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Japan - Ministry of Health, Labor and Welfare statement: 2 possible cases of acute hepatitis of unknown cause in a child - April 25, 2022+

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  • Japan - Ministry of Health, Labor and Welfare statement: 2 possible cases of acute hepatitis of unknown cause in a child - April 25, 2022+

    Posted on Monday, April 25, 2022

    About acute hepatitis of unknown cause in children



     As of April 21, World Health Organization (WHO) reports continue to report acute hepatitis of unknown etiology in at least 169 children (1 death) in 12 countries. Of these, adenovirus was detected in 74 cases, but it is said that the causative virus is unknown. It is also unclear whether acute hepatitis is actually increasing in children. WHO has established a provisional case definition for the purpose of identifying the cause of this acute hepatitis, and is requesting each country to report cases that fall under the case definition.
     On April 20, 1945, the Ministry of Health, Labor and Welfare has issued an administrative contact to local governments, etc. regarding such cases, calling attention and requesting information provision.
     We have recently received a notification that one inpatient case corresponding to 2 "possible cases" of the provisional case definition (*) created by WHO has occurred, so we will announce it as attached. In the future, we will regularly compile and publish the status of case reports.
     The Ministry of Health, Labor and Welfare will continue to cooperate with the governments of each country, WHO, experts, etc., and strive to collect information while paying close attention to the infection situation in other countries.
     Please be considerate of the protection of personal information so that the person or family member is not identified by the media.

    * WHO has established the following provisional working case definition on April 23.
    1 Confirmed: None at this time. 2 Probable: Aspartate transaminase (AST) or alanine transaminase (ALT) presents with acute hepatitis (excluding hepatitis A to E *
    ) exceeding 500 IU / L after January 1, 2021. Children under 16 years
    3 Epi-linked cases: Acute hepatitis (excluding hepatitis A to E) of any age who is a close contact of confirmed cases (before April 22) after January 1, 2021 * )
    * If the result of hepatitis virus AE meets the above definition, it can be reported as "waiting for classification".



  • #3
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    • #4
      2nd possible case discovered

      About acute hepatitis of unknown cause in children (April 28, 4th year of Reiwa)



       As of April 21, World Health Organization (WHO) reports continue to report unexplained acute hepatitis in at least 169 children (1 death) in 12 countries. Of these, adenovirus was detected in 74 cases, but it is said that the causative virus is unknown. It is also unclear whether acute hepatitis is actually increasing in children. WHO has established a provisional case definition for the purpose of identifying the cause of this acute hepatitis, and is requesting each country to report cases that fall under the case definition.
       Regarding these cases, the Ministry of Health, Labor and Welfare issued a warning and request for information to local governments, etc. on April 20, 1945, and on April 27, issued an administrative contact regarding the infectious disease surveillance and active epidemiological investigation of the case. I'm putting it out.
       The cumulative number of reported cases from October 1, 2021 to April 28, 2022, which corresponds to 2 "Possible cases" in the provisional case definition (*), will be announced as attached. We will continue to regularly compile and publish the status of case reports.
       The Ministry of Health, Labor and Welfare will continue to cooperate with the governments of each country, WHO, experts, etc., and strive to collect information while paying close attention to the infection situation in other countries.
      Please be considerate of the protection of personal information so that the person or family member is not identified by the media.


      * The definition of provisional cases is as follows. "Acute hepatitis of unknown cause in children in Europe and the United States (cooperation request)" (Ministry of Health, Labor and Welfare, Ministry of Health, Labor and Welfare, Tuberculosis Infectious Diseases Division, Office Contact)
      Diagnosed after October 1, 2021 Among hospitalized cases with unexplained hepatitis, those who meet any of the following 1, 2, and 3:
      1 Confirmed cases None at this time.
      2 Possible examples Among children under 16 years of age who presented with acute hepatitis with aspartate transaminase (AST) or alanine transaminase (ALT) exceeding 500 IU / L, those who were denied the involvement of hepatitis A to E virus. ..
      3 Among those who present acute hepatitis of any age who are close contacts of epidemiologically related cases 2, those who have been denied the involvement of hepatitis A to E viruses.


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