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**sharon sanders** · April 9, 2010, 11:05 AM

China - HFMD in Guangxi Province 2010

Guangxi HFMD deaths in young children died due to a

http://www.gxnews.com.cn 2010年04月09日18:33 来源：新华网广西频道字号：大中小

http://www.gxnews.com.cn 2010年04月09日18:33 Source: Xinhua Guangxi Channel Font Size: Large Medium Small

新华网广西频道４月９日电（记者李斌）记者从广西柳州市卫生局了解到：８日凌晨４时，一名患手足口病的广西来宾籍男孩在柳州市妇幼保健院抢救无效死亡。

NANNING, April 9 (Xinhua) reporter learned from the Health Bureau, Liuzhou, Guangxi: at 4 o'clock on the 8th, one suffering from hand, foot and mouth disease in Liuzhou City in Guangxi guest membership MCH boy died.

７日下午４点半，一名出现休克的来自来宾市大湾乡９个月大的男孩到柳州市妇幼保健院救治，确诊为手足口病重症。

At 16:30 on the on the 7th, a major in shock from Laibin Wan Xiang 9 months old boy to the hospital for treatment in Liuzhou maternal and child health, diagnosed as severe HFMD.

当晚，柳州市卫生局组织市内多家三甲医院的专家到柳州市妇幼保健院会诊。

That night, more than the city of Liuzhou City Health Bureau of the top three hospitals in Maternal and Child Health Hospital of Liuzhou City of experts to diagnose.

根据检查情况和症状，专家们认为患儿出现了多脏器衰竭，联合制定了抢救方案，全力抢救患儿。

According to the test conditions and symptoms, experts say there multiple organ failure in children, and drew up a rescue plan to rescue the children.

到８日凌晨４时许，患儿因抢救无效死亡。

8 am to 4 pm, children because she died.
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柳州市卫生局局长黄健辉、柳州市妇幼保健院儿科主任龙苹向记者证实了上述消息。

HUANG Jian-hui Health Bureau of Liuzhou City, Liuzhou, Long Ping, director of Maternal and Child Health Hospital of Pediatrics confirmed the news to reporters.

黄健辉说：?患儿到柳州就诊时病情就很严重了，当时就已经快不行了。?虽经全力抢救，却无力回天。

HUANG Jian-hui said: "The children to the Liuzhou very serious illness when the doctor was already a good whipping." Despite rescue efforts, but was powerless.

当地正在开展手足口病的预防工作。

Local ongoing HFMD prevention.

（完）

(END)

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http://www.gxnews.com.cn/staticpages/20100409/newgx4bbf025c-2856436.shtml

**sharon sanders** · April 9, 2010, 11:10 AM

Re: China - HFMD in Guangxi Province 2010

This province is adjacent to N. Vietnam -

China_Guangxi.svg‎ (SVG file, nominally 1,000 ? 850 pixels, file size: 210 KB)

**Shiloh** · April 12, 2010, 04:07 PM

Re: China - HFMD in Guangxi Province 2010

Source: http://news.sina.com.cn/c/2010-04-13...7361346s.shtml

Google translation:

Guangxi statewide outbreak of hand, foot and mouth disease in 13 infant deaths
http://www.sina.com.cn 2010 年 04 月 13 日 04:29 Sichuan News Net - Chengdu Business News

Quanzhou county outbreak of HFMD recently and now has 13 infants died of severe, more than 20 children admitted to hospital in Guilin related observation. Guilin government person in charge of this year 1 January to 8 April 14, the Quanzhou County has accumulated there were 13 cases of severe infant death cases, distributed in 8 of 13 rural villages. Age of 3 years of age infants. Disease diagnosis, the Quanzhou County immediately activate contingency plans to minimize the death occurred.

