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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Video 2
Video 2. Maps of confirmed enterovirus cases detected among homeless shelter residents and in environmental samples at shelter M, King County, Washington, USA, October 3, 2019–January 27, 2020. A total of 14 enterovirus-confirmed cases were identified (10 coxsackievirus A21, 4 enterovirus D68); 3 residents positive for coxsackievirus A21 missing sleeping location; no enterovirus-positive environmental samples. Breaks in green lines indicate doorways or entranceways. Mat placements were ≈9 inches apart in back and front sleeping halls. Site has 2 ultraviolet light air filters located above administrative offices in the front and above men’s lockers in the back.
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