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CDC reports increased circulating enterovirus associated with AFM

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September 28, 2022

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Surveillance data show that circulation of enterovirus D68 (or EV-D68) increased in the United States over the summer after a period of low circulation during the COVID-19 pandemic, researchers reported this week. MMWR.

The report also notes an increase in rhinovirus (RV) detections this summer.

enterovirus D68

Enterovirus D68 recurred in children this summer. Source: CDC

EV-D68 circulation in even-numbered years is Link to case spike Development of acute flaccid myelitis (AFM) in children.

co-authored Dr. Kevin C. MaAfter peaking in 2018, enterovirus levels declined during the COVID-19 pandemic, said an Epidemic Intelligence Service officer for the CDC’s Division of Virus Diseases.

Kevin C. Ma

“EV-D68 detections and increases in AFM also occurred in 2016 and 2018, but 2020 detections were lower than expected, probably due to COVID-19 mitigation measures,” Ma told Healio. Told. “In August 2022, a clinician in multiple areas notified her CDC of an increase in hospitalizations of pediatric patients with severe respiratory illness and his positive RV/EV test results. may indicate restoration of EV-D68 circulation.”

Ma and colleagues analyzed surveillance data from multiple national sources for a study comparing trends in 2022 with previous years.

Between 1 March and 20 September 2022, the New Vaccine Surveillance Network enrolled 5,633 children and adolescents with acute respiratory illness (ARI) requiring emergency care or hospitalization. As of 20 September, her RV/EV was detected in 1,492 (26.4%) of these patients, of whom 260 (17.4%) had positive test results for his EV-D68.

The authors also noted that the rate of positive EV-D68 and positive RV/EV test results among children and adolescents with ARI increased to 56% in the week ending August 13. I am referring to

The positive rate of EV-D68 test results in July and August 2022 is higher than the same months in 2017 and 2019-2021 and similar to the peak levels observed in 2018, Ma said. I’m here.

Ma added that health care providers should consider EV-D68 as a cause of severe respiratory illness in children, especially among those who are wheezing or need respiratory support.

“Donor has high clinical suspicion of AFM in children and adolescents with acute flaccid limb weakness, neurologic symptoms, or neck/back pain with a history of recent respiratory illness or fever. “Patients with AFM should be hospitalized and referred to specialist care immediately because muscle weakness can progress rapidly. Children may experience difficulty breathing or have difficulty breathing.” Parents should contact their health care provider immediately if they experience sudden onset of limb weakness.Parents should also ensure that if their child has asthma, they are following the latest Asthma Action Plan. is needed.”

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