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Re-emergence of enterovirus D68 in Europe after easing the COVID-19 lockdown, September 2021

Re-emergence of enterovirus D68 in Europe after easing the COVID-19 lockdown, September 2021
Acute flaccid myelitis; Enterovirus D68; Surveillance Mielitis flàcida aguda; Enterovirus D68; Vigilància Mielitis flácida aguda; Enterovirus D68; Vigilancia We report a rapid increase in enterovirus D68 (EV-D68) infections, with 139 cases reported from eight European countries between 31 July and 14 October 2021. This upsurge is in line with the seasonality of EV-D68 and was presumably stimulated by the widespread reopening after COVID-19 lockdown. Most cases were identified in September, but more are to be expected in the coming months. Reinforcement of clinical awareness, diagnostic capacities and surveillance of EV-D68 is urgently needed in Europe.
- Universidad Univer Mexico
- Clermont Université France
- University of Turku Finland
- University of London United Kingdom
- Karolinska Institute Sweden
Microsoft Academic Graph classification: Enterovirus Infections medicine.disease_cause Socioeconomics Respiratory infection 2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) medicine business.industry Acute flaccid myelitis Enterovirus business Enterovirus D68
Dewey Decimal Classification: ddc:610
Enterovirus infection, Acute flaccid myelitis, Epidemiology, Enterovirus D, COVID-19 (Malaltia), preschool child, epidemic, Disease Outbreaks, :Environment and Public Health::Public Health::Disease Outbreaks [HEALTH CARE], lockdown, newborn, respiratory infection, Respiratory infection, :Other subheadings::/diagnosis [Other subheadings], :virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES], :virosis::infecciones por virus ARN::infecciones por Picornaviridae::infecciones por Enterovirus [ENFERMEDADES], genetics, Respiratory Tract Infections, Enterovirus, Enterovirus D, Human, child, seasonal variation, Surveillance, [SDE.IE]Environmental Sciences/Environmental Engineering, enterovirus, adult, :Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES], Myelitis, Europe, female, :Virus Diseases::RNA Virus Infections::Picornaviridae Infections::Enterovirus Infections [DISEASES], [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology, surveillance, virus typing, acute flaccid myelitis, Rapid Communication, [SDE.MCG]Environmental Sciences/Global Changes, respiratory tract infection, :Otros calificadores::/diagnóstico [Otros calificadores], Infeccions respiratòries - Diagnòstic, Article, Virosis - Diagnòstic, coronavirus disease 2019, myelitis, male, Virology, Enterovirus Infections, Humans, human, Enterovirus D68, virus detection, :ambiente y salud pública::salud pública::brotes de enfermedades [ATENCIÓN DE SALUD], nonhuman, SARS-CoV-2, typing, Public Health, Environmental and Occupational Health, COVID-19, enterovirus D68, Typing, [SDE.ES]Environmental Sciences/Environmental and Society, infant, major clinical study, clinical feature, adolescent, Communicable Disease Control, [SDE.BE]Environmental Sciences/Biodiversity and Ecology, 610 Medizin und Gesundheit
Enterovirus infection, Acute flaccid myelitis, Epidemiology, Enterovirus D, COVID-19 (Malaltia), preschool child, epidemic, Disease Outbreaks, :Environment and Public Health::Public Health::Disease Outbreaks [HEALTH CARE], lockdown, newborn, respiratory infection, Respiratory infection, :Other subheadings::/diagnosis [Other subheadings], :virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES], :virosis::infecciones por virus ARN::infecciones por Picornaviridae::infecciones por Enterovirus [ENFERMEDADES], genetics, Respiratory Tract Infections, Enterovirus, Enterovirus D, Human, child, seasonal variation, Surveillance, [SDE.IE]Environmental Sciences/Environmental Engineering, enterovirus, adult, :Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES], Myelitis, Europe, female, :Virus Diseases::RNA Virus Infections::Picornaviridae Infections::Enterovirus Infections [DISEASES], [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology, surveillance, virus typing, acute flaccid myelitis, Rapid Communication, [SDE.MCG]Environmental Sciences/Global Changes, respiratory tract infection, :Otros calificadores::/diagnóstico [Otros calificadores], Infeccions respiratòries - Diagnòstic, Article, Virosis - Diagnòstic, coronavirus disease 2019, myelitis, male, Virology, Enterovirus Infections, Humans, human, Enterovirus D68, virus detection, :ambiente y salud pública::salud pública::brotes de enfermedades [ATENCIÓN DE SALUD], nonhuman, SARS-CoV-2, typing, Public Health, Environmental and Occupational Health, COVID-19, enterovirus D68, Typing, [SDE.ES]Environmental Sciences/Environmental and Society, infant, major clinical study, clinical feature, adolescent, Communicable Disease Control, [SDE.BE]Environmental Sciences/Biodiversity and Ecology, 610 Medizin und Gesundheit
Microsoft Academic Graph classification: Enterovirus Infections medicine.disease_cause Socioeconomics Respiratory infection 2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) medicine business.industry Acute flaccid myelitis Enterovirus business Enterovirus D68
