Taiwan health officials reported the case of a toddler diagnosed with  acute flaccid paralysis (AFP) who tested positive for enterovirus D68 (EV-D68).

The case is a 5-year-old boy who resides in Taipei City and has no recent travel history. On August 14, 2016, he sought medical attention at a clinic after developing weakness in his left arm.

When his symptom persisted, on August 17, he sought further medical attention at a hospital, and was hospitalized for treatment and reported to the health authority.

Enterovirus D68/CDC
Enterovirus D68/CDC

The case was confirmed to be an AFP case by the AFP surveillance investigation expert. His specimen was tested positive for EVD68 by the Taiwan CDC laboratory and identified as the same virus strain detected in the U.S.

As of now, the case’s symptoms have abated, but the case is still hospitalized for observation.

The investigation by health authorities revealed none of the family members residing in the same household with the case and the close contacts at school had recently visited U.S. or developed symptoms.

This is also the first AFP case associated with EV-D68 since the implementation of active surveillance of AFP cases in Taiwan.

EV-D68 is transmitted through the same route as other enteroviruses. Taiwan CDC reminds the public to practice good personal hygiene both at home and when outside and wash hands frequently with soap and water. In addition, it is important to lather hands with soap and scrub for at least 20 seconds in order to effectively prevent enterovirus infection. Infants and children are at an increased risk for severe enterovirus infection. When a child is diagnosed with enterovirus infection, parents and child caregivers are urged to refrain the sick child from close contact with other children to prevent further spread of the disease.