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Earning CME CreditTo obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following,related, multiple-choice questions. To complete the questions (with a minimum 75% passing score) and earn continuing medicaleducation (CME) credit, please go to http://www.medscape.org/journal/eid. Credit cannot be obtained for tests completedon paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user onMedscape.org. If you are not registered on Medscape.org, please click on the “Register” link on the right hand side of thewebsite to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you willbe able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider,CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association’s Physician’s RecognitionAward (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further informationon this award, please refer to http://www.ama-assn.org/ama/pub/about-ama/awards/ama-physicians-recognition-award.page.The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRACategory 1 Credits. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit maybe acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questionsonline, print the certificate and present it to your national medical association for review.Article TitleParechovirus Genotype 3 Outbreak among Infants,New South Wales, Australia, 2013–2014CME Questions1. Your patient is an 18-month-old Australian boypresenting with fever and presumed sepsis. Accordingto the surveillance report by Cumming and colleagues,which of the following statements about the clinicaland epidemiologic features of a human parechovirusgenotype 3 (HPeV3) outbreak among Australian infantsis correct?A. Between October 2013 and February 2014, a total of183 cases of HPeV3 were identified in NSW infantsB. Three-quarters of affected infants were girlsC. Half of affected infants required hospitalizationD. Common symptoms were diarrhea, sleepiness, andcough2. According to the surveillance report by Cummingand colleagues, which of the following statementsabout the presentation of the HPeV3 outbreakin Australia compared with that in the northernhemisphere is correct?A. The Australian outbreak affected slightly younger infantsB. The Australian outbreak had a more evengender splitC. Frequency of skin rash was lower in the AustralianoutbreakD. Peak number of cases was later than documented inthe northern hemisphere3. According to the surveillance report by Cummingand colleagues, which of the following statementsabout the efficacy of active surveillance in detectingand monitoring the HPeV3 outbreak among Australianinfants would most likely be accurate?A. Syndromic surveillance was not useful for outbreakmonitoringB. Public health response had no apparent effect oninfant length of stayC. Awareness-raising communication strategies wereineffectiveD. Active surveillance is resource intensive but helpedto define the infection and link it with a syndromicsurveillance indicatorActivity Evaluation1. The activity supported the learning objectives.Strongly DisagreeStrongly Agree1 2 3 4 52. The material was organized clearly for learning to occur.Strongly DisagreeStrongly Agree1 2 3 4 53. The content learned from this activity will impact my practice.Strongly DisagreeStrongly Agree1 2 3 4 54. The activity was presented objectively and free of commercial bias.Strongly DisagreeStrongly Agree1 2 3 4 51284 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015