Dewey Decimal Classification: ddc:610
20 references, page 1 of 2
1. Aliabadi N, Messacar K, Pastula DM, Robinson CC, Leshem E, Sejvar JJ, et al. Enterovirus D68 Infection in Children with Acute Flaccid Myelitis, Colorado, USA, 2014. Emerg Infect Dis. 2016;22(8):1387-94. https://doi.org/10.3201/eid2208.151949 PMID: 27434186
2. Midgley CM, Watson JT, Nix WA, Curns AT, Rogers SL, Brown BA, et al. Severe respiratory illness associated with a nationwide outbreak of enterovirus D68 in the USA (2014): a descriptive epidemiological investigation. Lancet Respir Med. 2015;3(11):879-87. https://doi.org/10.1016/S2213- 2600(15)00335-5 PMID: 26482320
3. Kramer R, Sabatier M, Wirth T, Pichon M, Lina B, Schuffenecker I, et al. Molecular diversity and biennial circulation of enterovirus D68: a systematic screening study in Lyon, France, 2010 to 2016. Euro Surveill. 2018;23(37):1700711. https:// doi.org/10.2807/1560-7917.ES.2018.23.37.1700711 PMID: 30229724
4. Holm-Hansen CC, Midgley SE, Fischer TK. Global emergence of enterovirus D68: a systematic review. Lancet Infect Dis. 2016;16(5):e64-75. https://doi.org/10.1016/S1473- 3099(15)00543-5 PMID: 26929196
5. Cottrell S, Moore C, Perry M, Hilvers E, Williams C, Shankar AG. Prospective enterovirus D68 (EV-D68) surveillance from September 2015 to November 2018 indicates a current wave of activity in Wales. Euro Surveill. 2018;23(46):1800578. https:// doi.org/10.2807/1560-7917.ES.2018.23.46.1800578 PMID: 30458915 [OpenAIRE]
6. Meijer A, van der Sanden S, Snijders BE, Jaramillo-Gutierrez G, Bont L, van der Ent CK, et al. Emergence and epidemic occurrence of enterovirus 68 respiratory infections in The Netherlands in 2010. Virology. 2012;423(1):49-57. https://doi. org/10.1016/j.virol.2011.11.021 PMID: 22177700
7. Midgley SE, Benschop K, Dyrdak R, Mirand A, Bailly JL, Bierbaum S, et al. Co-circulation of multiple enterovirus D68 subclades, including a novel B3 cluster, across Europe in a season of expected low prevalence, 2019/20. Euro Surveill. 2020;25(2):1900749. https://doi.org/10.2807/1560-7917. ES.2020.25.2.1900749 PMID: 31964463
8. Harvala H, Jasir A, Penttinen P, Pastore Celentano L, Greco D, Broberg E. Surveillance and laboratory detection for non-polio enteroviruses in the European Union/European Economic Area, 2016. Euro Surveill. 2017;22(45):16-00807. https:// doi.org/10.2807/1560-7917.ES.2017.22.45.16-00807 PMID: 29162204
9. Harvala H, Broberg E, Benschop K, Berginc N, Ladhani S, Susi P, et al. Recommendations for enterovirus diagnostics and characterisation within and beyond Europe. J Clin Virol. 2018;101:11-7. https://doi.org/10.1016/j.jcv.2018.01.008 PMID: 29414181 [OpenAIRE]
10. Bubba L, Broberg E, Jasir A, Simmonds P, Participants ES, Harvala H. Circulation of non-polioviruses in 24 EU/EAA countries between 2015 and 2017 - is it time to consider systematic surveillance? Lancet Infect Dis. 2019. Forthcoming.
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- Universidad Univer Mexico
- Clermont Université France
- University of Turku Finland
- University of London United Kingdom
- Karolinska Institute Sweden
- University of Oxford United Kingdom
- Autonomous University of Barcelona Spain
- Turku University Hospital Finland
- Université Paris Diderot France
- National Institutes of Health United States
- Statens Serum Institut Denmark
- University College Dublin Ireland
- Center for Disease Control Taiwan
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Italy
- National Institute for Public Health and the Environment Netherlands
- Vall d'Hebron Hospital Universitari Spain
- Leipzig University Germany
- Robert Koch Institute Germany
- Generalitat Valenciana Spain
- Royal Victoria Hospital United Kingdom
- University of Southern Denmark Denmark
- Cardiff University United Kingdom
- National Institute of Public Health Czech Republic
- Karolinska University Hospital Sweden
- National Center of Infectious and Parasitic Diseases Bulgaria
- Hospital Universitario La Paz Spain
- National Institute of Infectious Diseases Japan
- Norwegian Institute of Public Health (Folkehelseinstituttet) Norway
- Instituto de Salud Carlos III Spain
- Belfast Health and Social Care Trust United Kingdom
- NHS Blood and Transplant United Kingdom
- University of Ljubljana Slovenia
- National University Hospital Singapore
- Norwegian Institute of Public Health Norway
- University of Milan Italy
- Varsinais-Suomen Sairaanhoitopiiri Finland
- University of Pavia Italy
Acute flaccid myelitis; Enterovirus D68; Surveillance Mielitis flàcida aguda; Enterovirus D68; Vigilància Mielitis flácida aguda; Enterovirus D68; Vigilancia We report a rapid increase in enterovirus D68 (EV-D68) infections, with 139 cases reported from eight European countries between 31 July and 14 October 2021. This upsurge is in line with the seasonality of EV-D68 and was presumably stimulated by the widespread reopening after COVID-19 lockdown. Most cases were identified in September, but more are to be expected in the coming months. Reinforcement of clinical awareness, diagnostic capacities and surveillance of EV-D68 is urgently needed in Europe.