The CDC has updated the number of confirmed enterovirus D68 cases to include 140 people in 16 states:

-Alabama
-Colorado
-Connecticut
-Illinois
-Indiana
-Iowa
-Kansas
-Kentucky
-Louisiana
-Missouri
-Montana
-Nebraska
-New York
-Oklahoma
-Pennsylvania
-Virginia.

The rash of illnesses primarily has affected children and in some cases required hospitalization, particularly among those with a history of asthma and wheezing, the CDC reported.

The CDC anticipates that the number of states and confirmed cases will increase. Other states are investigating respiratory illness outbreaks that require time to test specimens and obtain lab results before EV-D68 can be confirmed, according to the CDC website.

WHO added EV-D68 to its Global Alert and Response list of disease outbreaks on Sept. 17, indicating that all states should be prepared to provide adequate epidemic response if need be.