Tips for Preventing or Minimizing Symptoms from Enterovirus D68 Make an Appointment Ask a Question Search Conditions Several states including Colorado are seeing a surge in the number of children with a rare respiratory virus, Enterovirus D68. Symptoms: Mild to severe respiratory illness Fever Coughing Other symptoms that mimic a bad cold How the virus spreads: The virus is spread when an infected person coughs, sneezes, or touches contaminated surfaces. Some patients may be sick or coughing for a week or two. Children with asthma are at higher risk for complications from Enterovirus D68. Avoid being infected: Wash hands frequently Avoid touching your face with your hands Stay away from people who are coughing or otherwise showing signs of a respiratory infection Avoid hugging, kissing or sharing cups or eating utensils with people who are sick Disinfect surfaces such as toys and doorknobs, especially if someone is sick Do not send children who are acutely ill with a fever to school Asthma patients should take their daily controller medications If asthma patients develop a respiratory infection, they should follow their asthma action plan and increase controller and rescue medications as needed For asthma patients who don’t have an asthma action plan, work with your physician to develop one to help manage asthma If asthma worsens, see a doctor earlier rather than later to avoid complications Returning to school or work: No fever for at least 24 hours A significant decrease in cough When they feel well enough to complete a school or work day, given that they had no fever for at least 24 hours and a significant decrease in their cough This information has been approved by Pia Hauk, MD (September 2014).