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Thailand: 2012 HFMD - EV-71 Strain

Shiloh

Shiloh

Editor, Senior Moderator
Source: http://www.bangkokpost.com/news/local/302199/deadly-virus-strain-spreads-to-thailand


Deadly virus strain spreads to Thailand

Published: 13/07/2012 at 01:29 AM
Newspaper section: News

Two cases of hand, foot and mouth disease (HFMD) have been detected in Surin following an outbreak in Cambodia which borders the northeastern province.

Deputy Public Health Minister Surawit Khonsomboon yesterday visited two children at Surin Hospital after they developed HFMD symptoms.

Doctors found the children were not in a severe condition. One is from Krasang district of Buri Ram and the other is from Surin's Muang district.

Mr Surawit said the HFMD outbreak in Cambodia has claimed the lives of more than 50 children, who were infected with Enterovirus Type 71 (EV-71), a dangerous strain.

The two HFMD-infected children in Surin were being quarantined at the public hospital to prevent the disease spreading, the deputy minister said.

Last year, six Thais died of HFMD.

Since January this year, a total of 10,813 people in Thailand have been infected with HFMD, but they were not infected with the EV-71 strain that claimed many lives in Cambodia. In Surin alone, a total of 40 HFMD cases have been reported this year...
 
Re: Thailand: 2012 HFMD - EV-71 Strain

12,581 HFMD cases reported
Published: 17/07/2012 at 04:08 PMOnline news: Health Share
A total of 12,581 cases of hand, foot and mouth disease (HFMD) were reported in the country from January 1 to July 5, deputy government spokesman Anusorn Iamsa-ard said.

He said the average was 19.8 per 100,000 people, but there were no reports of death from the disease. Only one case, in Nan province, was reported to be in a serious condition.
...
http://www.bangkokpost.com/news/health/302913/12581-hfmd-cases-reported
 
Re: Thailand: 2012 HFMD - EV-71 Strain

HFMD cases reaching peak but not fatal : DCD


July 18, 2012 3:21 pm
The cases of hand, foot and mouth disease (HFMD) currently being found in Thailand are neither new strains nor mutations, said Emerging Infectious Diseases Bureau director and Disease Control Department spokesman Dr Rungruang Kitpati.



The contagious HFMD strains circulating in Thailand are Enterovirus 71, Coxsackievirus A16 (CVA16) and Coxsackievirus A6 (CVA6), with the latter being found the most often. CVA6 is not fatal, but the viruses are airborne and change every year, he noted.
...
http://www.nationmultimedia.com/national/HFMD-cases-reaching-peak-but-not-fatal-DCD-30186430.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Deadly Enterovirus 71 strain found in 2-year-old girl who died last week, hospital admits



The deadly Enterovirus 71 has been found in the throat of a two-year-old who died at a Bangkok hospital last week although the child had no symptoms of hand, foot and mouth disease (HFMD).

Dr Passakorn Chaiwanich, director of Nopparat Rajathanee Hospital, where the girl died, said yesterday that doctors found the deadly virus - responsible for the death of dozens of Cambodian children recently - in the Thai girl's throat but no symptoms had been recognised. He said that the virus attacked the victim's lungs, brain and heart.


Permanent Secretary for Health Paijit Warachit had said on Thursday that the girl's death, on that same day, was not caused by the HFMD contagion.:magnify:


Passakorn said that the hospital and Public Health Ministry did not intend to conceal the truth, as the hospital's initial check did not find the virus. It was later found that Enterovirus 71 attacked the victim's lungs, brain and heart.


"Also, we found Enterovirus 71 four or five years ago that killed a patient. Normally, 10 per cent of people infected with this kind of virus succumb to the disease as it can spread to many physical systems in the patients quickly," he said.


However, the Public Health Ministry has not confirmed that she died from HFMD. Dr Paijit said the lab test result of the hospital showing the exact cause of the girl's death would be handed to the ministry, then it would be considered by a committee of virus experts next week to finally conclude if she died from HFMD. The consideration would be based on epidemiology, clinical symptoms and the lab-test result.


In related news, Bangkok Metropolitan Administration (BMA) officials are closely monitoring the HFMD outbreak. It has issued five measures to prevent the spread of the disease, including checking all children's health before they enter nurseries, schools and amusement parks in shopping malls in "risky areas".


