The California Department of Public Health (CDPH) has reported an additional 18 confirmed cases of Enterovirus D68 (EV-D68), bringing the state total to 32, up from 14 eight days ago.

Public domain image/National Atlas of the United States
Public domain image/National Atlas of the United States

As of October 9, 2014, CDPH has reported positive specimens from the following counties:  Alameda (5), Contra Costa (1), Los Angeles (4), Orange (3), Riverside (2), San Diego (8), San Francisco (3), Santa Clara (1), Santa Cruz (1), Solano (1), Ventura (1), and the cities of Long Beach (1) and Berkeley (1). All 32 patients had onset of symptoms in 2014 through late September.

Health officials note  confirmatory testing takes 1-2 weeks, and specimens from early October are in process. Our test results suggest that EV-D68 has been circulating widely.

Nationally, from mid-August to October 10, 2014, CDC or state public health laboratories have confirmed a total of 691 people from 46 states and the District of Columbia with respiratory illness caused by EV-D68. The 46 states are Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.