Guidance

Enterovirus D-68: risk assessment

PHE risk assessment of the increase in reported cases of Enterovirus D-68 (EV-D68).

Document

Risk assessment of Enterovirus D-68

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Details

EV-D68 is one of more than 100 enteroviruses, and belongs to the viruses of the family Picornaviridae genus Enterovirus.

The enterovirus is recognised to cause mild to severe respiratory illness ranging from fever, rhinorrhoea, cough and myalgia, to wheezing and difficulty breathing resulting in hospital and intensive care unit (ICU) admission. It has been associated with cases and clusters of polio-like neurological symptoms, including paralysis and meningo-encephalitis.

Historically, low numbers of EV-D68 have been detected annually in the UK. An increased number of cases have been reported from the USA and several other countries during 2014.

Healthcare workers are requested to complete an acute flaccid paralysis (AFP) surveillance form for all laboratory confirmed cases of Enterovirus D-68.

Published 29 January 2015
Last updated 14 October 2016 + full page history
  1. Replaced with updated document.
  2. First published.