Re: China: 2009 HFMD 354,000+ Cases and 124 deaths
Re: China: 2009 HFMD 354,000+ Cases and 124 deaths
Source:
http://news.sina.com.cn/c/sd/2009-06-08/121917974561.shtml
China Hand, Foot and Mouth March and April were 267,148 cases of disease
06 years
http://www.sina.com.cn 2009 on 08 day 12:19 CCTV "Weekly Quality Report"
CCTV "Weekly Quality Report" June 7, 2009 broadcast "hand, foot and mouth disease diagnosis", the following for the show.
At present, the global alpha in blocking influenza H1N1, China is to make every effort to contain the epidemic, but at the same time, another for the prevention and control of infectious diseases is also carried out a war, it is hand, foot and mouth disease. Since spring, the virus caused by intestinal infectious diseases come back, will be targeting small children, not only against the children's health, so that they have suffered, but also grabbing the hearts of every one of us.
At present, the hand, foot and mouth disease was reported incidence is still rising number of severe cases are also increasing. The battle for the prevention and control of how, together, we press the investigation.
Body 【】
Since spring this year, hand, foot and mouth disease outbreak, the country's 31 provinces, autonomous regions and municipalities have reported cases. According to the Ministry of Health released the latest information on the epidemic, China's only month this year, 3,4 the number of hand, foot and mouth disease were as high as 267,148 people, 96 people died. Of these, the largest number of incidence in Henan Province, were reported in the current incidence of 61,780 people, 36 people were killed. A few days ago, we "Weekly Quality Report" went to press a number of prefectures and cities in Henan Province, on the investigation into the outbreak here. (Children's Hospital space mirror), as the hand, foot and mouth disease among hospitals, Children's Hospital of Zhengzhou City, the province has the largest pediatric intensive care ward.
】 【Press appearance
We understand that the Children's Hospital in Zhengzhou, in previous years, the intensive care unit here almost never treated children had hand, foot and mouth disease, and in this year, with the hand, foot and mouth disease in severe cases increase, hospitals set up special isolation of the Hand, Foot and Mouth disease of children in ICU.
Body 【】
According to the hospital this year ferocious hand, foot and mouth disease,
the proportion of critically ill patients is much higher than the same period last year, which was taken by surprise at first to allow hospitals, in order to allow them to be more effective in children with severe treatment, and to avoid cross-infection, the hospital emergency isolate The hand, foot and mouth disease in ICU. The reporter saw a dozen beds filled with almost all children lie. The baby girl Business Qiu宁陵from less than 2 years old, sent to the hospital, she has brainstem damage and other complications of shock. At that time, recalled the scene to rescue the children's father still feel scared.
Over the same period 【】
Children with the father: the February 25, 6:00 to get up early, we went to maternal and child health care hospital to the children of civil rights to do a blood test, blood as high,
the doctor said that he said you are the upper respiratory tract infection, that is, not the hand, foot and mouth disease. Never found out, that is, lose a bottle of water, I feel burning or not to reclaim their children, I came to this, that is, much to 12:00 on the car directly from the drive. Directly from a doctor to see directly into the emergency treatment room, and on the rescue.
Body 【】
This reporter has learned that children with intensive care room with almost all of the complications of varying degrees of seriousness. Some children had been in critical condition when sent, too late to rescue the 12 hours on a declaration of death.
】 【The same period in Zhengzhou City, deputy director of Children's Hospital PICU physicians Yi Bing Cheng
The main complications of the nervous system complications, which can occur encephalitis, meningitis, brainstem encephalitis, encephalomyelitis, some critically ill children children, in addition to neurological complications, then there are neurogenic pulmonary edema, in the end there is a shock, there.
Reporter: So you are going to leave after-effects? After this is out.
As director: It is part of a child is to leave the after-effects. Because it violated a virus, it may lead to the central involvement of a number of children, especially violations of the brain stem, some children will drop effects.
