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Parvovirus B19 — the ‘slapped cheek’ virus — is seeing uptick within the U.S. : NPR


This photo shows a child's face from the chin up to the lower eyelashes. The child's cheeks are pinkish red.

A parvovirus B19 an infection may cause a facial rash in kids, which is why the illness attributable to the virus is typically referred to as “slapped-cheek illness.”

Dr P. Marazzi/Science Supply


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Dr P. Marazzi/Science Supply

Federal well being officers are warning docs to maintain look ahead to a respiratory virus, often called parvovirus B19, as an infection charges tick up in the US.

Parvovirus B19 has existed for many years, and its signs are sometimes gentle or nonexistent amongst kids and wholesome adults. However it may additionally result in severe issues for individuals who’re pregnant or immunocompromised or who’ve sure blood issues.

In a well being advisory issued this week, the Facilities for Illness Management and Prevention reported seeing a spike within the proportion of people that examined optimistic for antibodies — indicating a current an infection — particularly amongst kids ages 5 to 9.

This yr, public well being authorities in 14 European international locations additionally reported observing an unusually excessive variety of circumstances, in keeping with the CDC.

Infections usually pop up throughout late winter, spring and early summer season, whereas minor outbreaks seem each three to 4 years. This yr, the an infection is spreading as again to high school will get underway.

This is what to know concerning the virus.

How does it unfold, and the way do I do know if I am contaminated?

Parvovirus B19 spreads from individual to individual 3 ways: respiratory droplets, blood or throughout being pregnant from mom to fetus. (Canine parvovirus, which impacts canines, is totally different from parvovirus B19, and it can not move from pet to individual or vice versa.)

Most people who find themselves contaminated with parvovirus B19 are asymptomatic. For individuals who do present signs, they’ll differ relying on age.

In kids, the sickness can first trigger flu-like signs, together with fever, headache and cough. That is when kids are essentially the most contagious, and this sometimes lasts a number of days, in keeping with the CDC. Afterward, kids might develop a facial rash — which is why the illness attributable to the virus is typically referred to as “slapped-cheek illness.”

In the meantime, in adults, the commonest symptom is joint ache, which may final days to weeks.

How apprehensive ought to I be?

Most individuals get well from the sickness on their very own, with out therapy. The danger is when parvovirus B19 impacts the bloodstream and results in issues like a extreme drop in blood rely.

A parvovirus B19 an infection normally would not impression an individual’s being pregnant or their fetus. However in uncommon circumstances, an an infection might lead to fetal anemia or a miscarriage.

It may be particularly harmful for fetuses earlier than 20 weeks, however it may be handled whether it is detected early sufficient, in keeping with Katherine Bligard, a Washington College OB-GYN at Barnes-Jewish Hospital in St. Louis who has seen a surge in circumstances up to now few months.

“Fortunately, within the circumstances that I’ve seen, we now have picked up early sufficient to have the ability to see the anemia [in the fetus] and deal with the anemia with a fetal blood transfusion. All these fetuses are both already delivered or nonetheless doing effectively of their mother’s uterus,” she mentioned.

An an infection can even result in extreme anemia for some individuals with weakened immune techniques, like leukemia sufferers or organ transplant recipients, or individuals with sure blood issues, like sickle cell illness and thalassemia.

Most adults have immune safety. Based on the CDC, about 50% of adults have detectable antibodies by age 20 and greater than 70% of adults have detectable antibodies by 40.

How do I keep secure?

Like with any respiratory virus, the CDC recommends practising good hygiene. Meaning frequent hand-washing and cleansing generally touched surfaces.

People who find themselves at increased threat also needs to alert their physician in the event that they had been uncovered to a toddler with a excessive fever who later developed a facial rash, in keeping with Dr. Kawsar Talaat, an infectious illness professional from Johns Hopkins Bloomberg Faculty of Public Well being.

“The essential factor is to not panic. That is one thing that almost all of us catch with none issues,” Talaat mentioned. “That is only a heads-up to offer well being care suppliers discover that they are seeing extra an infection this summer season and to pay attention to those that are at increased threat.”

NPR’s Pien Huang contributed reporting.

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