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Hand-foot-mouth outbreak in China

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
China govt denies infant deaths in mystery epidemic

Chinese authorities have denied reports that at least 26 children have died from a mysterious illness in eastern China as local media Monday accused the government of covering up an epidemic.

Newspaper and Internet reports from Shandong province have said that "many" children have died and hundreds of others have fallen ill from a mysterious disease that has swept through Linyi city since late April.

"The reports on the Internet are pure rumour, this illness is a viral infection of the intestines that commonly occurs in infants and children in the summer and autumn months," the Shandong Health Bureau said on its website in a statement posted Sunday.

The bureau was responding to an Internet report that said at least 26 children had died in Linyi between April 29 and May 11.

Medical authorities in Linyi said the deaths were caused by an outbreak of "hand-foot-mouth disease" which had infected up to 292 children in the city at that time, the Shanghai Morning Post reported.

Hand-foot-mouth disease is a viral infection that usually begins in the throat. It is a relatively common infection caused by the Coxsackie virus, according to the US National Library of Medicine.

The Shanghai Morning Post blamed health officials for failing to inform the public of the disease leading to panic in the city.

Parents were refusing to allow their children out of doors and were avoiding eating beef or lamb believing the illness was linked to foot and mouth disease that affects livestock, the newspaper said.

The Linyi health bureau only began informing media of the "hand-foot-mouth disease" on Friday, after panic had spread to many households, it said.

Internet reports and postings said "SARS (severe acute respiratory syndrome) has returned," referring to the disease that appeared in China in 2003 and spread globally after Beijing health authorities tried to cover it up.

According to the Yanzhao Metropolitan Daily, the latest outbreak resulted in the death of a three-year-old child on April 29, sparking rumours that many children had died.

"All levels of government must recognise that by creating a transparent government they can win the confidence of the people and dispel and reduce unstable social elements" the daily said in an editorial.

The paper also accused the Linyi government of failing to implement new regulations mandating that governments be more open with information.

According to the Shanghai Morning Post, local journalists in Linyi did not report on the outbreak, indicating that there was a possible gag order on the epidemic by local officials.

The outbreak comes after years of dissatisfication with Linyi health authorities who have been accused of forcing abortions and sterilisations on thousands of women while implementing the "one-child" family planning policy.

In December last year, veteran blind activist Chen Guangcheng was sentenced to four years and three months in jail by a Linyi court after trying to bring such violations to light.

For nearly two years, Chen endured beatings and detention by people believed to have been hired by local officials as he sought to sue local health authorities and publicise the abuse.

Local courts refused to take up the case and instead convicted Chen of disrupting public order and jailed him.

http://www.france24.com/france24Pub...p-news.html?id=070514063906.x5i1yawr&cat=null
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

what with this and the pigs is the SHTF situation,creeping up on us.
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

This is the first I have heard of this.

We have been told by friends that families that have more than one child have to pay a 'fee'. I don't know the amount, but the government is concerned about a population rebound, many young families with the financial resources are choosing to have more than one child.
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

what with this and the pigs is the SHTF situation,creeping up on us.


I don't think so. I'm in China and I'm not concerned...yet.
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

Girl dies from hand-foot-mouth disease

(Xinhua)

Updated: 2007-05-12 21:14

JINAN - A two-year-old girl has died from an outbreak of hand-foot-mouth disease in Linyi city, east China's Shandong Province, and 106 children are receiving treatment for the disease in hospitals around the city.

The girl was taken to hospital to see a doctor after developing symptoms of fever and vomiting on April 27. Two days later, she was hospitalized after her condition worsened. Doctors confirmed she had contracted hand-foot-mouth disease but were too late to save her life, said a local government spokesman.

The spokesman also said that there had been "some cases" of the disease since the beginning of the year, without providing specific figures.

After the girl had died, the city's health bureau carried out epidemiology research across the city, quarantining those infected by the disease and informing kindergartens and schools.

The 106 hospitalized children are in stable conditions, according to the local government spokesman.

Hand-foot-mouth disease is a common childhood illness whose symptoms include mouth ulcers, sores, fever and skin rash. It is highly contagious and can be transmitted through saliva, air or skin contact. It can sometimes be fatal if complications occur.

http://www.chinadaily.com.cn/china/2007-05/12/content_871132.htm

credits Ukmum
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

False epidemic outbreak rumors refuted

(cri)

Updated: 2007-05-13 18:37

The Public Health Department in east China's Shandong Province has issued a statement denying media reports claiming that several children died from an unknown disease in Linyi city on May 11.

