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News Iowa Department of Public Health: RSV Infections Rise in Iowa Posted 11 February 2010 The Iowa Department of Public Health (IDPH) reports Respiratory Syncytial Virus, commonly called “RSV” activity is at high levels, and several more weeks of high activity are expected. Other states are seeing similar levels of activity, as this is the typical time of year that RSV causes respiratory illnesses. RSV can occur at any age, but almost all children are infected with RSV by their second birthday. It is the most common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia in U.S. children under one year of age. “RSV is spread from person-to-person in the same way colds and influenza are spread,” said IDPH Medical Director, Dr. Patricia Quinlisk. “While there is no RSV vaccine, its spread can be controlled by remembering to cover coughs and sneezes with your elbow or sleeve and by washing hands or using a gel hand sanitizer frequently, just as you do to stop the spread of the flu.” Illness usually begins four to six days after exposure with a runny nose and decreased appetite. Coughing, sneezing and fever typically follow and wheezing sometimes occurs. In very young infants, irritability, decreased activity and breathing difficulties may be the only symptoms. Most otherwise healthy infants infected with RSV recover in one to two weeks without complications. However, a health care provider should be seen right away if a child’s condition worsens. Warning signs in children include:   Fast breathing or working hard to breathe   Bluish skin color   Not drinking enough fluids   Not waking up or not interacting   Being so irritable that the child does not want to be held   Flu-like symptoms that improve but then return with fever and worse cough   Fever with a rash   Being unable to eat   Having no tears when crying RSV is not tracked on a case-by-case basis in Iowa; however, up to 125,000 children in the U.S. are hospitalized each year due to RSV infection.

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