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Archive. Hong Kong: HFMD and EV71 cases with neurological complications, cases' list (2010)

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  • #31
    Hong Kong: Vigilance urged against hand, foot and mouth disease (6/22/10): 17 day old baby with enteroviral meningitis

    Hong Kong: Vigilance urged against hand, foot and mouth disease (6/22/10)

    [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

    The Centre for Health Protection (CHP) of the Department of Health today (June 22) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving a report of a case of enteroviral meningitis.

    The patient was a 17-day-old baby girl born in Hong Kong. She developed a fever on June 15 and was admitted to Caritas Medical Centre on June 17. Her cerebrospinal fluid tested positive for EV. Further laboratory tests are in progress.

    The girl is now in stable condition. Her two-year-old brother also had fever on June 20. He sought medical attention and is now in stable condition. Other home contacts are asymptomatic.

    The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection.
    • Maintain good air circulation;
    • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
    • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
    • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
    • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
    • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
    • Avoid going to overcrowded places.

    -
    ------

    Comment


    • #32
      Hong Kong: Vigilance urged against enterovirus infections (6/24/10): 24 day old baby girl with viral encephalitis, enterovirus positive

      Hong Kong: Vigilance urged against enterovirus infections (6/24/10)

      [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

      The Centre for Health Protection (CHP) of the Department of Health today (June 24) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving report of neurological complications due to EV infection.

      The patient is a 24-day-old baby girl born in Hong Kong. She developed fever on June 20 and presented with oral lesions and rash on hands and feet the following day. She was admitted to Alice Ho Miu Ling Nethersole Hospital on June 21 and is now in stable condition. The clinical diagnosis is viral encephalitis. Her cerebrospinal fluid, rectal and throat swab specimens tested positive for EV. Further laboratory tests are in progress. Her home contacts are asymptomatic.

      The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
      • Maintain good indoor air circulation;
      • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
      • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
      • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
      • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
      • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
      • Avoid going to overcrowded places.

      -
      ------

      Comment


      • #33
        Hong Kong: Hand, foot and mouth disease vigilance appeal (6/28/10): 44 day old baby with meningitis and EV-71

        Hong Kong: Hand, foot and mouth disease vigilance appeal (6/28/10)

        [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

        The Centre for Health Protection (CHP) of the Department of Health today (June 28) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving report of neurological complications due to EV infection.

        The patient is a 44-day-old baby boy born in Hong Kong and living in the Mainland. He developed on and off fever from June 15 and was admitted to Alice Ho Miu Ling Nerthersole Hospital on June 18. He is now in stable condition. The boy's clinical diagnosis is meningitis. His throat swab specimen tested positive for EV. Further laboratory tests are in progress. His home contacts are asymptomatic.

        The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
        • Maintain good indoor air circulation;
        • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
        • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
        • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
        • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
        • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
        • Avoid going to overcrowded places.

        -
        ------

        Comment


        • #34
          Hong Kong: Vigilance urged against hand, foot and mouth disease (7/2/10): 2 year old boy EV-71 positive with HFMD and viral encephalitis

          Hong Kong: Vigilance urged against hand, foot and mouth disease (7/2/10)

          [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

          The Centre for Health Protection (CHP) of the Department of Health today (July 2) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving a report of a case of neurological complications due to EV71 infection.

          The patient is a two-year-old boy living in Yau Tsim Mong district. He presented with fever and rash over his mouth and limbs on June 26. He sought medical treatment and was diagnosed to have HFMD. He was found drowsy on June 30 and was admitted to Queen Mary Hospital. He is now in stable condition. The clinical diagnosis is viral encephalitis. His clinical specimens tested positive for EV type 71. The patient had no recent travel history. His one-year-old sister also developed fever and a rash over her foot on June 30. She sought medical treatment and her condition is stable. Other home contacts are asymptomatic.

          The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
          • Maintain good indoor air circulation;
          • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
          • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
          • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
          • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
          • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
          • Avoid going to overcrowded places.

          -
          ------

          Comment


          • #35
            Hong Kong: Vigilance urged against hand, foot and mouth disease (7/3/10): 10 month old baby boy positive for EV with viral meningitis

            Hong Kong: Vigilance urged against hand, foot and mouth disease (7/3/10)

            [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

            The Centre for Health Protection (CHP) of the Department of Health today (July 3) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving a report of a case of enteroviral meningitis.

