North Carolina

A lesser-known respiratory virus is spreading in NC. Here’s what to know

Human metapneumovirus, or HMPV, has shown up at high levels in wastewater testing in Wilson, about 50 miles east of Raleigh. The virus can cause illness in people of all ages, and there is no vaccine or antiviral treatment available.

FULL STORY: Lesser-known virus rises in NC. What is human metapneumovirus?

Here are key takeaways:

• WastewaterSCAN data showed “high concentrations” of HMPV at the Hominy Creek Water Reclamation Facility in Wilson. The virus is not reportable in North Carolina, meaning individual cases are not tracked by health departments.

• As of Wednesday, April 8, no HMPV outbreaks were reported in the state so far in 2026, according to N.C. Department of Health and Human Services spokesperson James Werner.

• HMPV infects the nose, throat and lungs. For most people it causes cold-like symptoms, but it can lead to complications such as pneumonia, bronchitis or bronchiolitis.

• Most people are infected at least once before age 5. Young children, older adults and people with weakened immune systems face the highest risk of serious illness, according to the CDC.

• The virus spreads through respiratory droplets, close contact and touching contaminated surfaces. It accounts for about 10% of respiratory infections and circulates most often from winter through spring.

• With no vaccine or antiviral treatment available, the CDC recommends washing hands regularly, avoiding touching the face, cleaning frequently touched surfaces and limiting contact with sick people.

This report was produced with the assistance of a proprietary tool powered by artificial intelligence and using our own originally reported, written and published content. It was reviewed and edited by our journalists. To learn more about how The Charlotte Observer is using AI in our newsroom, see our policy here.

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This story was originally published April 8, 2026 at 2:25 PM with the headline "A lesser-known respiratory virus is spreading in NC. Here’s what to know."

Evan Moore
The Charlotte Observer
Evan Moore is a service journalism reporter for the Charlotte Observer. He grew up in Denver, North Carolina, where he previously worked as a reporter for the Denver Citizen, and is a UNC Charlotte graduate.
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