It plans to separate patients suspected of being infected with HFMD for seven days, to clean toys, utensils and places, give out information on how to prevent the disease being spread to relevant officers, parents and people, as well as give treatments to HFMD patients according to the ministry's guidelines.


In Kanchanaburi, four more children have been found with HFMD. So far, 338 people in this province have caught the disease.


Officials in Si Sa Ket's Phu Sing district have strictly screened Cambodian children travelling through the Chong Sangam border crossing point with their parents to see if they have the disease.


With Cambodia having closed primary schools and kindergartens for two months to stop the spread of HFMD, more Cambodian children have accompanied their parents who cross the border to Thailand.


Authorities at the four border checkpoints in Sa Kaeo province have been seriously checking Cambodian children. Any found with the flu have been refused entry into Thailand until a hospital in Cambodia issues a document guaranteeing that they have not got HFMD. They are also providing hand gel for all Cambodians to clean their hands before entering Thailand.


So far, the authorities have not found Enterovirus 71 infection among any such children.:tiphat:



http://www.nationmultimedia.com/national/Deadly-Enterovirus-71-strain-found-in-2-year-old-g-30186712.html










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Re: Thailand: 2012 HFMD - EV-71 Strain

Deadly virus found in 2-year-old girl who died: Thailand

Sunday, Jul 22, 2012 <!-- CONTENT NEWS: start -->
The deadly Enterovirus 71 has been found in the throat of a two-year-old who died at a Bangkok hospital last week although the child had no symptoms of hand, foot and mouth disease (HFMD).
Dr Passakorn Chaiwanich, director of Nopparat Rajathanee Hospital, where the girl died, said yesterday that doctors found the deadly virus - responsible for the death of dozens of Cambodian children recently - in the Thai girl's throat but no symptoms had been recognised. He said that the virus attacked the victim's lungs, brain and heart.
Permanent Secretary for Health Paijit Warachit had said on Thursday that the girl's death, on that same day, was not caused by the HFMD contagion..
:tiphat:http://www.asiaone.com/News/AsiaOne+News/Asia/Story/A1Story20120722-360538.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

HFMD virus tested for mutation

PM and doctors warn against health panic

<!-- end main-sns --><!-- end heading-panel -->A sample of Enterovirus-71, or EV-71, is being tested for mutation after it was found in the body of a toddler suspected of being the first fatal case of hand, foot and mouth disease (HFMD) in Thailand this year.
Department of Medical Sciences spokesman Wattana U-wanich said the agency is testing for mutations of the virus as part of a normal procedure.
"The testing is a normal procedure because viruses are always changing and evolving. Significant changes may make it easier for a person to get infected," Dr Wattana said.

The two-and-a-half-year girl died on Wednesday at Bangkok's Nopparat Rajathanee Hospital.
A throat culture exhibited EV-71 but a lumbar puncture test and stool examination did not reveal the strain.
The results will be submitted to the Department of Disease Control (DDC), which will decide on the actions to be taken, Dr Wattana said.

Dr Wattana said EV-71 is not new to Thailand and a number of strains of HFMD are known to cause serious complications, including heart and respiratory problems.

EV-71 is one of the two most common causes of HFMD. The other virus is Coxsackie A.
The toddler had showed no related symptoms of the disease, such as blisters on the hands, feet and mouth or any rash. She suffered damage to her heart, lungs and brain.
Pornthep Siriwanarangsan, DDC's director general, said the cause of the girl's death will be discussed at a meeting on Wednesday.
He said that the media should not jump to any conclusions until the cause is clearly established.
He urged the media to focus news coverage on vigilance against HFMD and called on families to take children exhibiting symptoms to the hospital as soon as possible to avoid serious complications.
"One lesson learned from this case is that the sooner a patient sees a doctor, the better," he said.
Dr Pornthep also stressed that there was no need to panic following the girl's death.
Prime Minister Yingluck Shinawatra said the HFMD situation is under control.
Ms Yingluck said she was closely monitoring the outbreak of the disease and had received no report of HFMD-related fatalities.
Meanwhile, health authorities across the country are stepping up vigilance against an outbreak of the disease, especially at kindergartens and childcare centres.
In Chiang Rai's Mae Sai district, people entering the country from Myanmar are being screened for fever and advised to maintain personal hygiene to prevent spreading HFMD.
In Phichit, health officials are conducting spot checks for HFMD at childcare centres and kindergartens.
Children under five are being screened for fever and sent to the hospital if they have high temperature, even if they have no mouth sores or rash.
In Ubon Ratchathani, Na Tan hospital yesterday reported three suspected cases of HFMD.
Akaraphuchit Palanant, a doctor at the hospital, said the three children are under observation and will have to undergo further screenings.
He also warned of a possible outbreak of swine flu, saying it tends to occur during this time of the year.
Dr Akaraphuchit recommended following good hygiene practices such as frequently washing hands, saying this was a really simple step that reduced the risk of contracting the disease.:tiphat:
http://www.bangkokpost.com/news/local/303759/hfmd-virus-tested-for-mutation
 
