Public Health Notice: Elevated number of infectious mononucleosis cases Misawa AB is currently experiencing an elevated number of infectious mononucleosis cases. Mononucleosis (or mono) is a viral infection common among teenagers and young adults that may cause fever, sore throat, fatigue, swollen lymph nodes, and an enlarged spleen. It is spread by direct contact with the saliva of an infected person. Kissing, coughing or sneezing, and sharing food or beverages from the same container or utensil can transfer the virus from one person to another. There are no medications to treat mono, but the symptoms usually can be treated with over-the-counter medications. Good hygiene and frequent hand-washing are important factors in preventing its spread. Public Health is monitoring the situation closely. If you have any questions or concerns please contact your primary care manager at the 35th Medical Group or visit the infectious mononucleosis website of the Centers for Disease Control and Prevention at http://www.cdc.gov/epstein-barr/about-mono.html