Abstract:
:Acute flaccid myelitis (AFM) is a polio-like disease that results in paralysis in previously healthy persons. Although the definitive cause of AFM remains unconfirmed, enterovirus D68 (EV-D68) is suspected based on 2014 data demonstrating an increase in AFM cases concomitant with an EV-D68 outbreak. We examined the prevalence in children and the molecular evolution of EV-D68 for 2009-2018 in Philadelphia, Pennsylvania, USA. We detected widespread EV-D68 circulation in 2009, rare detections in 2010 and 2011, and then biennial circulation, only in even years, during 2012-2018. Prevalence of EV-D68 significantly correlated with AFM cases during this period. Finally, whole-genome sequencing revealed early detection of the B1 clade in 2009 and continued evolution of the B3 clade from 2016 to 2018. These data reinforce the need to improve surveillance programs for nonpolio enterovirus to identify possible AFM triggers and predict disease prevalence to better prepare for future outbreaks.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Uprety P,Curtis D,Elkan M,Fink J,Rajagopalan R,Zhao C,Bittinger K,Mitchell S,Ulloa ER,Hopkins S,Graf EHdoi
10.3201/eid2509.190468subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1676-1682issue
9eissn
1080-6040issn
1080-6059journal_volume
25pub_type
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