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Volume 32, Number 7—July 2026

Research

National Surveillance of Enterovirus D68 Upsurge, France, 2024

Marion Jeannoël, Maxime Bisseux, Stéphanie Dan, Elisa Creuzet, Delphine Parraud, Jean-Luc Bailly, Jérémie Lebeurre, Amélie Brebion, Hélène Chabrolles, Laurence Josset, Cécile Henquell, Isabelle Schuffenecker, Audrey MirandComments to Author , and Enterovirus Surveillance Network1
Author affiliation: Hospices Civils de Lyon, Centre National de Référence des Entérovirus–Laboratoire Associé, Lyon, France (M. Jeannoël, S. Dan, D. Parraud, J. Lebeurre, L. Josset, I. Schuffenecker); Université Clermont Auvergne, Clermont-Ferrand (M. Bisseux, E. Creuzet, H. Chabrolles, C. Henquell, A. Mirand); Centre Hospitalier Universitaire de Clermont-Ferrand, Centre National de Référence des Entérovirus–Laboratoire Coordonnateur, Clermont-Ferrand, France (M. Bisseux, A. Brebion, H. Chabrolles, A. Mirand); Université Claude Bernard Lyon 1, Villeurbanne, France (S. Dan, D. Parraud, L. Josset); Université Clermont Auvergne, Clermont-Ferrand (J. Bailly)

Main Article

Table 1

Patient characteristics and clinical outcomes in study of EV-D68 upsurge, France, 2024*

Characteristic Children 0–17 y, n = 363 Adults
18–64 y, n = 155 >65 y, n = 134 Total, n = 289
Median age, y (IQR) 2.0 (0.04–7) 45 (34–56) 76 (70–82) 62 (43–75)
Female/male ratio 0.76 0.49 0.55 1.08
EV-D68 severe infections 102/363 (28.1) 38/155 (24.5) 29/134 (21.6) 67/289 (23.2)
Hospitalization† 308/358 (86.0) 126/150 (84.0) 127/131 (96.9) 253/281 (90.04)
Intensive care unit‡ 85/343 (24.78) 42/143 (29.4) 27/125 (21.6) 69/268 (25.75)
Death 2/363 (0.6)§ 3/155 (1.9) 6/134 (4.5) 9/289 (3.1)¶

*Values are no. (%) except as indicated. EV-D68, enterovirus D68; IQR, interquartile range. †Hospitalization requirement was reported for 358 children and 281 adults. ‡Intensive care requirement was reported for 343 children and 268 adults. §Sudden infant death syndrome. Although EV-D68 was the only detected pathogen, EV-D68 infection was considered as the possible cause of death; attributing causality can be challenging without thorough investigation in such contexts. ¶Among the 9 adults, the EV-D68 infection was considered as the probable cause of death in 4 patients (EV-D68 was the only detected pathogen) and as possible in 5 patients (evidence or strong suspicion of bacterial co-infection).

Main Article

1Additional members of Enterovirus Surveillance Network who contributed data are listed at the end of this article.

Page created: April 30, 2026
Page updated: June 04, 2026
Page reviewed: June 04, 2026
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