INDIANAPOLIS, Ind. (WOWO): State health officials have confirmed that there are now 19 cases of enterovirus D68 (EV-D68) in the Hoosier state.

The virus is a respiratory illness that can be very serious in infants, children and individuals with underlying medical conditions, such as asthma. People experiencing cold-like symptoms and trouble breathing should contact their healthcare provider right away.

The Indiana State Department of Health is working with local health departments and hospitals to identify additional cases of EV-D68 in the state.

“The best way to prevent the spread of EV-D68 is through washing your hands with soap and water frequently, covering your cough and staying home when you’re sick,” said State Health Commissioner William VanNess, M.D. “This virus can be quite serious and potentially even fatal. These measures are currently our best defense.”

Indiana is one of several states affected in this multi-state outbreak, which includes the surrounding states of Illinois, Kentucky and Ohio.

EV-D68 is spread through close contact with infected people. State health officials recommend the following tips to protect you and your family:.

·         Clean: Wash your hands frequently with warm soap and water for at least 20 seconds. *Alcohol-based hand sanitizer is not effective in preventing the spread of EV-D68.

·         Cover: Cover your cough with your sleeve or a tissue when you cough or sneeze.

·         Contain: Prevent spreading illness to others by staying home if you are sick.

·         Avoid close contact and sharing cups or eating utensils with those who are ill.

·         Disinfect frequently touched surfaces.