Date: Mon, Sep 8, 2014 at 1:02 PM
Subject: MDCH Enterovirus D68 Information
Message relayed from MIHAN Alert:
Recent reports indicate increases in severe respiratory illness in pediatric (non-neonatal) children associated with Enterovirus-D68 infection. Original reports described clusters of illness in Kansas City, Missouri. Other reports have since come from St. Louis and Denver. The Michigan Syndromic Surveillance Syndrome has detected an increase in emergency department visits over this past weekend due to respiratory illness in children ages 5-17. A number of healthcare facilities have also reported suspect cases or clusters of illness in Michigan.
CDC EpiX reported signs and symptoms associated with the Kansas City, MO cluster included wheezing, difficulty breathing, hypoxia, fever and tachycardia. All of those patients required intensive care with supplemental oxygen. The majority had a previous medical history of asthma or prior wheezing, but approximately one third had no reported underlying respiratory illness. Investigations of suspected clusters from other jurisdictions are ongoing.
The CDC requests NP swabs (preferred), serum (1/2 to 1 mL), and CSF (if the child has neurologic signs).
All specimens will be processed by the MDCH Bureau of Laboratories but submissions must first be approved by MDCH Bureau of Disease Control, Prevention and Epidemiology. All clusters of illness are to be reported as well. Please contact 517-335-8165.
MORE INFORMATION TO COME.
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