Hand-foot-mouth outbreak in China

[Treyfish]

Re: Hand-foot-mouth outbreak in China

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="95%" align=center border=0><TBODY><TR><TD class=lan18 vAlign=bottom align=middle height=30>No need for panic with hand-foot-mouth outbreak
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2007-05-22 10:16:43 </TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=10></TD></TR></TBODY></TABLE><TABLE class=hui12 cellSpacing=0 cellPadding=0 width="95%" align=center border=0><TBODY><TR><TD align=middle> </TD><TD class=lanx12 width=160>Adjust font size:

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BEIJING, May 22 (Xinhua) -- A Chinese virus disease expert has reassured the public that hand-foot-mouth disease, which has claimed two lives in east China, is completely different from foot-and-mouth disease and should be no cause for panic.

"Foot-and-mouth disease infects cattle, sheep and swine before it can infect humans who have been in contact with sick animals. It is a major livestock disease but its effects on humans are mild. By contrast, hand-foot-mouth disease is an exclusively human illness, which mainly occurs among young children through breathing or contacts with toys or utensils carrying traces of the virus," said the expert Li Dexin.
Li, director of the Institute of Prevention and Control of Virus Disease of the Chinese Center for Disease Control And Prevention (CDC), said hand-foot-mouth disease, which is more common in summer and autumn, is not included in the routine reporting list of infectious diseases in China.
A 14-month-old boy and a two-year-old girl died of hand-foot-mouth disease in Linyi city in east China's Shandong province on May 19 and April 29 respectively.
Symptoms of the disease include fever, sores in the mouth and a rash with blisters. It often begins with a sore throat. Moderately contagious, the disease can be transmitted through nose and throat discharges. It can sometimes be fatal if complications occur.
Li said the first recorded outbreak of the disease in China was in Shanghai in 1981 and more than 7,000 cases occurred in Tianjin from May to October 1983.
More than 129,000 cases of the disease were recorded from June to October 1998, with 78 deaths, mainly children under five, said Li. Shandong reported 3,030 cases in 2006, two of which were fatal. It reported 2,477 cases of hand-food-mouth disease in 2005, including one death. "Most patients catch the disease suddenly and can recover within a week," he said, adding that one of the most effective prevention methods was simple, frequent hand washing. All parents should teach their children basic hygiene reflexes and parents looking after babies should also wash their hands frequently, he said.:tiphat:

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http://news.xinhuanet.com/english/2007-05/22/content_6134220.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

China virus outbreak kills third child

BEIJING, May 24 (Reuters) - A viral disease that has broken out in eastern China's Shandong province has killed a third child, Xinhua said on Thursday, raising doubts over earlier claims that the epidemic may have been contained.

The news agency said that an 11-month-old boy had developed a fever and blisters before dying on Tuesday in a hospital in Linyi city, where 1,263 cases of "hand, foot, and mouth disease" have been reported since April.

The virus, which typically causes painful blisters around the mouth and throat and hands and feet, had already claimed the lives of a 14-month-old boy earlier this month and a two-year-old girl on April 29.

Xinhua cited the provincial health bureau as saying that the outbreak of the virus, which is highly contagious among children but not normally fatal, was "slowing down." The government earlier said it had been contained.

The local government has launched a campaign to remind parents to take preventive measures such as frequent handwashing.

Chinese bloggers in Shandong said in early May that 26 children had died in the outbreak. Local media said authorities in Linyi had denied that figure.

http://www.alertnet.org/thenews/newsdesk/PEK50536.htm

 

[hawkeye]

Re: Hand-foot-mouth outbreak in China

I thought it was contained after it killed the first child and hospitalized the second.

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Third child dies from hand-foot-mouth disease in east China city, outbreak slowing down


An 11-month-old child has died of hand-foot-mouth disease, bringing to three the number of young children who have succumbed to the disease in the east China, the Shandong provincial health department said on Thursday.

The baby boy was admitted to hospital in Linyi City early on Monday after developing symptoms of fever and a rash with blisters, said Bao Wenhui, deputy director of the department.

"His condition was stable on Monday, but suddenly worsened in the early hours on Tuesday," said Bao.

The boy's heart stopped beating around 2:20 a.m. Tuesday, said Bao.

A 14-month-old boy and a two-year-old girl have also died of the disease in Linyi city since late April.

The city has reported 1,263 cases of hand-foot-mouth disease since April, 872 of whom have recovered, according to Bao.