Body 【】
Children in a critical condition as a result, each bed have 1-2 nurses in nursing, at any time to monitor the condition and regularly for testing, although the intensive care unit of this with more than 30 doctors and nurses, but still lack of manpower.
】 【The same period in Zhengzhou City, deputy director of Children's Hospital PICU physicians into ice Yue
We are now in a state of war, there is no rest days, regardless of work and work, the epidemic is the order, as long as the changes in the child condition, we observe a positive treatment in the side.
Body 【】
Effects have not yet found the current methods of treatment, some children have been hospitalized with severe long as a few months ago, reporters found that many parents of foreign children into the wards because they are unable to accompany, but also who can not afford hotels, so abandoned in the hospital corridor covered in bedding, home security.
Apart from the intensive care unit, the hospital also has a hand, foot and mouth disease quarantine area hospital, treated the children with symptoms of less serious, more than 40 beds were in short supply. And more children of hand, foot and mouth disease on the out-patient areas, many parents with children who come from overseas.
Over the same period 【】
Reporter: Zhengzhou from home to you about how much time?
Parents: probably more than an hour, take high-speed.
Reporter: Do you have a hospital right there?
Parent: Yes.
Reporter: Why not look at a local hospital this?
Parents: people too much.
Body 【】
According to doctors, outpatient amount since April has been significantly increased, and the current decline.
Over the same period 【】
Reporter: Let's come to visit every day of the patient will do the statistics right?
Doctor: Yes, we have to do statistics.
Reporter: During the day, all night ah?
Doctor: Well, during the day, all night, 24 hours, we work 24 hours a day.
Reporter: up to 195 day time.
Body 【】
According to national statistics, with the exception of outside Henan, Shandong, Jiangsu Provinces have a more serious epidemic, in addition, with increasing temperature, the epidemic peak is from the eastern provinces to the northern movement of a sharp rise in reported cases in Hebei Province. At present, the epidemic stable platform during peak period, about 6000 cases reported daily. Ministry of Health experts said the outbreak this year, showing a certain degree of regional characteristics.
】 【Experts
Xiao floor: the Ministry of Health Disease Control and Prevention, Deputy Secretary, have been involved in the atypical pneumonia epidemic in 2003 and in 2008, Anhui Fuyang outbreak of hand foot and mouth disease and other major public health emergencies. The current hand, foot and mouth disease prevention and control of the Ministry of Health Leading Group Office.
Ministry of Health over the same period】 【hand, foot and mouth disease prevention and control work of the Leading Group Office Building任肖东
In view of the trend of the country's total, we are now the three northeastern provinces, the epidemic is still relatively low, the incidence is relatively low, the number of relatively small incidence, in addition to the five northwestern provinces of Shaanxi, the also relatively low number of cases is relatively small. In addition a number of south-west province of Yunnan-Guizhou Sichuan, Chongqing, Hainan low incidence.
Plate 【】
Hand, foot and mouth outbreak maps (audio)
Body 【】
Through the analysis of the national epidemic, the reporter noted that the disease has a high population density areas, the liquidity of common ground. This is also the result of hand-foot-mouth cases this year, significantly higher than in previous years, one of the reasons why.
Ministry of Health over the same period】 【hand, foot and mouth disease prevention and control work of the Leading Group Office任肖东floor 00:45:22:05
Xiao: The prevalence of infectious diseases which are caused by one of the factors is that, as the increase in the flow of personnel, that is caused by the spread of infectious diseases, prevalence of a very important factor.
Reporter: So, this may also be high this year, the situation is now a factor?
Shaw: Yes, it now appears that the epidemic is mainly concentrated in just said Henan, Shandong, Jiangsu, Anhui, Guangdong, Guangxi, mainly in these areas.
Reporter: The output of a large province or services?
Xiao: the floating population in these areas are also relatively more.
