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AbledALERT-Outbreak post banner shows 13 year old Will Cornejo of Lone Tree, Colorado breathing with the help of an oxygen mask while lying in a hospital bed, while text in the foreground reads: Enterovirus D68: Special Ongoing Coverage. The headline reads: Outbreak: Tracking the Spread across Borders | What parents need to know.

What Is Enterovirus D68?

Enterovirus D68 (EV-D68) is one of many non-polio enteroviruses.

Enterovirus D68 (EV-D68) infections are thought to occur less commonly than infections with other enteroviruses.

EV-D68 was first identified in California in 1962. Compared with other enteroviruses, EV-D68 has been rarely reported in the United States for the last 40 years.

(Source: CDC)

 

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How Does It Spread?

Like other enteroviruses, EV-D68 appears to spread through close contact with infected people.

Sneezing and coughing can spread the virus, as can changing the diapers of an infected child if your hands come into contact with their stool.

EV-D68 is a relatively hardy virus and can live on surfaces for some time. It’s incubation period can be as long as a week.

 

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What Are The Symptoms?

EV-D68 most commonly causes respiratory illness, but other symptoms can range from mild to severe, including a runny nose, cough, and sore throat.

Like other enteroviruses, it can also  cause skin rashes, abdominal pain and soft stools.

CBS News medical contributor Dr. Holly Phillips told“CBS This Morning.” “The most important thing to pick up on is any difficulty breathing. Wheezing or a cough that just won’t stop, those are the warning signs and parents should have a low threshold for heading to the hospital with that.

The more serious end of the symptom spectrum can lead to pneumonia and/or respiratory failure. Children  with asthma or other respiratory conditions can be particularly susceptible, especially under the age of 5 – although it has also affected adults with asthma and immunosuppression.

Extremely rarely it can attack the central nervous system either causing headaches, or paralysis of one or more limbs that reaches peak severity within 48 hours of onset.

(Sources: CBSNewsWikipedia)

 

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Treatment / Prevention

There is no specific treatment for EV-68D and no vaccinebut doctors can provide children who are admitted to the hospital with supportive care.

Hospital support may include oxygen, IV fluids and also drugs to help alleviate the respiratory symptoms, such as Albuterol, which is commonly given for asthma, and steroids to reduce inflammation in the lungs.

As with every other virus, prevention is the key.

You can reduce your risk for contracting enterovirus D68 through frequent hand-washing. The virus is relatively hardy and can live on surfaces for some time, so it’s important to use hand sanitizer and frequently disinfect communal surfaces, such as tabletops and doorknobs, to avoid germs from spreading since the incubation period can be as long as a week.

(Sources:CBSNews | Wikipedia)

 

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AbledALERT Banner: The Latest Enterovirus News
Abled photo shows a collage of two photos . One is a candid photo of 21 month old Maddie Reid smiling at the camera showing her baby teeth and curly dark blonde hair in the foreground against a photo on Maddie lying on a hospital bed hooked up to wires and a feeding tube. The caption is a quote from her mother Amanda which reads, "Maddie was a healthy baby . . . never hospitalized before . . . it just spiraled out of control."

ENTEROVIRUS D68 HEADLINES:

Updates through OCTOBER 11/2014

Second Child Dies of Enterovirus D68

“Madeline Reid became our angel at 2:55 p.m.” read a post on the Facebook page called ‘Team Maddie!’ A page on GoFundMe.com announced the 21 month-old toddler from Clinton Township had “passed peacefully in her mother and father’s arms” at the Children’s Hospital of Michigan in Detroit.

It had started with a runny nose after Amanda Reid had taken her daughter to a birthday party a few weeks ago. The next day, the toddler was in the hospital. And that’s why her parents want other parent sot be vigilant about hand-washing and to watch their children for any signs of sickness.

‘Maddie Paddie’, as she was called, was diagnosed with Enterovirus D68 on September 14th, 2014. The virus, according to the fundraising page, caused failure in all of Maddie’s organs, along with congestive heart failure and myocarditis.

The fundraising goal of $10,000 “was to support Madeline’s body to recover to be eligible to receive the mechanical heart. The mechanical heart would have provided support for Madeline’s body while waiting for a heart transplant.