As of Wednesday,188 hand-foot-mouth patients were receiving treatment in hospitals in Linyi.
The deputy director said the outbreak in Linyi appears to be lessening as the number of new patients reported each day has dropped from more than 100 to about 60.

The provincial health authorities have dispatched experts from Jinan and Beijing to help treat the sick children and direct prevention work.

Children in nurseries, kindergartens and schools in the city are receiving checkups.

Shandong recorded 2,477 cases of hand-food-mouth disease in 2005, including one death, and 3,030 cases in 2006, two of which were fatal.

Statistics from the Ministry of Health show China has reported 5,459 cases of hand-foot-mouth disease by Monday, up 119.41 percent year-on-year.

In a circular issued Thursday, the ministry told local authorities to improve monitoring in nurseries, kindergartens and schools, and step up preventative measures.

The ministry also required local authorities to improve food supervision and sanitation in public places to prevent the disease from spreading.

Nurseries, kindergartens and schools should report to local disease control and prevention center and educational authorities within 24 hours of discovering the disease.

The ministry also required schools in the region, where hand-foot-mouth disease cases were reported, to check their students every morning so that new cases can be found on time.

Nurseries and kindergartens were also asked to disinfect toys and other facilities daily.

Doctors say that one of the most effective prevention methods is frequent hand washing.

The disease, which is more common in summer and autumn, is not included in the routine reporting list of infectious diseases in China.

The ministry said it is encouraging medical institutions to report the disease to health authorities.

Hand-foot-mouth disease, also known as coxsackievirus infection, is a common childhood illness that mainly affects children under the age of 10.

Symptoms include fever, sores in the mouth and a rash with blisters. It often begins with a sore throat. Moderately contagious, the disease can be transmitted through nose and throat discharges. It can sometimes be fatal if complications occur.

Source: Xinhua


http://english.people.com.cn/200705/24/eng20070524_377706.html

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Hong Kong:

Boy sick with enteroviral infection

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

He has developed fever, a mouth ulcer, blisters on his feet and hands, abnormal pain and diarrhoea since May 15. He received treatment at a government out-patient clinic and is in stable condition.

His family members have no symptoms, but six other children at the kindergarten the boy was attending, aged four to six, were found to have hand-foot-mouth disease between May 5 and 21. None required hospitalisation. They are all in stable condition.

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 cases in 2004, eight in 2005 and 16 last year.

http://www.news.gov.hk/en/category/healthandcommunity/070526/html/070526en05010.htm

 

[MHSC]

Re: Hand-foot-mouth outbreak in China

Symptoms and Treatment for Coxsackievirus Mostly Found in Children

By Kim Confer

Coxsackieviruses are the major cause of hand-foot-and-mouth syndrome; this illness is common in children around the world. This illness mainly occurs in the summer and early fall. This illness results in painful blisters in the mouth, on the palms and fingers of the hand, and on the soles of the feet. Small gray/white vesicles appear on the hands, feet, and buttocks with small red or white ulcers in the mouth. The child generally feels sick and lethargic with fever. These blisters are filled with an active virus and last for seven to ten days. Most common sickness caused by coxsackievirus is a nonspecific febrile illness. As children will experience a fever that last 3 days, which the fever leaves for two or three days and then returns. The infection is spread by direct contact with nose and throat secretions, by the stool of an infected person, and from sneezing and coughing.

Symptoms include: headache, some children vomit, loose stools, sore throats, and sometimes muscle pains, especially in the legs. This illness is called nonspecific due to the illness may not show up through a blood test or physical exam. This illness can usually last twenty-four hours or even up to six days, but not always.


These infections can be extremely serious and may cause diabetes, croup, hepatitis, encephalitis, arthritis, meningitis, or even pneumonia. This illness may also cause temporary or permanent paralysis, and viral myocarditis. Myocarditis is inflammation or degeneration of the heart muscle, which the muscles in the walls of the heart become infected. When coxsackievirus causes myocarditis, the fatality rate is high. Coxsackievirus was found to be the cause in a group of SIDS cases. This disease is self-limiting and within ten days a rise in the bodies serum levels eliminates the virus.


Treatment for the coxsackievirus includes: cold drinks, sherbet, plenty of clear fluids and soft foods. Avoid citrus, spicy or salty foods or foods that need a lot of chewing. Rinse the mouth after meals with warm water. Acetaminophen may be given for a few days if the fever is above 102 F. Prevention requires good hand washing; dispose of used tissues in plastic bags and good personal hygiene, especially after changing a child's diaper and using the toilet. Symptomic treatment is used with hand, foot, and mouth such as topical soothing balms or lignocaine injections reduce discomfort in the mouth.


