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It is commonly accepted that the number of officially reported incidences of norovirus (NoV) according to the German Protection against Infection Act ( Infektionsschutzgesetz ) does not reflect the 'true' incidence of NoV in Germany. This study aims to reveal the reasons for the underreporting of NoV cases by comparing secondary data.

Challenges in Infection Epidemiology: On the Underreporting of Norovirus Gastroenteritis Cases in Germany