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abstractpubmed· Abstract 2018· item PMID:30334718

Enterovirus D68 Surveillance, St. Louis, Missouri, USA, 2016. A fall 2016 outbreak of enterovirus D68 infection in St. Louis, Missouri, USA, had less effect than a fall 2014 outbreak on hospital census, intensive care unit census, and hospitalization for a diagnosis of respiratory illness. Without ongoing surveillance and specific testing, these cases might have been missed.