            The patient was a 10-month-old baby boy with good past health. He presented with fever, convulsion and oral rash on June 28 and was admitted to Queen Mary Hospital the same day. The clinical diagnosis was viral meningitis. The boy was discharged on July 1. He is now in stable condition. Laboratory tests today revealed that his cerebrospinal fluid tested positive for EV. Further laboratory tests are in progress. His mother had onset of fever and sore throat in early June. Her symptoms subsided after seeking medical attention. Other home contacts are asymptomatic.

            The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection.
            • Maintain good air circulation;
            • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
            • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
            • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
            • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
            • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
            • Avoid going to overcrowded places.

            -
            -----

            Comment


            • #36
              Hong Kong: Hand, foot and mouth disease vigilance appeal (7/5/10): An EV-71 positive 5 year old boy with HFMD and viral meningitis.

              Hong Kong: Hand, foot and mouth disease vigilance appeal (7/5/10)

              [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

              The Centre for Health Protection (CHP) of the Department of Health today (July 5) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving a report of a case of neurological complications due to EV71 infection.

              The patient is a five-year-old boy with good past health. He presented with fever on July 1 followed by oral ulcer, rash over limbs and headache the following day. He sought medical advice and was diagnosed to have HFMD. On July 3, he was admitted to Kwong Wah Hospital for increased severity of headache. He is now in stable condition. The clinical diagnosis is viral meningitis. His clinical specimen was tested positive for EV71. His 19-month-old sister also developed symptoms of HFMD on June 28. His father developed oral ulcers on July 3. Both sought medical treatment and are in stable condition. Other home contacts are asymptomatic.

              The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
              • Maintain good indoor air circulation;
              • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
              • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
              • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
              • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
              • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
              • Avoid going to overcrowded places.

              -
              ------

              Comment


              • #37
                Hong Kong: Call for sustained vigilance against HFMD and EV infection (7/6/10): 2 month old baby boy with EV-71 related meningitis

                Hong Kong: Call for sustained vigilance against HFMD and EV infection (7/6/10)

                [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

                The Centre for Health Protection of the Department of Health today (July 6) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections following investigation into a case of neurological complications due to EV infection.

                The patient is a two-month-old baby boy with good past health. He presented with fever, rash over his legs and poor feeding on July 1 and was admitted to United Christian Hospital the next day. He is now in stable condition. His nasopharyngeal aspirate and cerebrospinal fluid specimens tested positive for EV71. The clinical diagnosis is EV71 infection related meningitis. The patient has no recent travel history. His home contacts are asymptomatic.

                The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
                • Maintain good indoor air circulation;
                • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
                • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
                • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
                • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
                • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
                • Avoid going to overcrowded places.

                -
                ------

                Comment


                • #38
                  Hong Kong: Vigilance reminder on Hand, Foot and Mouth Disease (7/12/10): 25 year old man, 25 month old boy, 23 year old man.

                  Hong Kong: Vigilance reminder on Hand, Foot and Mouth Disease (7/12/10)

                  [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

                  The Centre for Health Protection (CHP) of the Department of Health has reminded members of the public to stay vigilant against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving report of three cases of complications suspected to be due to EV infection.

                  The first patient was a 25-year-old man with good past health who presented with fever, chills, dizziness and headache on July 7 and was admitted to Ruttonjee Hospital the next day. He further developed vesicular and papular rash over hands and feet on July 9. He was discharged today (July 12). His symptoms were clinically compatible with viral encephalitis. Laboratory tests today found his cerebrospinal fluid specimen positive for EV. Investigation revealed that the man's younger brother had symptoms of HFMD a week ago and had already recovered. His other home contacts were asymptomatic.

                  The second patient was a 25-month-old boy who had good past health. He had fever and generalised convulsion on July 10 and was admitted to Princess Margaret Hospital. Physical examination showed ulcers and red spots over posterior pharynx and the clinical diagnosis was status epilepticus complicating herpangina. His fever subsided today and he is now in stable condition. His throat swab was today tested positive for EV.