In addition, the evening of 11 18:00, a 2-year-old boy 4 months due to further deterioration of hand foot and mouth disease in the pediatric hospital workers in Liuzhou City died. Cumulative report of the current HFMD Liuzhou up to more than 1200 cases of death in 6 cases. (Consolidated News Agency)

**Shiloh** · April 12, 2010, 04:09 PM

Re: China - HFMD in Guangxi Province 2010

Source: http://news.sina.com.cn/c/2010-04-13...7361111s.shtml

Google translation:

Guangxi reported 16,468 cases of hand, foot and mouth disease
http://www.sina.com.cn 2010 年 04 月 13 日 01:54 Jinyang Wang - New Express

19 people died of illness; Guangxi Health Department, said the scope of the epidemic will expand the popular

GLASGOW, Guangxi Zhuang Autonomous Region HFMD prevention and control of the meeting said: As of April 10, Guangxi this year total of HFMD cases reported up to 16,468 cases! Quanzhou County, 13 of which have severe infant and child mortality, more than 20 children were admitted to hospital in Guilin related observation; Liuzhou six people died of diseases.

13 statewide infant and child mortality

It is understood that in January to April this year, 14 cities in Guangxi region have reported cases of hand, foot and mouth disease. Quanzhou County in Guilin, now there were 13 cumulative cases of severe infant death cases, distributed in eight rural villages in 13, aged 3 years of age. There are more than 20 children admitted to hospital in Guilin related observation.

Quanzhou County Health Department, according to the person in charge, the outbreak of hand, foot and mouth disease deaths are mostly found no rash, the rash of individual cases are not clear, which gives primary care health personnel timely diagnosis more difficult. The poor conditions of the local primary hospital care, the lack of the necessary rescue equipment, the county is not a children's respiratory machine, blood gas analyzer, resulting in the severe infant can not effectively save lives.

Report of six cases of deaths in Liuzhou

At 18:00 on the on the 11th, a 2-year-old boy and 4 months due to further deterioration of hand foot and mouth disease in the pediatric hospital workers in Liuzhou City died. 12 journalists from the Liuzhou City Public Health Bureau was informed that the report of the current HFMD Liuzhou accumulated over more than 1200 cases of death in 6 cases.

Starting from March, Liuzhou, the number of HFMD cases and deaths increased dramatically, in April the trend is showing a surge. Some children came to the hospital already in shock, and pulmonary edema, pulmonary hemorrhage and so on.

It is understood that clustering of the epidemic has not yet appeared, and no reports of schools and kindergartens large outbreak of HFMD. Many children with severe and migrant families from rural to mostly boys, are living poor sanitation.

Will expand the scope of the epidemic prevalence

Guangxi Health Department informed the meeting, said recently it is bacteria, viruses, strong breeding season, in the next few months, the epidemic of HFMD epidemic in Guangxi, gradually expanding the scope.

According to experts, hand, foot and mouth disease caused mainly by the enterovirus may cause hand, foot and mouth disease has more than 20 kinds of intestinal virus. From this year's situation, mainly caused by EV71 virus disease, caused severe cases of the probability is relatively large. (Xinhua New)

**Twall** · April 13, 2010, 12:38 AM

Re: China - HFMD in Guangxi Province 2010

most of the confirmed outbreaks listed below were made available over the last two days (the dates indicate some of these outbreaks were from early march).it looks like it may cover a large area and involves cattle, sheep, goats and swine

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=153144&rss=t

Shanxi Sheng (China) xinfu Lat/Long 38.404148 / 112.741034
cattle

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=153143&rss=t

Gansu Sheng (China) yuzhong Lat/Long 35.998226 / 103.953942
swine

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=153166&rss=t

Jiangxi Sheng (China) Ganzhou Lat/Long 25.752928 / 114.864827
swine

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=153171&rss=t

Guangdong Sheng (China) Longgang Lat/Long 22.702902 / 114.21886
swine

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=153168&rss=t

Gansu Sheng (China) Linxia Lat/Long 35.711273 / 103.134113
goats/sheep/swine

**Shiloh** · April 17, 2010, 01:30 PM

Re: China - HFMD in Guangxi Province 2010

Source: http://health.e23.cn/Content/2010-04...041600183.html

Google translation:

Guangxi, 27 cases of hand, foot and mouth disease in the nation's first death
http://www.e23.cn 2010-4-16 Guangxi News
Key words: Hand, Foot and Mouth Disease Hand, Foot and Mouth Disease HFMD deaths in Guangxi
Abstract: Deadline April 11, Guangxi has reported 17,345 cases of hand, foot and mouth cases, death cases to 27 cases of hand, foot and mouth disease because of the number of deaths now ranks first in the country.

