HEALTH Advisory
HEALTH Advisory: Recent Child Death Resulting from Staphylococcus Aureus Sepsis Associated with Enteroviral Infection (EV-D68)
The Rhode Island Department of Health has confirmed Staphylococcus aureus sepsis associated with enteroviral infection (EV-D68) as the cause of death of a local child last week. Staphylococcus aureus sepsis and EV-D68 is a very rare combination that may cause severe illness.  
Healthcare providers should be aware that today’s public announcement is likely to draw media attention and, as a result, this might generate an increase in calls from parents with questions or concerns about EV-D68. The press release will be posted online at:
Since August of 2014, the U.S. Centers for Disease Control and Prevention (CDC) has reported and investigated on a nationwide outbreak of respiratory illness caused by EV-D68), mostly affecting children. To date, EV-D68 has been confirmed in 472 people in 41 states and the District of Columbia.
All healthcare providers are advised to continue to:
  • Refer to the latest CDC guidance for EV-D68 (link  
  • Advise parents to follow standard protocols for prevention of respiratory illnesses
  • Review and reinforce care plans with parents of children with asthma and other underlying conditions of concern
  • Promote seasonal flu vaccination
  • Remain vigilant for suspected respiratory illness from EV-D68
  • Report suspect cases and unusual clusters of respiratory illness to HEALTH by calling 401-222-2577.
More About EV-D68
Mild symptoms of EV-D68 are similar to the common cold, but can progress to wheezing and dyspnea. Children with asthma are most at risk for wheezing and dyspnea.   The treatment is supportive.  There is no proven therapy for people with EV-D68. 
There are more than 100 known types of enteroviruses. More than 10 million enterovirus infections occur in the United States each year.  EV-D68 infections, like other enterovirus strains, generally cause mild respiratory illness. Most people recover from EV-D68 completely; however, serious complications may occur on rare occasions. 
The reason for the current EV-D68 outbreak is not completely understood. The CDC continues to investigate EV-D68 and any associated complications. 
For questions or concerns, call HEALTH at (401) 222-2577.

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Rhode Island Department of Health
Three Capitol Hill
Providence, Rhode Island 02908-5097

HEALTH Information Line: 401-222-5960 RI Relay 711


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