Re-emergence of enterovirus D68 in Europe after easing the COVID-19 lockdown, September 2021

Euro Surveill. 2021 Nov;26(45):2100998. doi: 10.2807/1560-7917.ES.2021.26.45.2100998.


We report a rapid increase in enterovirus D68 (EV-D68) infections, with 139 cases reported from eight European countries between 31 July and 14 October 2021. This upsurge is in line with the seasonality of EV-D68 and was presumably stimulated by the widespread reopening after COVID-19 lockdown. Most cases were identified in September, but more are to be expected in the coming months. Reinforcement of clinical awareness, diagnostic capacities and surveillance of EV-D68 is urgently needed in Europe.

Keywords: acute flaccid myelitis; enterovirus; enterovirus D68; respiratory infection; surveillance; typing.

MeSH terms

  • COVID-19*
  • Communicable Disease Control
  • Disease Outbreaks
  • Enterovirus D, Human* / genetics
  • Enterovirus Infections* / diagnosis
  • Enterovirus Infections* / epidemiology
  • Enterovirus*
  • Europe / epidemiology
  • Humans
  • Myelitis* / epidemiology
  • Respiratory Tract Infections*
  • SARS-CoV-2