If your child has gay/white blisters on his or her fingers and palms, or white/red blisters in his or her mouth, it is best to seek their pediatrician to find out what these blisters may be.




http://www.associatedcontent.com/article/171904/symptoms_and_treatment_for_coxsackievirus.html

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Hong Kong


May 29, 2007

9 infected in kindergarten outbreak

The Centre for Health Protection is investigating a hand, foot and mouth disease outbreak in a Sha Tin kindergarten involving nine children aged three to six.

They developed fever, mouth ulcers, blisters on their feet and hands, abdominal pain and diarrhoea from May 5 to 28. A four-year-old boy was diagnosed with Enterovirus-71 on May 26.

None of the children required hospitalisation. Five, including the boy with EV71, have recovered. The four others are in stable condition.

The centre has advised the school management to suspend lessons for two weeks from tomorrow, for thorough disinfection.

Samples taken from the affected children are under examination.

Hand, foot and mouth disease is a viral infection mainly transmitted via the faecal-oral route. Direct contact with open skin can also spread it.

For more information click here or call 2833 0111.

http://www.news.gov.hk/en/category/healthandcommunity/html/da5ff235-11c9-4952-ab9e-8268e1cd18d4.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

June 1, 2007

EV-71 case confirmed

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

He developed a mouth ulcer and blisters on his feet and hands on May 26. A private doctor treated hm and he has recovered. His family members have no symptoms.

A four-year-old boy attending the same kindergarten was confirmed to have EV-71 on May 26. Thirteen other children in the same kindergarten, aged three to six, were found to have hand, foot and mouth disease between May 5 and 30. One was admitted to Prince of Wales Hospital. They are all in stable condition.

This is the third case of EV-71 infection reported this year. There were 35 cases of EV-71 reported in 2004, 8 in 2005 and 16 in 2006.

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

http://news.gov.hk/en/category/healthandcommunity/070601/html/070601en05014.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Disease alert after girl hit

Monday, June 04, 2007

A public alert against Enterovirus-71 has been issued after a six-year-old girl was confirmed to have caught the disease.

A spokesman for the Centre for Health Protection said Sunday the girl developed rashes over her hands and feet, as well as mouth ulcers May 25.

She was admitted to Princess Margaret Hospital May 30 and discharged two days later.

Laboratory results show the child had been infected with EV-71.

According to the center, the girl, whose family members have not developed any symptoms, has no recent travel history and the health authorities are contacting the primary school she attends for medical surveillance.

EV-71 is a viral infection usually found among young children. It is also one of the causative agents for hand- foot-mouth disease.

This is the fourth case of EV-71 infection reported to the center so far this year. There were 35, 8 and 16 cases of EV-71 infections reported in 2004, 2005 and 2006 respectively.

The spokesman said as hand-foot- mouth disease is transmitted by direct contact with nose and throat discharges, the public should be vigilant against the disease and observe personal hygiene practices, such as washing their hands before eating and after going to the toilet and changing diapers; and thoroughly cleaning toys or appliances that are contaminated.

http://www.thestandard.com.hk/news_detail.asp?pp_cat=11&art_id=45954&sid=13903346&con_type=1

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Fifth Enterovirus-71 case confirmed

The Centre for Health Protection has confirmed this year's fifth case of Enterovirus-71, involving a four-year-old girl with no recent travel history.

She developed a mouth ulcer, blisters on her hands and a rash on her feet on May 29 and went to Prince of Wales Hospital for treatment. She was not hospitalised and is in stable condition.

Her one-year-old sister developed symptoms of hand-foot-mouth disease and has consulted a private doctor. Other family members do not have any symptoms.

The kindergarten the girl attends has temporarily suspended lessons due to an outbreak of hand-foot-mouth disease.

Two boys, aged 3 and 4, in the Sha Tin kindergarten were confirmed to have EV-71 on June 1 and May 26. Twelve other children, aged between 3 and 6, were found to have hand-foot-mouth disease between May 5 and 30. All of them are in stable condition and do not required hospitalisation.

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

http://www.news.gov.hk/en/category/healthandcommunity/070604/html/070604en05004.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

SHANGHAI

4 kids in Baoshan have hand-foot-mouth disease

By Winny Wang

2007-6-8

FOUR children in a Baoshan kindergarten are infected with hand-foot-and-mouth disease, a common childhood illness, Shanghai Morning Post reported today.

The Dachang Kindergarten, at the intersection of Changjiang Road S. and Changyi Road, is using ultraviolet rays to sterilize the area three times a day, said a teacher Xu Bin.