It posted a clarification on its official website, saying a two year old girl had died from an outbreak of hand-foot-mouth disease in Linyi
.

The girl was taken to see a doctor at a hospital after she developed a fever and started vomiting on April 27. Two days later, her condition deteriorated and she was admitted to hospital. Doctors confirmed a diagnosis of hand-foot-mouth disease but say they were too late to save her life.

After the girl died, the local health bureau took emergency action to contain the spread of the disease, quarantining anyone infected with the disease, and informing kindergartens and schools of the threat.

The Public Health Department said there have been no further deaths. It urged the public not to believe the rumors.

Hand-foot-mouth disease is a common childhood illness with symptoms that include mouth ulcers, sores, fever and a skin rash. The disease is highly contagious and transmitted through saliva, air or skin contact. It can be fatal if complications occur.

The Public Health Department said the disease can be cured with proper treatment.

The Ministry of Health said it has not received an reports of an epidemic from its subordinate in Shandong province.

Ministry Spokesman Mao Qun'an said the news released by authorized institutions is the most credible.

The Ministry of Health has declared the rumors that several children died from an unknown disease on May 11 untrue. It has asked the Shandong Province Public Health Department to refute the rumors.

http://www.chinadaily.com.cn/china/2007-05/13/content_871216.htm
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

Updated: 2007-05-13 18:37

Hand-foot-mouth disease is a common childhood illness with symptoms that include mouth ulcers, sores, fever and a skin rash. The disease is highly contagious and transmitted through saliva, air or skin contact. It can be fatal if complications occur.

The Public Health Department said the disease can be cured with proper treatment.

Is there some equivalent disease in the western world?
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

Is there some equivalent disease in the western world?


What is hand, foot, and mouth disease?

Hand, foot, and mouth disease (HFMD) is a common illness of infants and children. It is characterized by fever, sores in the mouth, and a rash with blisters. HFMD begins with a mild fever, poor appetite, malaise ("feeling sick"), and frequently a sore throat.

One or 2 days after the fever begins, painful sores develop in the mouth. They begin as small red spots that blister and then often become ulcers. They are usually located on the tongue, gums, and inside of the cheeks. The skin rash develops over 1 to 2 days with flat or raised red spots, some with blisters.

The rash does not itch, and it is usually located on the palms of the hands and soles of the feet. It may also appear on the buttocks. A person with HFMD may have only the rash or the mouth ulcers.

Is HFMD serious?

Usually not. HFMD caused by coxsackievirus A16 infection is a mild disease and nearly all patients recover without medical treatment in 7 to 10 days. Complications are uncommon.

Rarely, the patient with coxsackievirus A16 infection may also develop "aseptic" or viral meningitis, in which the person has fever, headache, stiff neck, or back pain, and may need to be hospitalized for a few days.

Another cause of HFMD, EV71 may also cause viral meningitis and, rarely, more serious diseases, such as encephalitis, or a poliomyelitis-like paralysis. EV71 encephalitis may be fatal. Cases of fatal encephalitis occurred during outbreaks of HFMD in Malaysia in 1997 and in Taiwan in 1998.



More: http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

Location of Linyi City.

Clipboard01b.jpg
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

(Taiwan) Vaccine for enterovirus 71 shows early promise


(BiotechEast staff)

7 May, 2007

A vaccine against the deadly enterovirus 71 virus (EV71) has proved effective in tests on rodents and rabbits, Taiwan's Centers for Disease Control (CDC) announced last week.

CDC officials also stated that they expect to begin human clinical testing on the vaccine once another series of animal experiments had been completed, with the mass production of the vaccine to follow.

CDC Vaccine Center director Liu Ding-ping said that the CDC vaccine was the first one of its kind to show such early stage success. But because of limitations in the CDC's research capacity, the center has decided to ask Taiwan's National Health Research Institutes to continue with further research and development on the vaccine, said Liu.

Enterovirus 71 swept through Taiwan in 1998 affecting mainly young children. The outbreak was recognized because of a resultant large number of hand, foot, and mouth disease (HFMD) cases and the rapid deaths of some children with the disease. 78 deaths were recorded from the 1998 outbreak, with smaller outbreaks recurred in 2000 and 2001.

