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Human Metapneumovirus (HMPV)

Human Metapneumovirus (HMPV) is a common respiratory virus that causes upper and lower respiratory infections in children, especially those under 5 years old. It was first identified in 2001 but has likely circulated for decades. HMPV is most prevalent in late winter and spring, overlapping with RSV and flu season. Most children are infected by age 5, and reinfection throughout life is common.

Common symptoms

  • Cough
  • Fever
  • Runny Nose
  • Congestion
  • Sore Throat
  • Wheezing
  • Fatigue

Cause

HMPV is caused by the human metapneumovirus, an RNA virus in the Pneumoviridae family (closely related to RSV). It spreads through respiratory droplets from coughing and sneezing, close personal contact, and touching contaminated surfaces then touching the eyes, nose, or mouth.

How common is it?

Very common — HMPV accounts for 5–15% of pediatric respiratory hospitalizations annually. It is the second most common cause of lower respiratory infection in young children after RSV.

Treatment

There is no specific antiviral treatment for HMPV. Care is supportive and includes rest and fluids, fever reducers like acetaminophen or ibuprofen (age-appropriate doses), saline nasal drops and suctioning for congestion, humidified air to ease breathing, and monitoring for breathing difficulty. Most children recover in 7–10 days. Seek medical attention if your child has rapid or labored breathing, persistent high fever, signs of dehydration, or worsening symptoms after initial improvement.

Prevention

There is currently no vaccine for HMPV, though several are in development. Prevention focuses on frequent handwashing with soap and water, avoiding close contact with sick individuals, cleaning and disinfecting frequently touched surfaces, teaching children to cover coughs and sneezes, and keeping sick children home from school or daycare until symptoms improve.

See what's going around

Track Human Metapneumovirus (HMPV) and other illnesses at your child's school in real time.

Medical disclaimer: Educational only. Always consult a healthcare provider for diagnosis and treatment.