                  The third patient was a 23-year-old man who developed fever on June 6. He presented with rash over hands and diarrhoea on June 9 and was admitted to Prince of Wales Hospital the same day. He was diagnosed to have HFMD clinically. The patient was once admitted to intensive care unit because of septic shock with multi-organ failure and myocarditis. Afterwards, his condition improved gradually. He had already recovered and was discharged today. His serum was tested positive for Coxsackievirus B5 antibody.

                  The spokesman called on the public to maintain strict personal and environmental hygiene to prevent HFMD and EV infections.

                  They should adopt the following measures:
                  • Maintain good air circulation;
                  • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
                  • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
                  • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
                  • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
                  • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
                  • Avoid going to overcrowded places.

                  -
                  -----

                  Comment


                  • #39
                    Hong Kong: Call for sustained vigilance against HFMD and EV infection (7/21/10): 26 year old woman EV+ w/viral meningitis, 16 year old boy EV-71+ w/meningitis.

                    Hong Kong: Call for sustained vigilance against HFMD and EV infection (7/21/10)

                    [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

                    The Centre for Health Protection (CHP) of the Department of Health today (July 21) repeated its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infection after receiving two cases of neurological complications due to EV infection.

                    The first case involved a 26-year-old woman living in Yuen Long. She presented with fever, headache and sore throat on July 14. She was admitted to Pok Oi Hospital on July 18. The clinical diagnosis was viral meningitis. The patient was transferred to Tuen Mun Hospital today. She is now in stable condition. Laboratory tests of her cerebrospinal fluid and stool specimen were positive for EV. Her home contact is asymptomatic.

                    The second case involved a 16-year-old boy living in North District. He presented with rashes over his hands on July 16 and headache with fever on July 18. He sought medical treatment at North District Hospital on July 19. He developed convulsions the next day and was admitted to Alice Ho Mui Ling Nethersole Hospital. He was diagnosed as having HFMD complicated by meningitis. He is now in stable condition. Laboratory tests revealed that his rectal swab was positive for EV71. No HFMD outbreak was reported recently in the school the patient attended. His home contacts are asymptomatic.

                    The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
                    • Maintain good air circulation;
                    • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
                    • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
                    • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
                    • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
                    • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
                    • Avoid going to overcrowded places.

                    -
                    -----

                    Comment


                    • #40
                      Hong Kong: Vigilance urged against hand, foot and mouth disease (8/27/10): two new cases of enteroviral meningitis.

                      Hong Kong: Vigilance urged against hand, foot and mouth disease (8/27/10)


                      [Source: Centre for Health Protection, Hong Kong PRC SAR, View Original Article.]

                      The Centre for Health Protection (CHP) of the Department of Health today (August 27) renewed its call for vigilance against hand, foot and mouth disease (HFMD) and enterovirus (EV) infections upon receiving reports of two cases of enteroviral meningitis.

                      The first case involved a 34-year-old man. He presented with fever on August 11 and sought medical treatment from a general practitioner the next day. He was admitted to Prince of Wales Hospital on August 13 as the symptoms persisted. He developed drowsiness, slurring speech, weakness and unsteady gait on August 14. The clinical diagnosis was viral meningitis. The patient was discharged on August 25. His anal swab specimen tested positive for EV71.

                      The second case involved a two-month-old baby girl living in Shenzhen. She presented with oral ulcers and rashes over hands and feet on August 21 and sought medical treatment at North District Hospital on the same day. She developed fever on August 22 and was admitted to Alice Ho Miu Ling Nethersole Hospital. Her clinical diagnosis was viral meningitis. Laboratory tests revealed that her cerebrospinal fluid tested positive for EV71.

                      The spokesman called on the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following measures to prevent HFMD and EV infection:
                      • Maintain good air circulation;
                      • Wash hands before meals and after going to the toilet, handling diapers or other stool soiled materials;
                      • Keep hands clean and wash hands properly, especially when they are made dirty by respiratory secretions, such as after sneezing;
                      • Cover nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
                      • Clean children's toys and other objects thoroughly and frequently with 1:49 diluted household bleach, followed by rinsing/wiping with clean water;
                      • Children who are ill should be kept out of school until their fever and rash have subsided and all the vesicles have dried and crusted; and
                      • Avoid going to overcrowded places.

                      -
                      -----

                      Comment

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