Typically those that died experienced fever symptoms for a few days followed by a sudden deterioration in their condition leading to death within another short 12 to 24 hours.

Since 1998, at least 50,000 children in Taiwan have contracted HFMD, and around 320 children have been hospitalized with HFMD complicated by other symptoms, such as viral meningitis or encephalitis.

http://www.biotecheast.com/modules.php?op=modload&name=News&file=article&sid=1591&topic=2
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

May 10, 2007

Hong Kong: First enterovirus case reported in '07

The Centre for Health Protection has confirmed this year's first Enterovirus-71 case, involving a three-year-old boy with no recent travel history.

The boy came down with a rash over his hands and feet and a mouth ulcer on May 2. He saw a private doctor, was not sent to hospital and has since recovered.

The centre's investigation showed his father had symptoms of hand, foot and mouth disease. He consulted a private doctor and is in stable condition. Meanwhile, 11 other children in the boy's kindergarten class were also found to have hand, foot and mouth disease.

As the disease is transmitted by direct contact with nose and throat discharges, the public should stay alert to the threat of EV-71 infection and take preventive measures. Click here for more details, or call the Central Health Education hotline, 2833 0111.

There were 35 EV-71 case in 2004, eight in 2005 and 16 last year.

http://www.news.gov.hk/en/category/healthandcommunity/070510/html/070510en05005.htm
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

Taiwan confirms first enterovirus fatality

2007/5/10

TAIPEI, CNA

The Department of Health (DOH) confirmed yesterday this year's first fatality due to enterovirus complications.

The victim was a baby girl who developed flatulence shortly after birth in Yunlin, southern Taiwan, April 26, DOH officials said. The girl developed fever and became restless April 29, and was transferred to a Chiayi hospital April 30 before she died of sepsis May 2.

The DOH, after examining a specimen from the girl, confirmed that she was infected with echovirus 6, an enterovirus.

Chou Chih-hao, deputy director of DOH's Center for Disease Control, said that there is no risk of an enterovirus outbreak at present, but because the means by which the girl was infected is as yet unknown the public must not let down its guard.

Enterovirus is most prevalent in Taiwan between April and October. The DOH said that the number of the cases has shown a steady climb for seven consecutive weeks, and that the number of cases reported this week exceeds the prewarning threshold.

The number of enterovirus cases in Taitung have increased to 247 this year, health officials in the eastern Taiwan county said Wednesday.

Officials said that the disease is mostly likely to afflict children under five years of age, and urged parents to attend to such hygienic practices as washing hands,avoiding crowded places, maintaining a balanced diet, and keeping to ventilated environments.

http://www.chinapost.com.tw/news/archives/taiwan/2007510/109244.htm
 
Re: China govt denies infant deaths in mystery epidemic

Re: China govt denies infant deaths in mystery epidemic

E. China hand-foot-mouth outbreak can be contained

(Xinhua)

Updated: 2007-05-15 13:47

JINAN -- An outbreak of hand-foot-mouth disease that killed a toddler in east China's Shandong Province can be contained if effective measures are maintained, according to a Chinese epidemiologist.

Epidemiological investigations have identified an above average number of cases of the disease in Linyi city this spring, but they have occurred sporadically, said Wang Xianjun, chief of infectious diseases control with Shandong Provincial Center for Diseases Control.

Hand-foot-mouth disease, also known as coxsackievirus infection, is a common childhood illness with symptoms of mouth ulcers, sores, fever and rashes. It is highly contagious and can be transmitted through saliva, air or skin contact. It can sometimes be fatal if complications occur.

Until May 11, doctors had reported 293 cases in the city, including a two-year-old girl who died of the illness. Some recovered and were discharged from hospital. A total of 106 children patients who still remain in hospital are described as stable.

On April 27, the two-year-old girl was taken to hospital after developing symptoms of fever and vomiting, but two days later her condition worsened.

Doctors confirmed she had contracted hand-foot-mouth disease, but were too late to save her life. The girl died at the hospital on the evening of April 29.

After her death, the city's health bureau carried out an epidemiology research across the city, quarantining those infected by the disease and informing kindergartens and schools.

