Health

Parvovirus B19 – What Parents Need to Know Amid Rising Cases in the U.S.

The CDC has issued a health advisory alerting healthcare providers and the public about a recent uptick in parvovirus B19 cases across the United States. This seasonal respiratory virus, often known for causing the “slapped cheek” rash in children, spreads through respiratory droplets from both symptomatic and asymptomatic individuals.

slapped cheek virus

In early 2024, European countries reported an unusually high number of parvovirus B19 cases, and now similar patterns are emerging in the U.S. The CDC has observed an increase in positive test results from various clinical specimens and has received reports of complications related to parvovirus B19 among pregnant individuals and those with sickle cell disease.

What Is Parvovirus B19?

Parvovirus B19 is a highly contagious virus, especially in school and daycare environments. Around 50% of adults have developed antibodies by age 20, and over 70% by age 40, providing immunity against reinfection. However, for those without prior immunity, including pregnant individuals and people with certain health conditions, the virus can pose significant risks.

Symptoms and Transmission

While many infected individuals may not show symptoms, those who do often experience a biphasic illness. The first phase, appearing about a week after infection, includes fever, muscle aches, and general malaise. The second phase, which occurs 7-10 days later, is characterized by a telltale facial rash in children and joint pain in adults.

Children with the virus may develop a red rash on the face, often referred to as a “slapped cheek” appearance, which can spread to the body. Adults, particularly those with weakened immune systems, may experience more severe symptoms like joint pain or a reticulated rash.

Risks During Pregnancy and for Those with Health Conditions

Parvovirus B19 can lead to serious complications in people who are pregnant, immunocompromised, or have chronic hemolytic disorders like sickle cell disease. During pregnancy, the virus can be transmitted to the fetus, potentially leading to conditions like fetal anemia or, in rare cases, pregnancy loss. Additionally, people with weakened immune systems or chronic blood disorders may experience severe anemia, requiring treatments like red blood cell transfusions.

Recent data indicates a significant rise in parvovirus B19 activity in the U.S., with a notable increase in the proportion of children aged 5-9 testing positive for the virus. Clinicians are also reporting more cases of severe complications, particularly among pregnant individuals and those with sickle cell disease.

What Should Parents Do?

  1. Be Alert: If your child or anyone in your family develops symptoms like fever, rash, or unexplained joint pain, consider getting tested for parvovirus B19, especially if they are at higher risk of severe disease.
  2. Take Precautions: Encourage good hygiene practices, such as regular handwashing and avoiding close contact with others when sick. Those at higher risk may consider wearing a mask in crowded settings.
  3. Consult Healthcare Providers: If you are pregnant, have a compromised immune system, or a chronic blood disorder, seek medical advice if exposed to the virus or if symptoms develop.
  4. Stay Informed: Keep updated on parvovirus B19 activity in your area and follow recommendations from healthcare providers and public health authorities.

As cases of parvovirus B19 rise, parents need to stay informed and proactive. Understanding the symptoms, risks, and preventive measures can help protect your family and those who may be more vulnerable to this virus.

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About the author

Lisa Arneill

Founder of Growing Your Baby and World Traveled Family. Canadian mom of 2 boys, photo addict, lover of bulldogs, and museumgoer. Always looking for our next vacation spot!

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