Shun Net News deadline on April 11, Guangxi has reported 17,345 cases of hand, foot and mouth cases, death cases to 27 cases of hand, foot and mouth disease because of the number of deaths now ranks first in the country.

Guangxi Zhuang Autonomous Region Government, held on April 12 HFMD prevention and control session, all localities and departments of the "top leaders" have to take HFMD prevention and control of primary responsibility. Meeting heard that the regional government will increase investment, enhance the city, county medical intensive care capacity, for the designated hospitals with children, rescue breathing machines and other necessary equipment.

Guangxi this year because the incidence of hand foot and mouth disease and the marked increase in severe cases than last year, expert analysis, in the coming months, the epidemic of HFMD epidemic will likely expand the scope. Requirements of the autonomous region at all levels of the health sector improve the monitoring network, will monitor the tentacles extend to the rural and community; food and drug supervision departments should focus on clinical treatment of the pharmaceutical quality control, to help with the Jiuzhiyaopin of supply links.

At present, the autonomous region to implement prevention and control of hand, foot and mouth disease outbreak reporting system date. Departments will organize inspection teams on the prevention and control of municipalities to carry out supervision on the disposal in the course of the epidemic dereliction of duty, malfeasance, and the work of significant errors resulted in serious consequences, will be the responsibility of the persons concerned shall be investigated.

**Shiloh** · May 6, 2010, 05:21 AM

Re: China - HFMD in Guangxi Province 2010

Source: http://www.theepochtimes.com/n2/content/view/34818/

Alarming Outbreak of Mutated Hand, Foot, and Mouth Disease in Guangxi
By Fang Xiao
Epoch Times Staff Created: May 5, 2010 Last Updated: May 5, 2010

An especially virulent form of Hand, Foot, and Mouth disease (HFMD), is spreading quickly in Quanzhou County of Guangxi Autonomous Region, a local official told Chinese Youth Daily. According to official data as of April 15, 13 small children have died of this disease, and 643 children have been affected by it. Quanzhou County is the hardest-hit area in the region.
Outbreak Fast, Death-Rate High

?A child can look perfectly healthy one minute and totally different the next, and will begin to deteriorate faster than a 100-meter race. This differs from our past experience with HFMD greatly,? a medical worker from the Quanzhou County People?s Hospital told the Beijing News. It was discovered that the virus mostly attacks small children under 3 years, and kills them in half an hour to 7 hours.

According to China Youth Daily, in Dec. 2009, 21-month-old Wang Fanfan from Kumatian Village of Jiaojiang Township in Quanzhou County suddenly developed a rash on his body, followed by high fever a month later and diarrhea that lasted a whole day. But the family did not take it too seriously. On Jan. 25, the toddler?s face suddenly turned blue and a rash appeared behind his knees as well as on his tongue. The family immediately sent him to the Quanzhou County Maternal and Child Care Service Center, but he died despite three hours of emergency treatment.

The Beijing News reported several death cases of small children due to the mutated virus.

On March 10, a toddler boy, Li Jiacheng from Daxijiang Township, died in the Quanzhou County People?s Hospital with blood and some foam coming out of his mouth. The outbreak of his symptoms had only begun three days before. ?Constant fever quickly resulted in failure of his vital organs, such as his heart and lungs,? recalled a doctor who had participated in the emergency treatment. Li Jiacheng?s death made every doctor in the hospital wonder what virus could have claimed his life so quickly.

On March 24, Liu Shigui?s 7-month-old son died in the County Hospital. His diagnosis was suspected HFMD. On April 6, toddler boy Tan Wenchang from Longyan Village of Quanzhou County died of the same disease. It was not until the Guangxi Autonomous Region Disease Control Center had sent an inspection report that people began to realize the killer virus was EV71, a mutated form of the HFMD virus.

On April 10, two-year-old male toddler Wang Minyuan died in the Quanzhou County People?s Hospital. Prior to his death, he had a fever, blood and foam coming from his mouth, and fading breath.

