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Enterovirus D68 in United States wastewater is associated with climatic and demographic factors: a comparison with clinical diagnoses
2025-11-04
epidemiology
Title + abstract only
View on medRxiv
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Enterovirus D68 (EV-D68) is a respiratory virus that can cause severe illness and is associated with acute flaccid myelitis (AFM), yet testing is uncommon and no vaccine exists. Here, we analyzed 43,876 wastewater samples collected from 147 U.S. treatment plants across 40 states between July 2023 and July 2025. We quantified EV-D68 RNA in wastewater solids to identify the center of season and the season duration of EV-D68, assessed climatic and sociodemographic factors of variation, and compared...
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