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Watch out for severe respiratory and polio-like illnesses in children

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This week, the CDC noted what healthcare providers and parents are seeing across the country. There is an increase in non-polio enterovirus cases that cause severe respiratory illness and acute flaccid myelitis (AFM).

Health care providers should be aware that enterovirus D68 (EV-D68) can cause severe respiratory illness and acute flaccid myelitis (AFM) in children and adolescents, the CDC said this week, with infection spreading nationwide. said to have increased to

EV-D68 is one of over 100 non-polio enteroviruses. It often occurs during the transition from summer to fall and can cause respiratory illness that resembles a mild cold or can be more severe.

It can also lead to AFM with weakness and numbness in the arms and legs. EV-D68 and his AFM past fads were seen in 2014, 2016 and 2018.

However, disease activity was low during the 2020 and 2021 COVID-19 pandemics. Over the past few weeks, news reports have started popping up about children heading to the emergency department (ED) or hospitalized with acute respiratory illness and asthma/reactive airways. disease.

Surveillance data released Tuesday confirmed those reports. Data show that positive rhinovirus/enterovirus test results “appear to be increasing at a rate comparable to previous EV-D68 outbreak years,” doubling in the weeks leading up to early September. The CDC said it has.

“Clinicians are encouraged to consider EV-D68 as a possible cause of severe respiratory illness in children and adolescents, especially those with wheezing and those requiring respiratory support.” the CDC said.

In addition to testing for AFM, health care providers have been asked to test for poliovirus found in New York wastewater.

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