Wang Qun, head of the out-patient department in the Affiliated Hospital of Guilin Medical School, said, ?EV71 is an enterovirus. It attacks vital organs such as the heart and lungs as soon as it enters the human body. The outbreak is fast, and the death rate for critically ill patients can be as high as 80 percent,? according to a Beijing News report.
Difficult to Prevent and Control

In the past, patients of HFMD developed noticeable rashes on the hands, feet and mouth areas. The symptoms were mild and the death rate was low. Patients of EV71 virus hardly develop any rashes on the body, the outbreak is acute, and the death rate is high. The head of Quanzhou County Disease Control Center, Fang Tianxi, told The Beijing News, ?The HFMD has many mutants. The EV71 virus has never been seen in Quanzhou Country before. It has caught the disease control departments off guard.?

A management person from the Quanzhou County Maternal and Child Care Service Center told The Epoch Times that it is now the peak season for a HFMD break out, and things are much worse this year than in previous years. He said the insidious virus is easily passed among children without being noticed. Mild symptoms of this disease look a lot like those of a simple cold. However, if a child develops a fever of 38.5 degrees Celsius (101.3 F) and above, the child should be taken to see a doctor. At present, there is only one hospital dedicated to treating HFMD in Quanzhou County.

Read the original Chinese article.

**Vibrant62** · May 6, 2010, 05:42 AM

Re: China - Alarming Outbreak of "Mutated" Virulent form of Hand, Foot, and Mouth Disease in Guangxi

Are the reported symptoms consistent with HFMD? Sound more like flu to me with a fever rash???

**sharon sanders** · May 6, 2010, 06:33 AM

Re: China - Alarming Outbreak of "Mutated" Virulent form of Hand, Foot, and Mouth Disease in Guangxi

This report is fromGuizhou‎ province but also refers to new "features" of HFMD and refers to fever.

Hand, foot and mouth disease presents new features of the public should be prepared to personal protection

2010年05月06日14:28　来源：新华网

At 2:28 p.m. on May 6, 2010 Source: Xinhua

发表评论【字体： ↑大 ↓小】

Comment 【Font: Big ↑ ↓ Small 】

今年以来，手足口病发病呈现一些新特点，贵阳市卫生、疾控部门专家提醒，近期进入手足口病高发季节，公众应做好个人防护。

This year, hand, foot and mouth disease, with some new features, Guiyang City, health, disease control department experts have warned that the recent high into the hand, foot and mouth disease in the season, the public should make personal protection.

记者从贵阳市疾病预防控制中心了解到，从今年1月至今，贵阳市累计报告手足口病病例2000多例，尚未发现死亡病例，疫情呈现发病时间和疾病传播高峰期提前、散发病例增多等新特点。

Reporter from the Centre for Disease Control and Prevention, Guiyang learned so far this year in January, Guiyang City, reported cumulative cases of hand, foot and mouth disease in more than 2000 cases, we found that deaths, the epidemic spread of the disease present time and the peak incidence of advanced, sporadic cases increase and other new characteristics.

贵阳市卫生、疾控部门专家提出，在已报告的临床重症病例中，散居病例占到总病例数的96%，5岁以下儿童成为最易感人群。

Guiyang city health, disease control department experts, have been reported in clinical severe cases, scattered cases accounted for 96% of the total number of cases, children under 5 years of age to be the most susceptible.

值得注意的是，过去专家认为手足口病主要通过呼吸道和消化道传播，但从今年的手足口病疫情特点看，密切接触也可能是感染手足口病的一个主要渠道。

It is worth noting that the disease in the past, experts primarily spread through respiratory and digestive tract, but this year the characteristics of HFMD epidemic of view, may also be in close contact with HFMD one of the main channel.

专家提醒，预防手足口病，应少带孩子去商场、网吧等人群聚集的地方。

Experts advise to prevent Hand, Foot and mouth disease, should be less kids to the mall, cafes and other crowded places.

在家里应保持儿童居室通风良好，给孩子勤洗手、勤剪指甲，托育机构应做到毛巾、牙刷等卫生用品“专人专用” 。

Children in the home should be kept well ventilated room, the children wash their hands, Qin nails, child care institutions should be towels, toothbrushes and other hygiene products, "hand-specific."
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一旦发现孩子有发热症状，不要急于判定为手足口病，应观察儿童的手、足、口腔等部位是否已出现疱疹，判断准确后再入院治疗，避免在就医时交叉感染。

Once a child has a fever, do not rush to judge as the hand, foot and mouth disease, should observe the child's hand, foot, mouth and other parts has occurred herpes, then hospitalization determine accurately, to avoid cross-infection during medical treatment.