Re: Thailand: 2012 HFMD - EV-71 Strain

EV71 case 'no cause for panic'

The Nation July 23, 2012 1:00 am
Department of Disease Control chief Dr Pornthep Siriwanarangsan yesterday advised the public not to panic over the discovery that a toddler had died at a Bangkok hospital from an Enterovirus 71 (EV71) infection.

Pornthep said the Nopparat Hospital had sent the virus found in the 2-year-old for analysis at the Department of Medical Sciences.

...Department spokesman, Dr Wattana Uwanit, said officials are testing if the virus found in the body of the toddler had undergone a significant mutation that might cause it to become more viral.

The toddler who died at Nopparat had no symptoms of HFMD.

Supanant Kongchanhiran, a first grader and her brother Jirapat Kongchanhiran are being treated in hospital for the disease. Sunet Rakkaew, director of Ban Pakamai has advised parents not to bring their children to school if they have high fever and take them to hospital immediately...:tiphat:
http://www.nationmultimedia.com/national/EV71-case-no-cause-for-panic-30186748.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Thailand confirms death from raging child virus
July 24, 2012 02:23 PM
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BANGKOK: Thailand has confirmed its first fatality this year from a virus that has killed hundreds of children across Asia.
The 2-year-old girl who died at a Bangkok hospital last week had a form of hand, foot and mouth disease known as enterovirus 71 strain, or EV-71. The disease is common among children ages 2 to 5 and is usually mild. But the severe form of the illness caused more than 400 deaths in the first half of this year in China, Vietnam and Cambodia.
Disease Control Department senior adviser Doctor Prasert Thongcharoen said Tuesday that laboratory tests showed the Thai girl was more vulnerable because she also had asthma.
The Public Health Ministry said about 16,000 children in Thailand contracted hand, foot and mouth disease this year.



:tiphat:
Read more: http://www.dailystar.com.lb/News/He...th-from-raging-child-virus.ashx#ixzz21XkASXqS
)
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Thailand confirms 1st death this year from childhood virus raging throughout Asia

image.
A child stricken with the intestinal virus, identified as enterovirus 71 or EV-71, rests at a hospital in Fuyang, central China's Anhui province, Sunday, May 4, 2008. (AP Photo)




Published Tuesday, Jul. 24, 2012 7:10AM EDT


BANGKOK, Thailand -- Thailand has confirmed its first fatality this year from a virus that has killed hundreds of children across Asia.
The 2-year-old girl who died at a Bangkok hospital last week had a form of hand, foot and mouth disease known as enterovirus 71 strain, or EV-71

:tiphat:Read more: http://www.ctvnews.ca/health/thaila...raging-throughout-asia-1.890629#ixzz21Xls9rMx
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Thailand: small Cambodian returned to their country

July 24, 2012
A hundred street children were expelled by the Thai authorities to Poipet. EV71 virus has killed a little Thai in Bangkok.

The little beggars expelled to the border post 21 and July 22 had a high fever, symptoms of infectious disease Hand, foot and mouth (MPMB) that killed sixty children in Cambodia since April , reported the Phnom Penh Post newspaper of 23 July.

Thai authorities were acting as part of a national campaign to prevent the disease and started on July 20 to screen children to cross the Cambodian border. But their Cambodian counterparts denounced overzealous. "The Thai authorities are afraid of the spread of EV71 [enterovirus that causes the disease] Thai children at the border, and therefore they provide a free medical examination and drug Cambodian children," said the newspaper Keo Sopheaktra, the director of health department of the province of Banteay Meanchey. "But they do not have the disease. They have a simple fever can be treated with simple medication. "

According to Thai media, some 300 Cambodian children taken by the Thai side their parents would have received free medical examination.