Body 【】
Hand, foot and mouth disease is caused by intestinal viruses of infectious diseases, symptoms include fever, as well as hands, feet, buttocks, such as oral herpes appear. Mainly by fecal-oral transmission, spread and close respiratory contact. Therefore,
the greater the population, the mobility of the stronger, the easier it will be the spread of the virus. As a result of hand, foot and mouth virus hidden in the incidence of infection is not mainly hidden infection becomes the biggest source of infection.
【China over the same period the national measles laboratory director of CDC XU Wen-bo
It is a hidden infection, inapparent infection can not be identified, so it does not means that 90% of the disease, but it spread it spread as it flows, so that is difficult to control.
Body 【】
But at the same time, stealth virus-infected persons also received immunity. Experts pointed out that the high incidence of the disease in the region, will set up crowd barriers immunization, hand, foot and mouth disease outbreak across the country are not likely to.
(Hidden black)
Body 【】
According to doctors, hand, foot and mouth disease this year,
a popular feature is a significant increase in severe cases, not only that, the conversion mild to severe, severe to critically ill patients is also very rapid conversion. In Henan Province as an example, the province in 2008 reported only 10 cases of severe cases, and so far this year, with severe cases is 10 times last year. Analysis of the health sector, this phenomenon and hand-foot-mouth disease this year, the characteristics of the virus.
Zhang】 【experts: China CDC for Disease Control and Emergency Response Office of Director of the Office of gastro-intestinal infections
【CDC in the same period China Zhang Jing, director of the Office of gastro-intestinal infections
Carried out since the pathogen detection, we have isolated a virus gene sequencing analysis and comparison, the results show that the hand, foot and mouth disease in our country the main pathogen for 16 intestinal EV71 and Coxsackie virus, which caused severe and mortality for EV71 virus, accounting for previously diagnosed more than 90% of cases.
Body 【】
Reporters learned that Children's Hospital in Zhengzhou, where the vast majority of children with severe hand, foot and mouth disease, are infected with the EV71 virus.
】 【The same period in Zhengzhou City, deputy director of Children's Hospital PICU physicians Yi Bing Cheng
The results of the past seems to return only one not infected with EV71, he was Coxsackie (infection), is also a hand, foot and mouth disease caused by a common pathogen, others are basically (EV71 infection).
Braille plates on the body + 【】
EV71 virus, currently found in the latest of intestinal virus in 1969 was confirmed in the United States, infectious, and high morbidity, particularly in regard to lead to nervous system complications occur in infants and young children.
The history of EV71 have been prevalent. 70s of the last century, Bulgaria more than 750 people infected with EV71 disease, 44 people were killed. In 1997, the incidence in Malaysia 2628 people, 29 people were killed. In 1998, China's Taiwan region caused by EV71 hand, foot and mouth disease and herpangina popular, more than 120,000 reported cases, 78 people were killed. April 2008, EV71 outbreak in Fuyang, Anhui, and then extended to a number of provinces and cities, last year the number of hand, foot and mouth disease of up to 4,889,550,000, the death of 126 people.
Experts pointed out that although the EV71 virus outbreak in the world, but there is no effect for treatment of EV71. If misdiagnosed or ease administration, prone to encephalitis, pulmonary hemorrhage, acute flaccid paralysis and complications such as myocarditis, and even death.
Over the same period 【】
The first difficulty is that we do not have an effective, very effective in the treatment of an anti-viral drugs, there is no way for the virus, then the second, then, is a critical early detection of disease cases, this is a very troublesome problem, because really this disease appeared after the situation of critically ill patients, the progress will be very fast, and some of the critical situation of the early discovery may take a very careful observation, will be able to find, if found late, then the treatment is not timely, then the mortality rate is very high.
Body 【】
In general, the symptoms of hand, foot and mouth disease more obvious, if the early detection, early treatment, clinically it is not difficult to cure. However, reporters at the hospital found that many infected with EV71 virus in children who do not see obvious herpes.
Over the same period】 【Ditan hospital infection, director of Li Xingwang
Some children may be very little rash may be on the back of the hand or foot may be two or three of these sites, 34 rash, we called atypical rash. The more this is not a typical skin rash, he may be more serious condition, may be we are talking about the so-called EV71 virus, it has caused.
