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

Re: Hong Kong: Deceased student negative for enterovirus (6/10/10)

Re: Hong Kong: Deceased student negative for enterovirus (6/10/10)

Source: http://www.thestandard.com.hk/news_...5&sid=28545692&con_type=1&d_str=20100611&fc=7

Mystery illness kills boy, 14

Mary Ann Benitez

Friday, June 11, 2010

The sudden death of a 14-year-old boy on Wednesday has doctors mystified, after initial tests showed he did not suffer an enteroviral infection.

This comes as the city is in the grip of an enterovirus-71 and hand, foot and mouth disease outbreak, with 369 institutional outbreaks this year.

The student of Tang Shiu Kin Victoria Government Secondary School in Wan Chai was treated at the accident and emergency department of Queen Mary Hospital on Monday after vomiting and feeling unwell.

But he was found collapsed at home the next evening and rushed to Ruttonjee Hospital.

Emergency department staff there could not revive him despite hours of resuscitation efforts and he was declared dead, the Centre for Health Protection said last night.


Preliminary tests were negative for enterovirus and further tests are ongoing, the center added.

The case has been referred to the coroner.

The boy's school has not had any outbreak of hand, foot and mouth disease or flu-like illnesses.

The center has advised the school on thorough disinfection and infection control measures.

Meanwhile, health protection authorities have repeated their call for vigilance against hand, foot and mouth disease following an imported case of enteroviral meningitis in a seven-year-old.

The Hong Kong-born boy who lives and studies in the mainland sought treatment from a hospital there after he developed fever and inflamed cysts on the throat, hands and feet in mid-May.

After initial remission, he developed fever again on May 25 with headache, fatigue, abdominal pain and vomiting, and saw mainland doctors on June 3.

He then came to Hong Kong on Tuesday and was admitted to Tuen Mun Hospital, where tests confirmed the presence of enterovirus.

The boy was in a stable condition last night.

People at his home in Hong Kong have shown no symptoms of the disease.
 
Hong Kong: Higher number of adult cases attributed to greater incidence of EV infection (6/11/10): genetic mutation not yet proven

Hong Kong: Higher number of adult cases attributed to greater incidence of EV infection (6/11/10): genetic mutation not yet proven

Hong Kong: Higher number of adult cases attributed to greater incidence of EV infection (6/11/10)

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

The higher number of adult cases of hand, foot and mouth disease (HFMD) and enterovirus infection with serious complications this year has been attributed to the greater incidence of enterovirus infection overall and not to a genetic mutation of enterovirus.

The Controller of the Centre for Health Protection (CHP) of the Department of Health, Dr Thomas Tsang, said today (June 11) that Hong Kong is experiencing a high season of HFMD and enterovirus infection in 2010 as a result of cyclical epidemic behaviour and regional increase in virus activity.

"Enteroviruses of multiple types are circulating in the community, and EV71 is associated with a higher chance of developing neurological complications," Dr Tsang explained.

"The proportion of adults among cases with neurological complications is not higher than in previous years, and different types of enteroviruses were involved in these adult cases. Genetic sequencing studies of circulating enteroviruses found that they are similar to those in previous years," he said.

"The above analysis indicates that the higher number of adult cases with complications this year is attributable to a greater incidence of enterovirus infection overall and not to genetic mutation of enteroviruses occurring this year in Hong Kong."

The CHP will continue to closely monitor the situation and keep the public updated on the latest situation.

A daily update of the HFMD and EV71 situation has been put up on the CHP website.

To alleviate the impact of the HFMD epidemic, Dr Tsang urged members of the public to maintain strict personal and environmental hygiene to prevent infection, seek medical advice when there are symptoms of HFMD or herpangina, and refrain from going to school or work before all symptoms subside.

He said, "personal hygiene remains the mainstay of measures for parents and other care-takers of infected children and other household members to reduce household infection."
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Hong Kong: Four-year-old boy tested positive for Echovirus 30 (6/11/10): clinically compatible with meningitis

Hong Kong: Four-year-old boy tested positive for Echovirus 30 (6/11/10): clinically compatible with meningitis

Hong Kong: Four-year-old boy tested positive for Echovirus 30 (6/11/10)

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

A previously reported viral meningitis case involving a four-year-old boy studying in Po Leung Kuk Tam Au-Yeung Siu Fong Memorial Kindergarten in Whampoa Garden, where a hand, foot and mouth disease outbreak was reported, has now been confirmed to be infected with Echovirus type 30, a kind of enterovirus.

Laboratory result issued today by the Centre for Health Protection of the Department of Health confirmed that the boy's throat swab was tested positive for Echovirus type 30.

