Adenoviral illness is prevalent among schoolchildren, usually in sporadic cases, but occasionally occurring as outbreaks of respiratory sickness in winter and spring. Summertime epidemics occur as a result of transmission of the viruses in inadequately chlorinated swimming pools. These cases typically have fever, conjunctivitis, pharyngitis, enlargement of the lymph nodes of the neck, a rash, and diarrhea. Adenoviral disease is spread by respiratory droplets and is likely to occur in groups of young people living together in crowded conditions. It has been a big problem in military recruits. Epidemic spread is fostered by a high per centage of asymptomatic infections. The viruses are shed from the upper respiratory tract during the acute illness and continue to be eliminated in the feces for months thereafter.
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