We live in a time of fabulous excess. I can go to my local supermarket and purchase almost any product imaginable. This abundance of available produce continues to amaze me. I can buy strawberries, grapes, avocados, peppers, pears, and more--year round. In addition, organically grown food and free-range meat is everywhere. Yet we live in a time where our population is unhealthier than ever.
Noroviruses (NoVs) are the leading cause of gastrointestinal (GI) illness worldwide. NoVs cause an acute illness characterized by vomiting, diarrhea, cramping, and fever.
Symptoms most often appear between 24 and 48 hours after exposure, are self-limiting, and typically resolve within 24 to 72 hours. NoV, unlike other viral GI microorganisms, infects individuals across all age ranges. As such, outbreaks of NoV occur in many settings, including hospitals, residential care facilities, day cares, schools, restaurants, and cruise ships.
Background
Planning for future physician needs in Canada is a challenging endeavor. While there have been attempts to examine the need for training positions in some specialties in British Columbia,[1] there have been few attempts to examine demographics and practice issues in rheumatology.