{"doi":"10.3201/eid3011.240687","title":"Clinical and Genomic Epidemiology of Coxsackievirus A21 and Enterovirus D68 in Homeless Shelters, King County, Washington, USA, 2019–2021","abstract":"Congregate homeless shelters are disproportionately affected by infectious disease outbreaks. We describe enterovirus epidemiology across 23 adult and family shelters in King County, Washington, USA, during October 2019-May 2021, by using repeated cross-sectional respiratory illness and environmental surveillance and viral genome sequencing. Among 3,281 participants >3 months of age, we identified coxsackievirus A21 (CVA21) in 39 adult residents (3.0% [95% CI 1.9%-4.8%] detection) across 7 shelters during October 2019-February 2020. We identified enterovirus D68 (EV-D68) in 5 adult residents in 2 shelters during October-November 2019. Of 812 environmental samples, 1 was EV-D68-positive and 5 were CVA21-positive. Other enteroviruses detected among residents, but not in environmental samples, included coxsackievirus A6/A4 in 3 children. No enteroviruses were detected during April 2020-May 2021. Phylogenetically clustered CVA21 and EV-D68 cases occurred in some shelters. Some shelters also hosted multiple CVA21 lineages.","journal":"Emerging infectious diseases","year":2024,"id":474329,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9463,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":236435,"name":"Amanda M. Casto","orcid":"0000-0001-8332-8578","position":1,"is_corresponding":false},{"id":614559,"name":"Nicholas Franko","orcid":"0000-0001-8165-6332","position":2,"is_corresponding":false},{"id":254221,"name":"Eric J. Chow","orcid":"0000-0003-3349-9330","position":3,"is_corresponding":false},{"id":233060,"name":"Peter D. Han","orcid":"0000-0002-2266-1008","position":4,"is_corresponding":false},{"id":692862,"name":"Luis Fernando Gamboa","orcid":"0000-0002-7273-7381","position":5,"is_corresponding":false},{"id":362539,"name":"Brian Pfau","orcid":null,"position":6,"is_corresponding":false},{"id":233053,"name":"Hong Xie","orcid":"0000-0001-6610-0723","position":7,"is_corresponding":false},{"id":1248336,"name":"Kevin Kong","orcid":null,"position":8,"is_corresponding":false},{"id":917393,"name":"Jaydee Sereewit","orcid":"0000-0002-7937-6398","position":9,"is_corresponding":false},{"id":105908,"name":"Melissa A. Rolfes","orcid":"0000-0002-0483-9941","position":10,"is_corresponding":false},{"id":325539,"name":"Emily Mosites","orcid":"0000-0002-2968-9564","position":11,"is_corresponding":false},{"id":24131,"name":"Timothy M. Uyeki","orcid":"0000-0001-5338-8668","position":12,"is_corresponding":false},{"id":108342,"name":"Alexander L. Greninger","orcid":"0000-0002-7443-0527","position":13,"is_corresponding":false},{"id":275666,"name":"Marco Carone","orcid":"0000-0003-2106-0953","position":14,"is_corresponding":false},{"id":917395,"name":"M. Mia Shim","orcid":"0000-0002-8226-0601","position":15,"is_corresponding":false},{"id":233050,"name":"Trevor Bedford","orcid":"0000-0002-4039-5794","position":16,"is_corresponding":false},{"id":36510,"name":"Jay Shendure","orcid":"0000-0002-1516-1865","position":17,"is_corresponding":false},{"id":233082,"name":"Michael Boeckh","orcid":"0000-0003-1538-7984","position":18,"is_corresponding":false},{"id":233069,"name":"Janet A. Englund","orcid":"0000-0003-1134-4178","position":19,"is_corresponding":false},{"id":95807,"name":"Lea M. Starita","orcid":"0000-0003-2870-5099","position":20,"is_corresponding":false},{"id":71689,"name":"Pavitra Roychoudhury","orcid":"0000-0002-4567-8232","position":21,"is_corresponding":false},{"id":103432,"name":"Helen Y. Chu","orcid":"0000-0001-8502-9600","position":22,"is_corresponding":false},{"id":231475,"name":"Sarah N. Cox","orcid":"0000-0002-2447-0504","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":null,"created_at":"2026-07-19T02:06:09.108857Z","pmid":"39447143","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}