Local health departments have launched a public awareness campaign on the disease and isolated children with the disease for treatment. They are also tightening monitoring of the outbreak and have launched a daily reporting system in Linyi.

China recorded 2,477 cases of hand-food-mouth disease, including one death, in 2005, and 3,030 cases, including two deaths, in 2006.

http://www.chinadaily.com.cn/china/2007-05/15/content_872978.htm
 
Re: Hand-foot-mouth outbreak in China

Hand-Foot-and-Mouth Disease


Section
Infectious Diseases

Subject
Enteroviruses

Topics
Hand-Foot-and-Mouth Disease?



Hand-foot-and-mouth disease is a febrile disorder usually caused by coxsackievirus A16. Infection produces a vesicular eruption of skin and mucosa.

The disease is most common among young children. The course is similar to that of herpangina, but vesicles are distributed over the buccal mucosa and tongue, the hands and feet, and occasionally the buttocks or genitals. Treatment is symptomatic.

(Anyone need a job?: Physician editor needed for The Manuals. See job # SCI003265 in Careers.) :tiphat:

http://www.merck.com/mmpe/sec14/ch190/ch190c.html
(From the Merck Manual Professional edition)
 
Re: Hand-foot-mouth outbreak in China

From the Beijing Newspeak blog by Chris O'Brien, "Language Polisher" at the Xinhua News Agency...

Delayed reporting lands China in hot water again - and again
May 16, 2007

Inexplicable delays in the reporting of news are part of the course in China and are often justified as necessary ways to avoid public panic. The initial response to the SARS epidemic is a famous example of why this reasoning is just unacceptable. Yet it continues to happen and the central government is seen backing local authorities who have sat on an important piece of news for two weeks.

Over the weekend, on May 12 to be exact, I received a story about a two-year-old who had died from an outbreak of hand-foot-mouth disease in a city in Shandong. The girl actually died on April 29. The details were typically vague:

The spokesman also said that there had been ?some cases? of the disease since the beginning of the year, without providing specific figures.

I added in a couple of lines which read something like, ?The spokesman did not explain why the girl?s death was not reported for two weeks?. It was removed by the senior editor. I also pointed out that the girl?s death occurred just before the May national holiday - government officials aren?t big fans of bad news at holiday time especially if it means they have to cancel plans. This point also casts doubt over the reliability of the claim:

After the girl had died, the city?s health bureau carried out epidemiology research across the city, quarantining those infected by the disease and informing kindergartens and schools.

Schools are closed during the holiday. Unsurprisingly, the senior editor took it upon himself to tap the delete button once again.

I thought that would be the last I would hear of the incident. But it seems various Chinese media sources have been conducting some fruitful investigative work leading to the Shandong Health Bureau being forced to deny a cover-up of multiple infant deaths....

http://www.beijingnewspeak.com/2007/05/16/delayed-reporting-lands-china-in-hot-water-again/
 
Re: Hand-foot-mouth outbreak in China

Interesting comment on the blog post above:
(from Beijing Newspeak blog) said:
Charlie | 16-May-07 at 9:36 am | Permalink

I agree the delay is a real problem - and the two week period certainly suggests some ?thinking time?. However, I don?t believe all the delays are because of this - sometimes it as much to do with the information release mechanisms.

A case in point was the initial stages of bird flu - on several occasions CD had the information that there had been another outbreak and was ready to release it, but it had to wait until Xinhua reported it. Why did it have to wait for Xinhua? Because Xinhua was having to wait for the Ministry of Agriculture?s own newspaper to report it, because they wanted the scoop.

Which is all pretty stupid.

Of course, there were other problems with the bird flu reporting - when Xinhua did release the news it was always after midnight, presumably timed so that it was missed by many of the newspapers and was old and stale by the time the next deadline came, and put online when most people were offline.

I?m they?ll be adhering to regulations even with this type of trick - but it is hardly putting public health and the concerns of the people in first place.

http://www.beijingnewspeak.com/2007...-lands-china-in-hot-water-again/#comment-1428
"...when Xinhua did release the news it was always after midnight, presumably timed so that it was missed by many of the newspapers and was old and stale by the time the next deadline came, and put online when most people were offline...."