For its part, the daily Bangkok Post reported July 23 that a little girl of two and a half years died July 18 at a hospital in Bangkok, the first death attributed to MPMB this year in Thailand. His lungs, his heart and his brain would have been achieved, but it did not have the common symptoms of blisters on hands, feet and mouth, and experts are not all agree on the causes of death. Health authorities, who want to avoid widespread panic, however, confirmed that EV71 was concerned, traces of the virus being found in the victim's throat. His body is the subject of an autopsy, and discovered the virus is being analyzed to see if it has not mutated. According to the July 24 edition of the newspaper, more than 14,000 cases were reported MPMB in the country yesterday.

In Phnom Penh, the Phnom Penh Post reports that the case of a three year old child with the disease was confirmed on the community site of Borey Keila, where hundreds of families evicted several months ago as well as live evil in makeshift tents and in unsanitary conditions:tiphat:http://asie-info.fr/2012/07/24/thailande-des-petits-cambodgiens-renvoyes-dans-leur-pays-57121.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Steroids can worsen HFMD

Immunosuppresants would worsen disease

  • 26/07/2012 at 03:50 AM
  • <!-- Place this tag where you want the +1 button to render -->
<!-- end main-sns --><!-- end heading-panel -->The Public Health Ministry has warned people against taking steroid-based medicines for suspected hand, foot and mouth disease (HFMD) without consulting doctors, saying the drugs could accelerate progression of the disease.
Certain drugs, especially those containing steroids, often make the patient initially feel better but eventually could result in the suppression of the immune system, Medical Services Department director-general Wilawan Juengprasert said Wednesday.
Steroid-based drugs suppress the immune system, which causes the disease progression to advance and could possibly lead to death, Dr Wilawan said.
She was speaking at a meeting of more than 500 paediatricians from both state and private-run hospitals.
The conference was organised by the ministry and aimed at updating medical specialists with the latest news of HFMD in the country.
Parents whose children are suspected of contracting HFMD are strongly advised to inform doctors, especially if their children have chronic diseases...
...As of Sunday, the accumulated number of patients diagnosed with HFMD in the country rose to 16,860, including a two-year-old girl whose death was confirmed on Tuesday to have been caused by the enterovirus 71 strain of the disease. The girl died at a hospital in Bangkok last week.
More confirmed HFMD infections were reported Wednesday, including four cases who were students of Thaworn Witthaya Kanchanaburi School in Muang district of Kanchanaburi.
Another case was a Mathayom 2 student of Suankularb Wittayalai School in Phra Nakhon district of Bangkok.
In Nakhon Ratchasima's Muang district, director of Wat Sa Kaeo School Suwat Boonyanuson dismissed rumours that a Prathom 1 student, who died on Tuesday after falling ill on July 16, had contracted HFMD.
:magnify:He said the school had been informed by her doctors that the student was diagnosed with dengue fever
:tiphat:
http://www.bangkokpost.com/news/local/304292/ministry-warns-against-steroids-as-hfmd-cure
 
Re: Thailand: 2012 HFMD - EV-71 Strain

Second HFMD fatality reported


THE NATION July 27, 2012 1:00 am

Cambodian boy, 2, dies in Rayong; public hygiene campaigns ordered

Hand, foot and mouth disease (HFMD) is believed to have claimed its second life in Thailand - a young Cambodian boy living in Rayong.

Rayong Public Health chief Kris Pansuk yesterday identified the victim only as Kimha, aged 2 and a half.

"We suspect that he caught HFMD, mainly because of his symptoms - blisters, high fever and vomiting," Kris said.
...
http://www.nationmultimedia.com/national/Second-HFMD-fatality-reported-30187098.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

'No doubt' Cambodian boy died of HFMD
Rayong could be made disaster zone

An investigation by the Epidemiology Bureau has concluded that a Cambodian boy who died in Rayong this week succumbed to hand, foot and mouth disease, Dr Prasert Thongcharoen said yesterday. The victim, aged two and a half years, became the second HFMD fatality in Thailand this year.

"This case is clearcut. We do not need to wait for a meeting of virologists to determine the cause of his death," Prasert said in his capacity as an adviser to the Disease Control Department.

Rayong public health chief Kris Palasut said separately, however, that the Medical Sciences Department was conducting a detailed lab test on the young boy's case.