Madeline was on lifesupport utilizing dialysis, a ventilator and ECMO, which ultimately caused two massive strokes; that led to severe brain damage.  Due to the complications Madeline’s surgery date of 9/29/14 for the mechanical Berlin heart had to be cancelled, and denied to be placed on the transplant list.

She continued to fight for her life on the same machines, countless prayers and the limited knowledge of the physicians.

On 10/08/2014 Madeline was forced to be removed from the ECMO machine.  She fought on her own for the next 48 hours.  She passed away still enlightening our hearts.

Please continue your donations for her departing ceremonies and pray for Madeline’s family during this difficult time.

Please do not hesitate to continue your thoughts and prayers with the family on the TEAM MADDIE! facebook page.

#TEAM MADDIE!”

If you’d like to make a donation, this link will take you to the GoFundMe page.

All of us at Abled.com pass along heartfelt condolences to the parents and families of Maddie, Eli and Emily – the three children we’re reporting about on this page who were diagnosed with Enterovirus D68 and who’ve passed away.

 

Enterovirus D68 Claims Pre-schooler As First Officially-Confirmed Victim – Classmate Also Being Tested

The death of a four-year-old boy in Hamilton Township, New Jersey has left his family devastated and the parents of other children in the town gripped by a mix of sadness and fear, especially since test results for Enterovirus D-68 are pending for a second student.

Sunday night, about 150 concerned parents and community residents peppered local school and health officials about Enterovirus D68, which  was confirmed Friday as the cause of Eli Waller’s death on September 25th. He had stayed home from school with pink eye and went to sleep that night but did not wake up.

Eli’s father, Andy, paid tribute to his son in a statement to CBS New York :

“My words probably won’t capture him well, but everyone who met Eli knows how he made people feel; imagine a shy little puppy who wants only to make people proud and happy, maybe tripping a bit over his own paws, but truly full of unconditional love. He was a beautiful mix of eagerness and hesitancy, need and striving, caution and surprise, all of which were grounded in a pure, unconditional love.”

 EVD68 Cases Climb to 594 People In 43 States | 4 Deaths Being Investigated

The CDC has confirmed close to 600 cases of Enterovirus D68 and say it was confirmed in 4 people who have died, but they can’t definitively say that EVD68 was the actual cause of death. CNN filed this report on one of the cases in  10 year old Emily Otrando of Cumberland, Rhode Island:

CDC Investigating Limb Paralysis In Children Diagnosed With EV68

The U.S. Centers For Disease Control and Prevention is investigating whether there is link between Enterovirus D68 and cases of limb weakness or  paralysis in 10 children in Denver.

The children range in age from 1 to 18 years-old, with an average age of 10. Dr. Larry Wolk, the Chief Medical Officer and Executive Director for the Colorado Department of Public Health and Environment told ABCNews that “What ties them [the cases]  together, are findings of spots or lesions in the grey matter of the spinal cord on MRI scans.”

Dr. Joyce Oleszek, a pediatric rehabilitation specialist at Children’s Hospital Colorado, told a news conference today, “Something is affecting the children’s motor nerves, causing weakness primarily in their shoulders, triceps, biceps and hips”, and doctors are also seeing some weakness in the neck and facial muscles in these patients.  Dr, Oleszek says, “It seems to be attacking the spinal cord and brain stem.”

According to the CDC report, there were signs of infection in the spinal fluid, but no evidence of a specific virus in the spinal fluid. Tests for viruses that could cause similar reactions, including West Nile and Polio, were negative, not surprisingly since eight of the 10 children are up to date on their polio vaccinations.

Six of the eight children in Denver were found to be positive for a rhinovirus or enterovirus found min their nasal passages and four of those cases were found to be Enterovirus D68. All of the nine children had reported having a kind of respiratory virus before showing symptoms of limb weakness.

The CDC is asking state health departments to report any persons meeting the case definition using a patient summary form that can be downloaded from this page in the effort to try and track symptoms and causes.

 

(Sources: CDC | ABCNews | CNN)

Enterovirus D68 Cases Hit Hospitals in U.S. And Canada

One Colorado doctor calls it , “The worst I’ve seen in my time”. A doctor in Missouri calls it “unprecedented”. Both are referring to a sudden surge in cases of respiratory illness in children, with one Denver hospital seeing 900 cases since mid August and a hospital in Kansas City treating about 450 kids, at times up to 30 of them a day.