Body 【】
This characteristic, so that many parents did not discover the child has been infected with EV71, thus delaying treatment. In order to allow the public to know more about the EV71 virus, and hand, foot and mouth disease prevention and control knowledge, the State Ministry of Health in May last year, hand, foot and mouth disease will be included in a Class C infectious diseases, is reported directly in the implementation of the network at the same time, vigorously promote the prevention and control knowledge.
Ministry of Health over the same period】 【hand, foot and mouth disease prevention and control work of the Leading Group Office Building任肖东
Last year we made a lot of media coverage, media coverage of optical discs, we have made tens of thousands last year to various places to Zhang, the most basic knowledge of hand, foot and mouth disease, through a variety of media, different ways publicity.
Body 【】
However, the reporters found that the transmission of information in a number of relatively backward areas, many residents in March of this year before on the hand, foot and mouth disease and had no idea EV71 virus.
Over the same period】 【Zhongmu County, Henan Province, Zhang branch Pak Sha Tsuen Kee
Reporter: When did you know that the beginning of hand, foot and mouth disease this disease?
Party branch secretary: This disease is also known, is more than one month point, I know that this work has not stopped.
Reporter: In this never before heard of your hand, foot and mouth disease is not it?
Party branch secretary: In the past, no.
Body 【】
Even some health care workers to receive training in this year after the hand, foot and mouth disease.
Over the same period 【】
Reporter: How long you been in this hospital?
Nurses: the bar in 2012.
Reporter: When did you know that hand, foot and mouth disease this disease?
Nurse: In just this condition is sometimes just.
Reporter: is this it?
Nurse: Yes.
Body 【】
Delayed understanding of the disease, coupled with the characteristics of the spread of the virus, so that poor sanitary conditions in rural areas to become the highest-fat epidemic area. Statistics show that the majority of patients with hand, foot and mouth come from the rural children. This is also aware of the relevant departments so that the grass-roots level to strengthen the public health system in our country needed.
Ministry of Health over the same period】 【hand, foot and mouth disease prevention and control work of the Leading Group Office Building任肖东
We also feel that the present construction of the public health system, the key is still relatively weak links in rural areas, at the grassroots level, especially in rural public health following a lot of work to do yet are relatively weak, which is to enhance the training we need to strengthen basic facilities, especially the improvement of rural sanitation, drinking water and lavatories in rural areas to work, then through the improvement of environment, to improve the capacity of rural areas and that the level of public health.
(Hidden black)
Body 【】
Investigation at the hospital, a phenomenon caused by the attention of reporters. Although the hand, foot and mouth disease out-patient every day排着长队before, but it is hand, foot and mouth disease confirmed cases only accounted for half of the ratio.
Over the same period 【】
Reporter: ah 17 cases yesterday.
Female 9: TU.
Reporter: How many confirmed. There are 17 confirmed nine is.
Body 【】
Unable to accurately judge the condition as a result, many parents found that some children come to suspected symptoms to hospital for treatment. Experts point out that for patients with symptoms of suspected minor to the hospital is not the best option.
【CDC in the same period China Zhang Jing, director of the Office of gastro-intestinal infections
As far as we currently have it, 99% of the children were light, which is出疹子may have fever, may be small, may not be part of a child with fever, this time, the light of the case we are taken home or isolated In this way, this can reduce unnecessary cross-contamination, cross-infection.
Body 【】
In order to reduce cross-infection, the Ministry of Health requested the establishment of pre-hospital triage system, and to open a dedicated office reception suspected in patients with hand, foot and mouth. Children's Hospital in Zhengzhou City, the reporter found that the situation of each patient were recorded in detail.
Body 【】
In this way, government departments strive to source of infection on the hand, foot and mouth disease under control.
