Clinical and Genomic Epidemiology of Coxsackievirus A21 and Enterovirus D68 in Homeless Shelters, King County, Washington, USA, 2019-2021

被引:0
作者
Cox, Sarah N. [1 ,8 ]
Casto, Amanda M. [1 ]
Franko, Nicholas M. [1 ]
Chow, Eric J. [1 ,2 ]
Han, Peter D. [3 ]
Gamboa, Luis [3 ]
Pfau, Brian [3 ]
Xie, Hong [1 ]
Kong, Kevin [1 ]
Sereewit, Jaydee [1 ]
Rolfes, Melissa A. [4 ]
Mosites, Emily [4 ]
Uyeki, Timothy M. [4 ]
Greninger, Alexander L. [1 ,5 ]
Carone, Marco [5 ]
Shim, M. Mia [1 ,2 ]
Bedford, Trevor [1 ,3 ,5 ,6 ]
Shendure, Jay [1 ,3 ,6 ]
Boeckh, Michael [1 ,5 ]
Englund, Janet A. [1 ,7 ]
Starita, Lea M. [1 ,3 ]
Roychoudhury, Pavitra [1 ,5 ]
Chu, Helen Y. [1 ]
机构
[1] Univ Washington, Seattle, WA 98195 USA
[2] Publ Hlth Seattle & King Cty, Seattle, WA USA
[3] Brotman Baty Inst Precis Med, Seattle, WA USA
[4] CDCP, Atlanta, GA USA
[5] Fred Hutchinson Canc Res Ctr, Seattle, WA USA
[6] Howard Hughes Med Inst, Seattle, WA 98109 USA
[7] Seattle Childrens Res Inst, Seattle, WA USA
[8] Univ Washington Med, Dept Med, 750 Republican St, Seattle, WA 98109 USA
基金
美国国家卫生研究院;
关键词
ACUTE FLACCID MYELITIS; UNITED-STATES; COVID-19; DISEASE;
D O I
10.3201/eid3011.240687
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Congregate homeless shelters are disproportionately affected by infectious disease outbreaks. We describe enterovirus epidemiology across 23 adult and family shelters in King County, Washington, USA, during October 2019-May 2021, by using repeated cross-sectional respiratory illness and environmental surveillance and viral genome sequencing. Among 3,281 participants >= 3 months of age, we identified coxsackievirusA21 (CVA21) in 39 adult residents (3.0% [95% CI 1.9%-4.8%] detection) across 7 shelters during October 2019-February 2020. We identified enterovirus D68 (EV-D68) in 5 adult residents in 2 shelters during October-November 2019. Of 812 environmental samples, 1 was EV-D68-positive and 5 were CVA21-positive. Other enteroviruses detected among residents, but not in environmental samples, included coxsackievirus A6/A4 in 3 children. No enteroviruses were detected during April 2020-May 2021. Phylogenetically clustered CVA21 and EV-D68 cases occurred in some shelters. Some shelters also hosted multiple CVA21 lineages.
引用
收藏
页码:2250 / 2260
页数:11
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