we'll of course from paying a lot of attention to the alarming news
about a bowl a virus but there is another virus abroad in the land today
that is probably we hope much more likely to be a problem for many a list
and he boleh
it is there something called enteroviruses dee 68
conductor J michael cloudy is an infectious pediatric disease specialist
at Baystate Medical Center
he's here with us to talk about that virus doctor thank you so much for
coming in procedure time sir
thank you for having me enteroviruses t68
want a hundred or so non polio intro
viruses how serious from what you've seen
and what you read is this particular dee 68 strain
we're hearing about this year so we have noticed
in terms above infectivity and how rapidly it is spread that has been
relatively significant however in terms of the severity
have symptoms and in my own personal experience
and treating patients here in the Springfield area the
degree of symptoms in terms it's a very has been
relatively mild MI rate that
and enteroviruses obviously there are many many other more than a hundred or
so
not at all on common it's not unusual it picks up on average in the warmer
weather
starts to abate about this time a year is things cool off a little bit
but this year I guess when the excitement about heard concern about the
bowler
I'm a new virus or or stories it kinda but
attached itself to those boneless stories and we thought while we're
getting
double-whammy here getting hit by two did did the seriousness of a tip tip
blown the lower proportion you think well I don't know if I can comment on
that but
I'm we know that and are viruses in general
in the United States you have approximately 10 to 15 million
symptomatic infections per year on a large majority of which
are in children and we know that there are
from surveillance that has been done by the Centers for Disease Control
that there are certain
strains the predominate every year and it seems as though
dee 68 has been the one that has predominated this year in particular
there there were reports and I know specifically it's called a non
polio enterovirus there was concern
a few weeks back ending in Denver and I think it in in the Eastern a part in
this state as well
that they were seeing some cases young kids
who were in hospital and seem to have some
leg paralysis some problems with the
the leg muscles in and red flags kinda went up for a few days it seemed
you can can you tell it what was that about was there some connection to do we
think that was
not as big a promise we made a thought for a few days so
in terms a the back common SFR how common
that side effect from the infection is
extremely rarer a and I think part of the reason
that more cases have been detected were picked up in the United States
is a heightened awareness I love at the air buyers t68
infection and its a rather large media coverage
and we know that from previous studies have been done
on non polio Arab irises and
there are a certain strains including Arab iris 71 for instance
and that are rarely and a lamp a size rarely
and known to result in
paralytic symptoms some more to polio so
if there was an association between
in our buyers t68 and his pair like symptoms
I would not be surprised however you know
based upon everything that I've heard in you know the research that i've done
with Arab irises I don't think that that's necessarily more than any other
type of
Arab I restrain nicely said let the record show I was one is a nasty stuff
about the media
not bad okay so I well as fuck but
EV 16 and again now we're hearing a lot of people concerned about how
the very serious the bowler by Rhys is trans women were being told
really isn't easily transmitted
it's quite a different stories i understand with the EV 68 and an intro
viruses in general correct
well am in terms of enteroviruses
and their transmission add generally a.m.
coughing sneezing and you know changing children's diapers those types of things
we also know that adults at
can and you get infected with Antivirus is however
adults over the course of their lives have been exposed to a number
these buyers is because different strain circulate and
you know every few years at you know at least based on what we've
learned and so adults do have some degree of immunity and
you know they're sometimes can be rather mild so I imagined that
there probably were a lot more adults out there
with very mild Arab iris t68 symptoms
and then we were aware of it just doesn't for most of us most the time
really
connect across the alarms because it it's not
that seriously guess it's different for every person but is that fair to say
right right and at you know again one of the reasons that
we sought so widespread and children was because they don't have the underlying
and antibody defense systems that adults have been exposed to it
in the past have been who does need to worry
about an intro virus or EV Adi 68 especially at the
we always hear you know older folks if you have some corn for
pulmonary problems or an asthma is is that true in this case
well in terms the pediatric population we know that children
with asthma and particularly poorly controlled asthma or
you know individuals who are not on their schedule medications
and as they should be are at increased risk
have at more significant breathing difficulties
if they were to develop infection within our buyers t68
what are the symptoms we should watch for and
when and again maybe this is you know them pastime is amazing she said it's
really waning
at this point but we certainly did see some serious cases a few weeks back
and we saw some people hostile certainly had some it at Baystate
what should say to people you know this this is more serious
this isn't just a a passing flu bug or what
someplace to use told the grip this issue we gotta get in see the doctor may
be at the hospital
so certainly with increased a difficulty breathing
we have seen that at children this infection
whether they have history as Mar not can manifest with
asthma-like symptoms and including
again and I Elsevier
difficulty breathing in terms of you know you can see your children's
red muscle sucking in and out and you know an increased
an respiratory rate you might not necessarily see
and you know high degree fevers and that you would with other
and a buyer sis and but certainly I think the breathing issue is the most
important thing if you were to watch out very closely for those fires
if you see a serious case %uh VVD 68
how you respond how how is it treated so
we found particularly at Baystate that
a aggressive doses medications used to treat asthmatic patients
and hi at higher doses and particularly the children who
in seeing our emergency department and namely
a the medication albuterol and
have had really beneficial facts on our patients
and in fact I believe that the aggressive management and
has been wanted the reasons and again possibly an association I don't have a
definitive proof but
and one of the reasons that at Baystate we have not seen any children who have
acquired a breathing tube
or
you know extraordinary measures in terms of life support
and so we found that the aggressive breathing treatments have been
very beneficial for our patients real quick I guess it's like any other
cold or viral disease what's the best way to protect ourselves just just come
in every day
keeping clean a course and and
you know again even with the ball a bike path
and you know it's being aware your surroundings being aware of your own
hygiene in particular hand hygiene I'm
help washing your hands 15 to 20 seconds
particularly f you had contact with a.m.
you know blood from public places and
always making sure to you know changer children's diapers
and you know and wash your hands thoroughly afterwards disposable
improperly
so really things that you know some people
kind of take for granted but and
it's something that is extremely important and disease prevention overall
well doctor J michael cloudy he acted pediatric infectious disease specialist
Baystate Medical Center
thanks three times thank you so much