The virus, often colloquially referred to as “stomach flu,” saw the percentage of positive tests double during the first week of January compared to last year. Positive test percentages for cases of norovirus in the United States are double what they were at the same period a year ago,

Rates of norovirus in that CDC system have reached levels at or above last season's peak in all regions of the country. Norovirus test positivity rates look to be the worst in the Midwest, in a grouping of states spanning Kansas through Michigan.

You can also get norovirus by touching objects or surfaces that are contaminated and then putting your hands in your mouth without washing them first. Hand-washing with soap and water is key, as hand sanitizer will not do the trick in the case of norovirus, experts say.

"It is too early to tell if this strain is associated with more severe norovirus disease but likely lower population immunity is the reason for the early surge of an otherwise seasonal increase of this virus," Jan Vinjé, head of the CDC's CaliciNet system, told CBS News in an email.

Drivers of the increase in norovirus cases may include a new strain, but continued precautions, good hygiene, can help reduce risk.

No. Hand sanitizer is simply not as effective against norovirus as it at killing other pathogens due to the virus's firm shell, Dr. William Schaffner, professor of infectious diseases at Vanderbilt University Medical Center, told TODAY.com recently.

The cases mark the fourth norovirus outbreak on Holland America ships since early December, following others on its Eurodam, Rotterdam and Zuiderdam vessels. Other companies, including Cunard Line and Princess Cruises also saw outbreaks in recent weeks.

Viral sicknesses have risen in early 2025 amid the ongoing “quad-demic” in the U.S., referring to three respiratory viruses and one gastrointestinal disease, according to the Centers for Disease

Data from the CDC shows that all four viruses are circulating throughout the U.S., and continue to be on the rise.

The first confirmed norovirus outbreak of 2025 has been reported aboard Holland America Line's Volendam. Should guests be worried?