We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Nonpolio Enterovirus Surveillance—United States, 1993-1996

JAMA. 1997;278(12):975. doi:10.1001/jama.1997.03550120033014.
Text Size: A A A
Published online

EACH YEAR in the United States, an estimated 30 million nonpolio enterovirus infections cause aseptic meningitis; hand-foot-and-mouth disease; and nonspecific upper-respiratory disease.1 From January 1993 through December 1996, state public health laboratories reported to CDC virus isolation results for 3209 specimens tested for nonpolio enteroviruses. The number of states reporting enterovirus isolations decreased from 25 in 1993 to 14 in 1996. This report summarizes surveillance data for nonpolio enteroviruses and describes temporal trends in nonpolio enterovirus infections during 1993-1996.

During 1993-1996, of the 3209 nonpolio enterovirus isolations reported, echovirus 9 was the predominant serotype reported (12.7%), followed by coxsackievirus B5 (11.5%), echovirus 30 (9.5%), coxsackievirus A9 (6.6%), coxsackievirus B2 (6.2%), echovirus 6 (5.1%), and echovirus 11 (4.5%). None of the 67 known enterovirus serotypes was listed in 3.8% of the reports. Isolates were most frequently obtained from cerebrospinal fluid (25.3%), nasopharyngeal swab (17.6%)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.