Xu said they found three children with the disease on May 30 and another one on May 31.

The four children have been under observation at home and will return to school with their doctor's agreement, Xu said.

The kindergarten also put a notice on a blackboard at the gate, reminding children not to play outdoors or play together to prevent the spread of the disease.

Hand-foot-and-mouth disease, also known as coxsackievirus infection, is a common childhood illness that mainly affects those under the age of 10. Symptoms include fever, sores in the mouth and a rash with blisters. It often begins with a sore throat.

The disease can be transmitted through nose and throat discharges. It can be fatal.

A 14-month-old boy and a two-year-old girl were reported to have died from hand-foot-and-mouth disease in Linyi City, Shandong Province, in the past two months. This put schools on alert and the city reported 981 cases of hand-foot-and-mouth disease since April, 609 of whom have recovered.

The Shanghai Health Bureau Local has warned local medical facilities and kindergartens to raise awareness about the disease.

The bureau also ordered schools to report to their local disease prevention and control center if they found more than 10 cases of the disease.

Cases of the disease have increased 119.41 percent year-on-year nationwide.


http://www.shanghaidaily.com/sp/article/2007/200706/20070608/article_318924.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Beijing reports 325 cases of viral disease common in children


2007/6/9

BEIJING (AP)

Some 325 cases of hand, foot and mouth disease have been reported in China's capital in the first week of June, a sharp rise from the same period last year, state media said.

The viral disease, which is common in children, has infected students at nurseries, kindergartens and primary schools, and 90 percent of the victims were under five years old, the official Xinhua News Agency said late Friday.

The report said there were 89 cases in the same period in 2006 but did not say why there was a rise in number this year.

Telephones were not answered Saturday at the Beijing Health Bureau or the Beijing office of the World Health Organization.

Hand, foot and mouth disease is characterized by fever, mouth sores and a rash with blisters. It is spread by direct contact with nose and throat discharges, saliva, fluid from blisters, or the stool of infected persons. It is not related to foot and mouth disease, which infects cattle, sheep and swine.

Three children died from the disease in May in the eastern province of Shandong, where more than 1,200 children were infected in a month.

http://www.chinapost.com.tw/latestnews/print/46713.htm

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

Beijing reports sharp rise in hand-foot-mouth disease in June

19/6/2007 17:14

Chinese capital Beijing has reported 1,092 cases of children infected with hand-foot-mouth disease since June, a sharp increase on previous months, the municipal health authorities said.

Most of the infections involved children under the age of five, said the Beijing Municipal Health Bureau.

But there have been no reports of any critical cases, it said, adding that it had ordered all medical institutions in the city to provide daily updates on cases of the disease.

The city reported more than 100 cases on each day of June 11, 13 and 14, the bureau said.

The city reported 422 cases of the disease as of May 16 this year, according to the Beijing Municipal Disease Control and Prevention Center. It only reported 186 cases during the January-May period last year.

Hand-foot-mouth disease, also known as coxsackievirus infection, is a common childhood illness that mainly affects children under the age of 10.
Symptoms include fever, sores in the mouth and a rash with blisters. It often begins with a sore throat.

Moderately contagious, the disease, more common in summer and autumn, can be transmitted through nose and throat discharges. It can sometimes be fatal if complications occur.

In Linyi city, eastern Shandong Province, two boys and a girl, all under the age of two, have died from the disease this year, according to the provincial health department. Linyi had reported 1,263 cases as of May 24 this year, 872 of whom had recovered.

As of May 21, China had reported 5,459 cases of hand-foot-mouth disease, up 119 percent on last year, according to the health ministry.

http://english.eastday.com/eastday/englishedition/nation/userobject1ai2918577.html

 

[Gert van der Hoek]

Re: Hand-foot-mouth outbreak in China

29 infected in kindergarten outbreak

The Centre for Health Protection is investigating a hand, foot and mouth disease outbreak in a kindergarten and childcare centre in Western District involving 29 children.

The affected children, aged two to six, developed mouth ulcers, blisters on their feet and a fever from June 15.

Twenty-six of them consulted private doctors or general out-patient clinics. None required hospitalisation and all are in stable condition.

The centre staff have visited the school and provided health advice to the management. Samples taken from the affected children are under examination.

Hand, foot and mouth disease is a viral infection mainly transmitted via the faecal-oral route. Direct contact with open skin can also spread it.

http://www.news.gov.hk/en/category/healthandcommunity/070706/html/070706en05009.htm