Clinical and Genomic Epidemiology of Coxsackievirus A21 and Enterovirus D68 in Homeless Shelters, King County, Washington, USA, 2019–2021
Sarah N. Cox
, Amanda M. Casto, Nicholas M. Franko, Eric J. Chow, Peter D. Han, Luis Gamboa, Brian Pfau, Hong Xie, Kevin Kong, Jaydee Sereewit, Melissa A. Rolfes, Emily Mosites, Timothy M. Uyeki, Alexander L. Greninger, Marco Carone, M. Mia Shim, Trevor Bedford, Jay Shendure, Michael Boeckh, Janet A. Englund, Lea M. Starita, Pavitra Roychoudhury, and Helen Y. Chu
Author affiliation: University of Washington, Seattle, Washington, USA (S.N. Cox, A.M. Casto, N.M. Franko, E.J. Chow, H. Xie, K. Kong, J. Sereewit, A.L. Greninger, M.M. Shim, T. Bedford, J. Shendure, M. Boeckh, J.A. Englund, L.M. Starita, P. Roychoudhury, H.Y. Chu); Public Health Seattle and King County, Seattle (E.J. Chow, M.M. Shim); Brotman Baty Institute for Precision Medicine, Seattle (P.D. Han, L. Gamboa, B. Pfau, T. Bedford, J. Shendure, L.M. Starita); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M.A. Rolfes, E. Mosites, T.M. Uyeki); Fred Hutchinson Cancer Research Center, Seattle (A.L. Greninger, M. Carone, T. Bedford, M. Boeckh, P. Roychoudhury); Howard Hughes Medical Institute, Seattle (T. Bedford, J. Shendure); Seattle Children’s Research Institute, Seattle (J.A. Englund)
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Figure 3
Figure 3. Signs or symptoms reported at specimen collection and effect on daily activity among adult homeless shelter residents with confirmed coxsackievirus A21 infection (n = 39), King County, Washington, USA, October 2019–January 2020. One person with coxsackievirus A21 infection was presymptomatic on initial encounter (first positive specimen collection) but symptomatic on subsequent encounter (second positive specimen collection).
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