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Surveillance Data 2009-2013

Most Common Enteroviruses reported in the U.S., 2009-2013

Enterovirus Number of Positive Specimens
1   Coxsackievirus A6 12.3% of specimens
2   Human Parechovirus 3 12.3% of specimens
3   Echovirus 11 7.9% of specimens
4   Echovirus 18 5.6% of specimens
5   Coxsackievirus A9 5.1% of specimens
6   Coxsackievirus B4 5% of specimens
7   Echovirus 30 5% of specimens

Detections were reported in 45 states and Puerto Rico. The U.S. Census Region most often named as the patients’ location was the Midwest (40.0% of the 2,271 patients for whom state or territory was known), followed by the South (29.1%).

From 2009 through 2013, NESS received reports of 2,724 specimens that were obtained from 2,532 patients for enterovirus (EV) and human parechovirus (HPeV) testing; the number of specimens reported each year ranged from 392 in 2011 to 870 in 2012. The most commonly reported specimen types among those for which type was known (77.5% of 2,724 specimens) were:

  • cerebrospinal fluid (31.6%),
  • throat/nasopharyngeal swab (29.8%),
  • stool/rectal swab (13.5%),
  • tissue culture isolates (7.5%), and
  • lesion swab/scraping (3.7%).

Of the 1,763 patients for whom gender was reported, 56.2% were male.

Age was reported for 1,763 patients. The age groups most widely represented were children younger than 1 year of age (687 [39.0%]) and children between 1 and 4 years of age (387 [22.0%]).

For more information about the most recent enterovirus data, see CDC MMWR Enterovirus and Human Parechovirus Surveillance – United States, 2009 – 2013.

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Surveillance Data by Month

Number of enteroviruses and parechoviruses reported to NESS by type and month of specimen collection.

Type 2016 2015
Feb Jan Dec Nov Oct Sep Aug Jul Jun May Apr Mar
Coxsackievirus A2 . . . . . . . . 1 . . .
Coxsackievirus A4 . . . . . . . . 1 . 1 .
Coxsackievirus A5 . . . . 1 . 2 . . 1 . .
Coxsackievirus A6 . 1 . 3 6 3 3 4 . . . 1
Coxsackievirus A8 . . . . . . . . . 1 . .
Coxsackievirus A9 . . . . 1 2 7 5 . . . 1
Coxsackievirus A10 . . . . . . 1 . . . . .
Coxsackievirus A16 . . 1 . 3 2 1 1 . . 1 .
Coxsackievirus B1 . . . . 1 . . . . . . .
Coxsackievirus B2 . . . . . . . 1 1 . . .
Coxsackievirus B3 . . . . 2 1 1 1 . . . .
Coxsackievirus B4 . . . 4 2 2 1 2 . . 1 .
Coxsackievirus B5 . . . 1 1 2 . . 1 . . 1
Echovirus 3 . . . 1 3 6 5 4 . . . .
Echovirus 5 . . . . . . 1 . . . . .
Echovirus 6 . . . . . 2 3 2 1 . . .
Echovirus 7 . . . . 1 . . . . . . .
Echovirus 9 . . . . 1 1 . 12 . . . .
Echovirus 11 . . . . . . 3 1 . . . .
Echovirus 16 . . . . . 1 . . . . . .
Echovirus 18 . . . 1 1 7 13 14 1 . 2 .
Echovirus 20 . . . . 1 . . . . . . .
Echovirus 25 . 1 . 2 2 1 2 . . . 1 .
Echovirus 30 . . . 2 10 18 10 9 18 2 18 .
Human Parechovirus1 . 4 . . 2 . 1 1 . . . .
Human Parechovirus3 . . . . 2 . 3 . . . . .
Human Parechovirus4 . . . . . . 1 . . . . .
Human Parechovirus6 . . 1 . . . . . . . . .
Enterovirus Type Unknown . . 4 . 2 2 13 5 3 1 4 .

The number of detected types in a given month may change depending upon the latest laboratory reports.

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