Zhengzhou City the same period】 【Health Secretary Gu Jian Qin
The first is the key link for the source of infection, that is, where the disease is relatively high incidence areas, nurseries in the county or urban area, it is necessary to do a good job in these areas, sources of infection control, outbreak detection.
Body 【】
Reporter noted that the kindergarten, the school became the focus of hand, foot and mouth disease prevention and control of information and places.
Over the same period 【】
Kindergarten teachers: teachers ask you What is hand, foot and mouth disease? Who knows?
Answer: the hands and feet and mouth are herpes from.
Kindergarten teacher: he said right?
Answer: Yes.
Body 【】
In addition, easy to hand, foot and mouth disease in rural areas of high challenge also.
Over the same period 【】
Reporter: We have see the entrance to the village of Pak Sha Tsuen, such a banner that read prohibited children under the age of seven to enter the village, in the following AM, as well as keep a person in this. In this you do?
M: Anyway, in this village committee is to help the fight against child 7 years of age to enter the village.
Reporter: Why?
M: As this issue for some time anyway, the province's hand, foot and mouth disease epidemic, in order to prevent the children outside the village to hand, foot and mouth disease into the village, anyway, since this role is on the right.
Body 【】
Journalists have also seen in some rural areas, hand, foot and mouth disease banners everywhere, on the road have also been disinfected洒满white with lime. Patients in order to find the first time, vaccination of the village doctors also carried out house-to-house investigation.
Ministry of Health over the same period】 【hand, foot and mouth disease prevention and control work of the Leading Group Office Building任肖东
Such measures do so, for the prevention and control of infectious diseases that must be effective, must be effective. Well, it means that the mass prevention of the masses are mobilized enthusiasm, that is, let the masses participate in the prevention and control to work, so that everyone has this sense.
Body 【】
Relevant departments pointed out that such control measures in the epidemic-prone areas will be the effect, but not the national promotion, prevention and control of hand, foot and mouth disease, but also because the public key in the prevention of life.
Braille plates 【】
Experts have pointed out that: 1, parents with children should be minimal to crowded public places. 2, the use of chlorine disinfectants, such as disinfectant for disinfection 84. 3, to observe good personal hygiene in daily life, to "wash their hands, eating food, drinking water, regular ventilation, sun-bathing."
Body 【】
At the same time, experts said that the gastro-intestinal virus from the environment can be long-term survival. Therefore, good hygiene practices need to maintain long-term in order to anti-virus in the first place.
【China over the same period the national measles laboratory director of CDC XU Wen-bo
Wash their hands rather than one or two days,
it is necessary to adopt good hygiene practices, wash hands this month, next month, do not wash, then next month you will also be transmitted infection, that is habit, that is, the public health, including, in particular, sanitation and hygiene.
Body 【】
At present, although China's provinces and cities have hand, foot and mouth disease, but data show that hand, foot and mouth disease mortality is less than 0.3 ?, much lower than other communicable diseases, as long as the appropriate prevention and control can inhibit the spread. After the vigorous national prevention and control of the region, hand, foot and mouth disease in the number of daily reported incidence has been shown to reduce the trend of the development of vaccines are also being carried out at the same time, wide concern in 2009 by a new medical reform program, there is on rural reform water, lavatories and other public health services to enhance the state's major projects, such as hand, foot and mouth disease for such diseases provide policy and financial favor, at all levels of government and health departments are committed to the patriotic public health campaign, from the source to control and reduce the occurrence of hand, foot and mouth disease.
Treatment of hand, foot and mouth disease can not be taken lightly, can not cause for undue alarm. We need rational manner, understanding of science in order to effectively prevent the spread of the disease. The participation of all citizens in the prevention and control of the battle, we also gain a lot of thinking and inspiration. Recently, from the "milk powder incident" to "powder incident," and then "cold event", and even now the hand, foot and mouth disease epidemic, the victims are small children.揪心We also hope that China's more urgent to establish a new and improved public health control system, then, whether it is hand, foot and mouth disease, or other infectious diseases, will stop at this security barrier.
