No Confirmed Outbreak of Enterovirus 68 in WNC

Recently, hospitals in the U.S., particularly in parts of the Midwest, have been seeing more children than usual with severe respiratory illness caused by human enterovirus-68 (HEV68).  The national media reported that several states, including North Carolina, have contacted the CDC for assistance in investigating clusters of enterovirus.  However, at this time the NC Division of Public Health is not aware of any cases or clusters of enterovirus-68 in North Carolina.  Health officials at Buncombe County Health and Human Services (BC HHS) are aware and prepared to respond should there be any locally reported cases.

What is Human Enterovirus-68?
Human enterovirus-68 (HEV68) mainly causes respiratory disease ranging from relatively mild illness to severe illness requiring intensive care and mechanical ventilation in a hospital setting.  New-onset wheezing or asthma that is worse than normal can be noticeable symptoms. Many infections will be mild and self-limited, requiring only symptomatic treatment.

Treatment and Testing
Some people with severe respiratory illness caused by HEV68 may need to be hospitalized and receive intensive supportive therapy. Should you have concerns, please contact your medical provider or Health and Human Services’ Health Department at (828) 250-5000.

There is no testing available at local hospitals or health departments at this time to definitively diagnosis the enterovirus.  There is no specific treatment (i.e., anti-viral medications) for HEV68 infections. In addition, there is no vaccine for preventing HEV68 infections.

How can it be prevented?
It is important for the public to understand that prevention is key to protect yourself, your family and others from Human enterovirus-68 and other illnesses. By following simple prevention methods, we can protect the most vulnerable populations in our community, including children in childcare centers and individuals with asthma. 

These simple steps can help to prevent the spread of Human enterovirus-68:

• Wash hands often with soap and water for 20 seconds, especially after changing diapers, using the restroom or preparing foods.
  • Alcohol-based hand sanitizers that contain 70%--80% alcohol may kill this virus.
• Avoid touching eyes, nose, and mouth with unwashed hands.
• Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick.
• Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick;
• Stay home if you are sick and contact your doctor or health care provider for guidance.

For more information, please contact your medical provider or the Buncombe County Disease Control staff at (828) 250-5109.