It’s Nurse Julie checking in about what I’m sure most of you have already heard about through one source of media or another. Recently, I have been flooded with calls about this “mysterious” virus that has been blasted on news media and the internet. This virus does have a name- it is called Enterovirus D68, and here is what you need to know about it.
What is this virus?
This virus is called enterovirus D68. The enterovirus family is quite large and can be responsible for viral illness that causes GI symptoms, respiratory symptoms, and rashes like hand foot and mouth.
Is it a new virus?
This is not a new virus, it was actually first reported in California in the 1960s. However, it is a virus not commonly reported in the United States. Historically, outbreaks have occurred in small patches of the country. Therefore, many adults and children may not have the developed immunity to this virus similar to other viruses.
What are the symptoms of Enterovirus D68?
The virus will present just like most other colds- runny nose, cough, congestion, fever, sneezing, and muscle aches. Children who have been hospitalized develop more severe respiratory symptoms and wheezing. Children with a history of wheezing or asthma are at higher risk to develop respiratory complications with this virus (or other viruses).
What should I watch out for in reference to breathing?
Things that should be reported to your pediatrician’s office include: increase in rate of breathing , increase in work of breathing (if your child is using extra muscles to breathe in and out), if your child is puffing his or her belly out with breathing, if your child is flaring his or her nostrils out with breathing, if you observe your child pulling in under his or her rib cage or at the notch of the neck, or if your child is gasping for air.
Where have outbreaks of the virus been?
The virus has currently been reported in twelve states including: Alabama, Colorado, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Missouri, New York, Oklahoma, and Pennsylvania.
There are currently three confirmed cases from Philadelphia.
Is CCP testing for enterovirus D-68?
No, at this time testing is only being done in local hospitals. CDC is only recommending testing for individuals with a severe wheezing pathway without other known cause.
What can I do to protect my family?
All of the same things suggested during cold and flu season! Good hand washing with soap and water, do not share towels or linens, do not share cups or utensils, and avoid exposure to any individuals who are actively sick. If you or your children are sick please stay home from work or school whenever possible.
There is no vaccination or antibiotic therapy for enterovirus D68.
When should I call CCP?
The treatment is the same as for other viruses. Fevers can be treated with antipyretic medications
(Tylenol or Ibuprofen). Steamy shower room, nasal saline, and humidified air can help with respiratory symptoms. It is important to encourage fluids and rest. If your child is sick with a fever, if the illness is affecting his or her mood or appetite, or if the symptoms are not improving with home treatment- please contact the office.
Where can I find more information?
Visit the CDC-
http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html?s_cid=cdc_homepage_whatsnew_001