The boy presented with fever, headache and vomiting since June 6. He was admitted to Kwong Wah Hospital on June 8. No sign or symptoms of hand, foot and mouth disease was noted at that time, but throat and rectal swab showed positive result for enterovirus on June 9. The boy is clinically compatible with meningitis. His condition is now stable. His home contacts are asymptomatic.

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Hong Kong: Two reports of enteroviral meningitis received (6/11/10): 8 year old girl, two month old baby boy

Hong Kong: Two reports of enteroviral meningitis received (6/11/10): 8 year old girl, two month old baby boy

Hong Kong: Two reports of enteroviral meningitis received (6/11/10)

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

The Centre for Health Protection (CHP) of the Department of Health has repeated its call for vigilance against hand, foot and mouth disease (HFMD) as two reports of enteroviral meningitis were received today (June 11).

The first case, one of confirmed enterovirus 71 (EV71) infection, involved an eight-year-old girl who presented with on and off fever and sore throat since June 1. She vomited and complained of headache after convulsion on June 4 and was admitted to Queen Elizabeth Hospital. The clinical diagnosis was viral meningitis. She is currently in stable condition. Viral culture of her nasopharyngeal aspirate today grew EV71 . Her home contacts were asymptomatic. She studies at Maryknoll Convent School (Primary Section) and there was no recent HFMD outbreak.

In the second case, CHP was notified by Tseung Kwan O Hospital (TKOH) today about a confirmed case of EV infection. The patient was a two-month-old baby boy who presented with fever since June 3. He was admitted to TKOH on June 7. The clinical diagnosis was viral meningitis. His cerebrospinal fluid was found positive today for enterovirus. The stool and nasopharyngeal swab was also positive for Coxsackie virus group B type 4. He is still in TKOH and is now in stable condition.

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

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.
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Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/13/10): 2 additional cases of enterovirus infection with neurological complications

Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/13/10): 2 additional cases of enterovirus infection with neurological complications

Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/13/10)

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

The Centre for Health Protection (CHP) of the Department of Health has today (June 13) urged the public to stay vigilant against Hand, Foot and Mouth Disease (HFMD) during its current high season as two reports of neurological complications due to enterovirus (EV) infection were received.

The first case was a 13-year-old boy who presented with low grade fever and sore throat on June 10 and later developed headache, rash over hands and feet, drowsiness and dizziness on June 12. The boy attended Accident and Emergency Department of Yan Chai Hospital on June 12, and was then admitted to Princess Margaret Hospital. He was transferred to the Intensive Care Unit today and is now in critical condition. His clinical features were compatible with encephalitis. Investigations revealed that the boy's younger sister had mild fever and sore throat on June 9 and her symptoms had already subsided. Throat and rectal specimens from the boy and his younger sister were preliminarily tested positive for enterovirus but negative for EV71. Further laboratory tests are being conducted.

The second case involved a three-month-old baby boy who developed fever on May 28. He was admitted to Tuen Mun Hospital for persistent fever on May 29. His clinical features were compatible with viral meningitis. He had recovered and was discharged on June 11. His home contacts were asymptomatic. Culture of his cerebrospinal fluid yielded Echovirus type 30.

Echovirus is a type of EV and can also cause HFMD. Complications, which are rare, include meningitis and encephalitis.

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

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.
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Hong Kong: EV case with neurological complication investigated (6/14/10): 7 year old boy with meningitis and HFMD

Hong Kong: EV case with neurological complication investigated (6/14/10): 7 year old boy with meningitis and HFMD

Hong Kong: EV case with neurological complication investigated (6/14/10)

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

The Centre for Health Protection (CHP) of the Department of Health is today (June 14) investigating a case of neurological complication suspected to be caused by enterovirus (EV) infection.

The case involved a seven-year-old boy who presented with fever, rash over limbs and sore throat on June 11. He complained headache and nausea subsequently on June 14 and was admitted to Kwong Wah Hospital on the same day. He is now in stable condition. He was clinically diagnosed as meningitis with Hand, Foot and Mouth Disease. Further laboratory tests are being conducted while investigation continues. His home contacts were asymptomatic. The boy studied in St. Patrick's School in Wong Tai Sin where an HFMD outbreak was reported on May 28, involving four boys aged between eight and 12. The onset date of the last case was June 1. Health advice was given to the school and CHP will closely monitor the situation.

The spokesman reminded the public to maintain strict personal and environmental hygiene during the current HFMD high season and adopt the following preventive 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.
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Hong Kong: Neurological complication case confirmed EV71 positive (6/15/10): 7 year old boy infected by enterovirus-71 with meningitis and hfmd

Hong Kong: Neurological complication case confirmed EV71 positive (6/15/10): 7 year old boy infected by enterovirus-71 with meningitis and hfmd

Hong Kong: Neurological complication case confirmed EV71 positive (6/15/10)

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

The Centre for Health Protection (CHP) of the Department of Health said today (June 15) that the seven-year-old boy at Kwong Wah Hospital who was clinically diagnosed as meningitis with hand, foot and mouth disease (HFMD) has been confirmed enterovirus (EV) 71 positive.