入院后诊断为轻症的儿童，只要多喝开水、多休息，自行服用抗病毒冲剂，几天后即可痊愈。

Admission of children diagnosed as mild, as long as the drink water and rest, self-medication with anti-virus granules, can be recovered after a few days.

(记者李惊亚)

(Xinhua scared Asia)

手足口病发病呈现新特点公众应做好个人防护――中新网

http://www.chinanews.com.cn/jk/jk-jkyf/news/2010/05-06/2266318.shtml

中新网新闻中心是中新网最重要的频道之一，24小时滚动报道国内、国际及社会新闻。每日编发新闻数以万计。

**Farmer** · May 6, 2010, 10:03 AM

Re: China - Alarming Outbreak of "Mutated" Virulent form of Hand, Foot, and Mouth Disease in Guangxi

Originally posted by Vibrant62 View Post

Are the reported symptoms consistent with HFMD? Sound more like flu to me with a fever rash???

Hand Foot and Mouth Disease is a general diagnosis associated with various enteroviruses: including coxsackie viruses, echoviruses. This common childhood disease is generally mild, but recently, large outbreaks have been reported in Asia, and some infections associated with Enterovirus 71 (EV71) have been severe or fatal.

1998 outbreak- Taiwan reports:

Wolters Kluwer Health

http://journals.lww.com/pedresearch/Fulltext/1999/04020/Clinical_Spectrum_of_an_Outbreak_of_Enterovirus_71.992.aspx

Clinical spectrum of enterovirus 71 infection in children in southern Taiwan, with an emphasis on neurological complications - PubMed

http://www.ncbi.nlm.nih.gov/pubmed/10433583

An outbreak of enterovirus 71 (EV71) infection occurred in Taiwan in 1998. The clinical spectrums and laboratory findings for 97 patients with virus culture-proven EV71 infections were analyzed. Eighty-seven percent of the patients were younger than age 5 years. Hand-foot-and-mouth syndrome occurred …

French case report:

http://www.cdc.gov/EID/content/15/11/pdfs/1837.pdf

From Conclusions section:
?Acute pulmonary edema in EV71 infections was rarely
reported before the 1998 outbreak in Taiwan (12). Since
then, this disease, which is often fatal, has been more frequently
described, with known prognostic factors, including
clinical and biologic features such as central nervous
system involvement, leukocytosis, decreased blood pressure,
and hyperglycemia (13). The fatal infection reported
here, which ran a biphasic course, featured all of these signs,
with death occurring within a few hours of the onset of respiratory
distress. This devastating syndrome is believed to
result from the extensive damage of bulbar vasomotor and
respiratory centers (Figure 1). In the study by Kao et al.
all 21 patients who had acute pulmonary edema associated
with these signs died within 4 hours of the development of
acute respiratory distress syndrome (13).?

CDC overview:

Page Not Found | CDC

http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm

Page Not Found | CDC

**alert** · May 6, 2010, 10:17 AM

Re: China - Alarming Outbreak of "Mutated" Virulent form of Hand, Foot, and Mouth Disease in Guangxi

The article that calls this "mutated" HFMD explicitly mentions EV71. I believe the reference to "mutated" is the fact that HFMD caused by EV71 is much more severe than that caused by other viruses, such as coxsackievirus.

And let's not forget the source on that article is the Epoch Times, which has a history of such misstatments.

**Shiloh** · May 19, 2010, 11:10 AM

Re: China - Alarming Outbreak of "Mutated" Virulent form of Hand, Foot, and Mouth Disease in Guangxi

Source: http://www.chinadaily.com.cn/china/2...nt_9869401.htm

12 dead from HFMD in Liuzhou
By Jia Xu (chinadaily.com.cn)
Updated: 2010-05-19 16:56

Liuzhou, Guangxi: The Liuzhou Health Bureau says 12 people have died from Hand-Foot-Mouth Disease (HFMD) since the beginning of April out of 10,089 cases, chinanews.com reports today.

Health experts say this years' occurrence of HFMD is unusual compared with last year, in which the total number of people infected were 7,936, and nobody died from it.