"[2] The outbreak began in 11, mostly Midwestern, states and was first confirmed in Kansas City, Missouri, and Chicago.
[3] In Canada in September 2014, 49 cases of the virus were confirmed in Alberta,[4] three in British Columbia, and over 100 in Ontario.
[5][6] Health officials reported Los Angeles County's first case of viral infection on October 1, 2014.
[7] The CDC later reported that from mid-August to Oct. 10, 691 people in 46 states and the District of Columbia had come down with a respiratory illness caused by EV-D68.
Prevention of the outbreak affecting oneself is possible by regular handwashing and other forms of infection control.