Enterovirus D68 (EV-D68)

Enterovirus D68 (EV-D68) is one of many non-polio enteroviruses. Non-polio enteroviruses are very common viruses. They cause about 10 to 15 million infections in the United States each year. Most people who are infected with non-polio enteroviruses do not get sick, or they only have mild illness. Symptoms of mild illness may include fever, runny nose, sneezing, cough, skin rash, mouth blisters, body and muscle aches.

EV-D68, one of many enteroviruses, was first detected in California in 1962 and these infections are thought to occur less commonly than infections with other enteroviruses. In August 2014, hospitals in Missouri and Illinois started seeing more children than usual with severe respiratory illness, which was later found to be caused by enterovirus D68. Several other states are investigating clusters of children with severe respiratory illness, possibly due to enterovirus D68, however further testing will be necessary to confirm.

CDC is watching this situation closely and helping the states with testing of specimens. Locally, Montgomery County Health Department has enhanced surveillance and is providing information to our public health partners for the management of these infections.

Suspected clusters of severe respiratory illness should be reported to the Division of Communicable Disease Control and Prevention by calling 610-278-5117. For more information, please visit the EV-D68 page.

Helpful Resources
PA Health Alert 290: Severe Respiratory Illness Associated with Enterovirus D68
CDC HAN 369: Severe Respiratory Illness Associated with Enterovirus D68 – Multiple States, 2014
MCHD Health Advisory: Enterovirus D68 and Local Surveillance
MCHD Fact Sheet: Enterovirus D68 (EV-D68)
Key Points
MMWR - Enterovirus D68- Missouri and Illinois, 2014