I've noticed the exact same thing with MENA [the Middle East News Agency] -- the governmental news agency in Egypt. They almost always release news about bf cases in the middle of the night in Egypt. :rolleyes:
 
Re: Hand-foot-mouth outbreak in China

Hand-foot-mouth disease kills infant boy

By Gu Jia 2007-5-21


A 14-MONTH-OLD boy has died of a hand-foot-mouth disease in Linyi City, in East China's Shandong Province, and 191 children are receiving treatment for the disease in hospitals around the city, Xinhua news agency reported today.

The infant was taken to hospital on Saturday morning after developing symptoms of fever and vomiting. He died late that night from "the infectious hand-foot-mouth disease," doctors said.

Hand-foot-mouth disease is a common childhood illness, whose symptoms include mouth ulcers, sores, fever and skin rash. It is highly contagious, Xinhua said in a previous report.

The 191 hospitalized children are in stable conditions.

The boy is the second reported death after a two-year-old girl died on April 29 from the disease in the city.

A spokesman for the local government said in a previous report that there had been "some cases" of the disease since the beginning of this year, without providing specific figures.

After the girl died, the city's health bureau carried out epidemiology research across the city, quarantining those infected by the disease and informing kindergartens and schools.

By yesterday, the city has reported 981 cases on the disease, of whom 609 have been discharged from hospitals.

http://www.shanghaidaily.com/article/?id=316646&type=National
 
Re: Hand-foot-mouth outbreak in China

393 people in eastern China sickened by viral disease but outbreak contained

Canadian Press
Published: Sunday, May 20, 2007

BEIJING (AP) - An outbreak of a viral disease common in children has sickened almost 900 people in eastern China but the outbreak has been contained, state media said Saturday.

The outbreak of hand, foot and mouth disease began in late April in the city of Linyi in Shandong province, the Xinhua News Agency said.

About 470 patients had recovered by Friday and another 393 people - mostly children - were still sick with more than half still in the hospital, Xinhua said, citing Bao Wenhui, the deputy director of the provincial health department.

The latest information was likely a response to media reports earlier this week that said more than two dozen children had died and that there had been a coverup. The reports also said the true figures had not been released to prevent public panic. Local health officials dismissed those reports as rumours.

China has in the past been accused of foot-dragging in releasing information about outbreaks of diseases such as bird flu and severe acute respiratory syndrome, or SARS.

A two-year-old girl diagnosed as a probable hand, foot and mouth patient died on April 29, but no other deaths have been reported since, Xinhua said.

Hand, foot and mouth disease is common in young children and is characterized by fever, mouth sores and a rash with blisters. It is not related to foot and mouth disease, which infects cattle, sheep and swine.

The U.S. Centres for Disease Control and Prevention describes hand, foot and mouth disease as mild, and says nearly all patients recover in seven to 10 days without medical treatment. But one cause of the disease may also lead to more serious and fatal diseases such as encephalitis or a type of paralysis, according to the CDC.

Xinhua said local health departments have launched a public awareness campaign and quarantined children who are sick.

Shandong reported 2,477 cases of hand, foot and mouth disease in 2005, including one death, and 3,030 cases in 2006, two of which were fatal, the report said.
 
Re: Hand-foot-mouth outbreak in China

China virus outbreak kills second child

21 May 2007 15:25:31 GMT
Source: Reuters

BEIJING, May 21 (Reuters) - A viral disease that has broken out in eastern China's Shandong province killed a 14-month-old boy over the weekend, state media reported on Monday, a day after authorities said the epidemic had been contained.

The baby died in Linyi city on Saturday after he contracted Coxsackie virus, also called "hand, foot, and mouth disease", which lives in the digestive system and can spread through poor hygiene and faeces, especially in summertime, Xinhua news agency reported, citing local health officials.

Usually, the virus just causes painful blisters around the mouth and throat and hands and feet, as well as fever. But the outbreak in Linyi had already killed a two-year-old girl on April 29.

Authorities only announced that death at the weekend, and said the epidemic had been contained to about 800 people, mostly children.

But the latest report said Linyi confirmed 61 new cases of the disease on Sunday and said the total number since April was 981, including 609 already recovered.

Health officials have launched a public education campaign to encourage children to often wash their hands, and urging isolation of infected people, Xinhua reported.

Shandong province reported 3,030 cases in 2006, including two deaths, it said.

http://www.alertnet.org/thenews/newsdesk/PEK366776.htm
 
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