While there have been smaller outbreaks in the psat (here and abroad), enterovirus D-68 is rarely seen anywhere.
It's damned well being seen now, in 46 of 50 states. And it does exist in Central American? A study found it in 3% of children tested.
Again, are you aware of any effort by our government's health agencies to determine why this sudden and widespread outbreak. One would think this outbreak would be the top priority of the so-called Center for Disease Control. But not a word about a virus that has been spreading for several months now, other than one weasel worded spiel of BS.