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Taiwan: 2010 HFMD cases

Shiloh

Editor, Senior Moderator
Source: http://focustaiwan.tw/ShowNews/WebNews_Detail.aspx?ID=201005040025&Type=aLIV

Enterovirus epidemic ratio over alert level: CDC
2010/05/04 17:16:24

Taipei, May 4 (CNA) The ratio of enterovirus infection has already surpassed the alert level in Taiwan, with the peak epidemic season still roughly a month away, the Centers for Disease Control (CDC) warned Tuesday.

Deputy CDC Director-General Lin Ting quoted national health insurance data as indicating that 6.6 people out of every 1,000 patients seeking emergency medical attention last week were suffering from enterovirus.

The ratio was above the alert level, set at 5.24 people out of every 1,000 patients, the CDC said.

Most of the reported cases were mild bouts of the virus, Ting said, but he warned that more severe cases could emerge among children under the age of 5 as the number of mild cases grows and spreads to them.

Lin said that as of Monday, seven severe enterovirus cases had been confirmed around the country this year, including a 2-year-old girl who had been in critical condition but has gradually recovered since.

Enteroviruses are the most common cause of aseptic meningitis and can be deadly, especially in infants. Enterovirus type 71 (EV71) is the deadliest type of the virus and one of the major causes of hand-foot-and-mouth syndrome.

It is also sometimes associated with severe central nervous system diseases, according to the CDC.

In 1998, Taiwan experienced a serious outbreak of EV71, with 405 severe infections recorded, 78 of which were fatal. Another EV71 outbreak in 2005 resulted in 145 severe infections, 15 of which were fatal.

Lin said that although as many as 90 percent of adults who regularly take care of infants or young children in Taiwan know they must wash their hands before feeding or touching a child, less than 70 percent of them maintain proper sanitary habits.

If a child begins to experience enterovirus symptoms, such as high fever, vomiting and cramps, they should be immediately taken to a hospital instead of a neighborhood clinic for treatment, he said.

In another finding of a recent survey conducted by the CDC, 32 percent of adults have no idea that seizures and acute flaccid paralysis were enterovirus-related symptoms, Lin said.

(By Chen Li-ting and Deborah Kuo) enditem/ls
 
Re: Taiwan: 2010 HFMD cases

Source: http://www.news.gov.hk/en/category/healthandcommunity/100517/html/100517en05007.htm



May 17, 2010
Surveillance
*
21 ill in hand-foot-mouth disease outbreak
*
Centre for Health Protection

The Centre for Health Protection urges people to maintain strict personal and environmental hygiene to prevent hand, foot and mouth disease after a Tseung Kwan O kindergarten-childcare centre reported an outbreak affecting 21 children.

The 14 boys and seven girls, aged two to six, came down with oral ulcers, a fever and a rash on their hands or feet from May 3. All had seen doctors and are stable.

The institution has been put under medical surveillance.
 
Re: Taiwan: 2010 HFMD cases

Source: http://focustaiwan.tw/ShowNews/WebNews_Detail.aspx?Type=aALL&ID=201005180039

Human trials for EV71 vaccine to begin soon amid more outbreaks
2010/05/18 22:32:42

Taipei, May 18 (CNA) Taiwan reported Tuesday the country's eighth case of severe enterovirus infection this year, the same day it announced that a locally developed vaccine against enterovirus type 71 (EV71) -- the deadliest type of the virus -- is expected to enter the human trial stage this year.

Lin Ting, deputy director-general of the Centers for Disease Control (CDC), briefed the press on the latest situation at a news conference earlier in the day, saying that the latest EV71 case involved an 11-month-old boy living in northern Taiwan.

The infant was hospitalized a few days previously after showing symptoms including fever and cramps that suggested infection with the virus, Lin said, noting that the boy was in stable condition after treatment.

Lin pointed out that Taiwan has entered the enterovirus season, citing statistics showing that 8.85 out of every 1,000 patients seeking emergency medical attention this year displayed symptoms suggesting various types of enterovirus infection.

Children are particularly vulnerable, with severe complications occurring easily among children under 3 years old who get infected by an older child in the family.

This is because younger children have weaker immune systems and are exposed to higher levels of the virus than the initial victims, according to the CDC.

In 1998, Taiwan experienced a serious outbreak of EV71, with 405 severe infections recorded, 78 of which were fatal. Another EV71 outbreak in 2005 resulted in 145 severe infections, 15 of which ending in death.

These outbreaks prompted the state-run National Health Research Institutes (NHRI) to develop a vaccine for EV71.

Meanwhile that day, Minister of Health Yaung Chih-liang, who was in the Swiss city of Geneva to attend the annual World Health Assembly, told local reporters by telephone that human trials of the locally developed vaccine will begin in September.

NHRI Secretary-General Chiang Hung-che said the NHRI will later transfer the technique for producing the new vaccine to the civil sector, adding that the government has set a goal for the vaccine to be marketed within three years of the technique transfer.

Lin said the CDC will encourage pharmaceutical companies to put the vaccine on the market as soon as possible by promising them that the government will procure it. (By Chen Ching-fang and Elizabeth Hsu) ENDITEM/J
 
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