Initial analysis by U.S. Centers for Disease Control and Prevention found at least 19 of the Kansas City cases tested positive for  Enterovirus D68 (EV-D68). Since then the outbreak has spread from coast to coast across the U.S. and Canada.

British Columbia has reported seven cases, Alberta 18, while 14 cases have been reported in Hamilton, Ontario. There has yet to be a definitive coast to coast tally in Canada and the numbers keep changing by the day.

EV-D68 is referred to as a ‘cousin’ of the rhinovirus that causes the common cold and while there are over 100 types of enteroviruses causing up to 15 million infections annually in the United States, the  D68 strain is more rare, even though it was first identified way back in 1962. It’s also more serious, being exclusively associated with respiratory disease.

Previous cluster outbreaks of EV-D68 have struck Asia and Europe, most recently in the Netherlands, and the symptoms are always the same, more seriously affecting people with asthma or other respiratory conditions.

One of those people is 13 year-old Will Cornejo. EV-D68 almost killed him:

Protecting Your Kids From Enterovirus D68

Health authorities are encouraging parents not to panic over the reports of Enterovirus D68. If they practice good hygiene and make sure everyone in the household is washing their hands regularly and steering clear of infected people, they and their kids may be able to avoid it.

However, that’s easier said than done because schools are now back in-session, and that’s where children usually pick up as many as seven viral infections a year.

But if you have a family member with asthma or any other respiratory condition, you’ll want to be extra vigilant.

CBS News medical contributor Dr. Holly Phillips told “CBS This Morning.” The most important thing to pick up on is any difficulty breathing. Wheezing or a cough that just won’t stop, those are the warning signs and parents should have a low threshold for heading to the hospital with that.

 

AbledALERT Related Graphics Banner.
AbledALERT-Inforgraphic from the U.S. Centers for Disease Control and Prevention is titled: Keep Your Child From Getting And Spreading Enterovirus D68. It shows 6 illustrated panels. The first shows a silhouette of an adult standing and holding hands with a child while another child sneezes into a tissue with enlarged illustrations of viruses enclosed in a colored circle around her. The caption reads: Avoid close contact with sick people. The other steps are: Wash your hands often; Cover your coughs and sneezes; Avoid touching your face with unwashed hands; Clean and disinfect surfaces; Stay home when you're sick.

States With Lab-Confirmed EV-D68 Infections:

From mid-August to October 10, 2014, a total of 691 people in 46 states & D.C.  (Alabama, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin and Wyoming) have been confirmed to have respiratory illness caused by EV-D68.

The cases of EV-D68 infection were confirmed by the CDC or state public health laboratories that notified the CDC.

In the upcoming weeks, more states will have confirmed cases of EV-D68 infection.

  • The primary reason for increases in cases is that several states are investigating clusters of people with severe respiratory illness, and specimens are still being tested for EV-D68. It can take a while to test specimens and obtain lab results.
  • That’s because the testing is complex and slower, and can only be done by CDC and a small number of state public health laboratories. As the backlog of specimens is processed, the number of states and confirmed cases will likely increase.
  • These increases will not necessarily reflect changes in real time, or mean that the situation is getting worse.
  • Some of the increase will be from new EV-D68 infections since people are more likely to get infected with enteroviruses in the summer and fall. We are currently in the middle of the enterovirus season.

As investigations progress, we will have a better understanding of the trends for EV-D68 infections.

Source: CDC

AbledALERT Related Videos Banner

CDC Investigates Possible Link Between EVD68 And Paralysis In Children : Dr. David Agus discusses any potential link on CBS This Morning:

10th Colorado Child Shows Paralysis Symptoms : Children’s Hospital Colorado has confirmed a 10th case of paralysis-like symptoms in a Colorado child. A report from 7News – The Denver Channel:

EVD68 Confirmed In 12 States : Since mid August, the CDC has confirmed over 100 cases of Enterovirus D68. CNN’s Dr. Elizabeth Cohen reports:

PANDEMIC 101: A history lesson on previous viral outbreaks from NBCNews.com

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