Latest laboratory result from the CHP's Public Health Laboratory Centre showed that the boy's throat and rectal swab specimen were positive for EV71. The boy is now in stable condition. CHP's investigation continues.

The boy's school, St Patrick's School in Wong Tai Sin where an HFMD outbreak was reported on May 28, will continue to be closely monitored.

The spokesman reminded the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following preventive 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.
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Hong Kong: Kindergarten advised to suspend classes (6/17/10): 1 pupil confirmed with EV-71, 14 other have hfmd

Hong Kong: Kindergarten advised to suspend classes (6/17/10): 1 pupil confirmed with EV-71, 14 other have hfmd

Hong Kong: Kindergarten advised to suspend classes (6/17/10)

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

CCC HK Council Fuk Yau Kindergarten cum Child Care Centre in Tsuen Wan has been advised to suspend classes from tomorrow (June 18) for two weeks until July 1, following investigation by the Department of Health's Centre for Health Protection (CHP) into a Hand, Foot and Mouth Disease (HFMD) outbreak at the school affecting 15 pupils.

The children developed symptoms of HFMD between June 1 and 16. One of the affected pupils was confirmed to have enterovirus 71 (EV71) infection. The pupil was a five-year-old girl who had her infection confirmed on June 12. She consulted private doctor and required no hospitalisation. All affected pupils are in stable condition. No hospitalisation was required.

The school management had stepped up cleansing measures according to CHP's advice following the Centre's visit on June 10 and 14. As three more students were reported today (July 17) to be affected with HFMD, the CHP advised the school to suspend classes from tomorrow for two weeks for thorough disinfection. Investigation continues.

The CHP's spokesman reminded the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following preventive 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.
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Archive. Hong Kong: HFMD and EV71 cases with neurological complications, cases' list (2010)

Hong Kong: Public urged to prevent hand, foot and mouth disease (6/18/10)

[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 18) called on people to maintain strict personal and environmental hygiene to prevent hand, foot and mouth disease (HFMD) following an investigation into a HFMD case with neurological complications.

The patient is a four-year-old girl who presented with fever, rash over her limbs, sore throat and cough on June 16. On June 17, she developed a headache and was admitted to Princess Margaret Hospital. She is in the Intensive Care Unit and is in serious condition. Her clinical picture was compatible with aseptic meningitis. The throat and rectal swabs of the patient tested positive for enterovirus. Further tests are being conducted.

The CHP noted that the kindergarten the girl attended had no recent HFMD outbreak.

The spokesman reminded the public that Hong Kong was currently in the HFMD high season. He called on the public to maintain strict personal and environmental hygiene to prevent HFMD and 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.
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Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/19/10): 9 year old boy with EV-71 and meningoencephalitis, 4 year old girl with EV-71 and aseptic meningitis (both in ICU)

Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/19/10): 9 year old boy with EV-71 and meningoencephalitis, 4 year old girl with EV-71 and aseptic meningitis (both in ICU)

Hong Kong: Vigilance urged against Hand, Foot and Mouth Disease (6/19/10)

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

The Centre for Health Protection (CHP) of the Department of Health has today (June 19) urged the public to stay vigilant against Hand, Foot and Mouth Disease (HFMD) during its current high season as a report of neurological complications due to enterovirus (EV) infection was received.

The patient was a nine-year-old boy with good past health who presented with hand, foot and mouth disease in late May. On June 16, he developed headache followed by fever, lower limb weakness, limping gait and drowsiness in the next three days. The boy attended the Accident and Emergency Department of Kwong Wah Hospital on June 19 and was admitted to the Intensive Care Unit. The clinical diagnosis was meningoencephalitis.

He is now in critical condition. Throat and rectal specimens from the boy were tested positive for enterovirus (EV) 71.

The boy studies in Free Methodist Bradbury Chun Lei Primary School in Sha Tin where a HFMD outbreak occurred in May involving five pupils aged seven. The onset date of the last case was May 31.

Health advice was given to the school and CHP will closely monitor the situation.

In another development, a CHP spokesman said the four-year-old girl hospitalised at Princess Margaret Hospital for aseptic meningitis has her throat and rectal swabs tested positive for EV 71. She is currently in Intensive Care Unit in serious condition.

The spokesman reminded the public to maintain strict personal and environmental hygiene during the current HFMD outbreaks and to adopt the following preventive 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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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): 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.
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