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Enterovirus D-68 Trifold - Wastewater Surveillance

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WHAT IS ENTEROVI?RUS D-68

Enteroviruses are similar to the common cold virus and can spread from person to person through coughing, sneezing, close contact with an infected person, or touching a contaminated surface. There are more than 100 types of enteroviruses. Most circulate and peak in the summer and autumn. – Health Protection Surveillance Centre

ENT D68 RESOURCES:

SPTHB TEC is tracking Enterovirus D-68 thro tribal wastewater surveillance sampling (W program. If you’re interested in learning more the project or in a WWS training, email u info@spthb.org

CDC Information: OSDH Viral V

EV-D68 causes mild to severe respiratory illness, sometimes even requiring ventilator support. It has also been associated with cases and clusters of polio-like neurological symptoms including acute flaccid myelitis (AFM) (i.e. when you are unable to move due to sudden onset of muscle weakness and paralysis), and meningo-encephalitis (i.e. brain and spinal cord infection). ⊲

CDC National Enterovirus WastewaterS Surveillance System (NESS) Dashboar

(https://www.hpsc.ie/az/gastroenteric/enteroviralinfections/factshee ts/enterovirusd-68factsheetforgeneralpublic/)

Learn more to keep your inner circle and community healthy!

www.spthb.org

SIGNS & SYMPTOMS OF ENV D-68:

ENV-D68typicallycausesrespiratory illness,whichcanbemild(likeacold),but severesymptomscanoccurinsomecases:

MILDSYMPTOMS:

Bodyandmuscleaches

Fever

Coughing

RunnyNose

MouthBlisters

SkinRash

SEVERESYMPTOMS:

Wheezing

DifficultyBreathing

Inrarecases,somepeoplemaydevelop:

HeartInfections(i.e.endocarditis)

Brain&SpinalCordInfections(i.e. meningo-encephalitis),and AcuteFlaccidMyelitis(AFM)symptoms

Callyourdoctorimmediatelyifyou suspectACUTEFLACCIDMYELITIS(AFM) symptoms:

ArmorLegWeakness

Painintheneck,back,arms,orlegs

Difficultyswallowingorslurredspeech

Difficultymovingeyesordrooping

eyelids

Facialdrooporweakness

63%

A2025studyofchildrenwithmedicallyattended EV-D68foundthatoutof856patientswithno viralco-detection,536(62.6%)werehospitalized

37%

Astudyshowedthatamongthosehospitalized, 37.1%reportedahistoryofasthmaorreactive airwaydisease(RAD)

95%

Havinganunderlyingconditionotherthan asthmaorRADwasassociatedwith95% increasedoddsofreceivingsupplementaloxygen orintensivecareadmission

WHO IS AT RISK OF ENT D68?

Infants, children, and teenagers are at most risk for infection

People with asthma or who have weakened immune systems (immunocompromised) due to treatment or disease are at greater risk for severe disease. adults can get infected, but they are more likely to have no symptoms or mild symptoms.

WHEN IS ENT D 68 SEASON?

AglobalseasonalmapforEnterovirus D68(EV-D68)showsthatcirculation typicallypeaksinlatesummerandfallin Oklahoma.EV-D68oftencirculatesina biennialpatterns.

HOW CAN YOU PROTECT YOUR CIRCLE?

There isn’t a specific antiviral treatment or vaccine to fight EV-D68 at this time.

However, mild symptoms can be treated with:

Corticosteroids to reduce inflammation. Bronchodilators for severe respiratory symptoms.

Intravenous immunoglobulin, an antibody treatment that can help you fight off infections.

Steps you can take to keep healthy:

1. Avoid close contact with sick people

2. Avoid touching your face with unwashed hands

3. Wash hands often and thoroughly

4. Clean and disinfect surfaces often

5. Cover your coughs and sneezes

6. Stay at home if you think you are sick

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Enterovirus D-68 Trifold - Wastewater Surveillance by Southern Plains Tribal Health Board - Issuu