Continued seasonal circulation of enterovirus D68 in the Netherlands, 2011–2014

A Meijer; K S Benschop; G A Donker; H G van der Avoort

doi:10.2807/1560-7917.ES2014.19.42.20935

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Continued seasonal circulation of enterovirus D68 in the Netherlands, 2011–2014
A Meijer¹ , K S Benschop¹ , G A Donker² , H G van der Avoort¹
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Affiliations: ¹ Centre for Infectious Disease Research, Diagnostics and Screening, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands ² NIVEL Primary Care Database, Sentinel Practices, Utrecht, The Netherlands

Correspondence:
A Meijer
Adam.Meijer rivm.nl
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Citation style for this article: Meijer A, Benschop K S, Donker G A, van der Avoort H G. Continued seasonal circulation of enterovirus D68 in the Netherlands, 2011–2014. Euro Surveill. 2014;19(42):pii=20935. https://doi.org/10.2807/1560-7917.ES2014.19.42.20935 Received: 17 Oct 2014

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Abstract

Enterovirus D68 (EV-D68) continued to circulate in a seasonal pattern in the Netherlands, after the outbreak in 2010. Outpatient EV-D68 cases, mainly in the under 20 and 50-59 years age groups, presented with relatively mild respiratory disease. Hospital-based enterovirus surveillance identified more severe cases, mainly in children under 10 years of age. Dutch partial VP1 genomic region sequences from 2012 through 2014 were distributed over three sublineages similar to EV-D68 from the outbreak in the US in 2014. .