visits, changing diapers, handling common objects and before eating or preparing food. * Carefully wash fruits and vegetables. * Avoid sharing food, drinks, glasses and utensils. * Thoroughly clean and disinfect contaminated surfaces immediately after an episode of illness by using a household cleaner containing bleach. * Immediately remove and wash clothing or linens that may contain the virus after an episode of illness (use hot water and soap). * Flush or discard any vomit and/or stool in the toilet and make sure that the surrounding area is kept clean. There is no medical cure for norovirus other than time, rest and fluids (avoid fruit juices, alcoholic beverages, and milk products). For additional information, call the North Dakota Department of Health at 800-472-2180.