"The results will be released within two weeks," he said as largescale public health campaigns started in his province.


Prasert said the young Cambodian had lived in Rayong for quite a long time. He urged the public not to discriminate against Cambodians.

Kris said three children who were close to the boy were being closely monitored. Deputy Public Health Minister Surawit Khonsomboon said the parents of these children had been given advice and the children tested to determine whether they had been infected.

In Rayong, 384 people have come down with HFMD this year.

"The number of HFMD cases is rising. If we are unable to control the outbreak of the disease, we may have to declare the province as a disaster area," he said...:tiphat:
http://www.nationmultimedia.com/national/No-doubt-Cambodian-boy-died-of-HFMD-30187159.html
 
Re: Thailand: 2012 HFMD - EV-71 Strain

HFMD suspected in boy's death

Panic hits Rayong after Cambodian succumbs

<!-- end main-sns --><!-- end heading-panel -->
A Cambodian boy has died of suspected hand, foot and mouth disease (HFMD) in Rayong's Klaeng district, triggering panic in the eastern coastal province.

410401.jpg
Workers hose down and scrub the exterior of a train at Hua Lamphong station yesterday. It was part of a joint clean-up campaign by the Transport and Public Health ministries aimed at preventing the spread of hand, foot and mouth disease. APICHART JINAKUL




Rayong provincial health authority chief Krit Palasuth said the two-and-a-half-year-old died in emergency treatment, two hours after being admitted to Klaeng Hospital on Wednesday.

The boy arrived at the hospital with breathing difficulty, fatigue and blisters on his palms and feet.

His parents said he developed a fever along with sores on the palms of his hands and feet.

They took him to local medical clinics twice on Monday and Tuesday but his condition did not improve.


..Meanwhile, the Food and Drug Administration (FDA) yesterday urged the public not to be fooled by claims that an energy drink can prevent HMFD.

The warning follows a report that Cambodians are taking an energy drink together with honey to prevent HFMD.


.The FDA has asked provincial health authorities, especially in border provinces, to keep a close watch on false advertising of this product's claims to treat HFMD, to prevent any misuse.

"Don't be fooled. Not only will you not be treated for the disease, you may increase your risks," Ms Srinual said.

"The drink contains caffeine which has stimulant effects. It can be fatal, especially for children aged below 10."

More confirmed HFMD infections have been reported and more schools closed to contain the outbreak...

:tiphat:
http://www.bangkokpost.com/news/health/304479/hfmd-suspected-in-boy-death
 
Re: Thailand: 2012 HFMD - EV-71 Strain

THAILAND..Cambodian boy did die of HFMD virus

Infection rates on rise, more schools shuttered

..The young boy died while undergoing emergency treatment, two hours after being admitted to Klaeng Hospital.
Dr Pasakorn said the bureau's investigation team reported that the boy had lived in Klaeng district for more than a year and since it has been found that HFMD has been circulating in Klaeng since February, it is likely he contracted the disease locally.
It also found that one of three children known to be playmates of the dead boy is also sick with HFMD-type symptoms, the doctor said.
Rayong yesterday also conducted what officials called a "big cleaning day" campaign throughout the province to stress the importance of maintaining personal hygiene to prevent further spread of the virus.
The HFMD infection rate in Rayong appears to have doubled, with 384 confirmed cases reported, or around 20 cases a day, up from previous estimates of around 10 cases a day...:tiphat:http://www.bangkokpost.com/news/health/304669/cambodian-boy-did-die-of-hfmd-virus
 
Re: Thailand: 2012 HFMD - EV-71 Strain

HAND, FOOT AND MOUTH DISEASE - THAILAND (02): ENTEROVIRUS 71 FATALITY
**********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org


Date: Tue 24 Jul 2012Source: asiancorrespondent.com, Associated Press report [edited]http://asiancorrespondent.com/86447/thailand-confirms-death-from-ev-71-virus/Thailand confirms death from EV-71 virus----------------------------------------Thailand has confirmed its 1st fatality this year [2012] from a virus that has killed hundreds of children across Asia. The 2-year-old girl who died at a Bangkok hospital last week had a form of hand, foot and mouth disease (HFMD) known as [i.e., caused by] enterovirus 71 strain, or EV-71. The disease is common among children ages 2 to 5 and is usually mild. But the severe form of the illness caused more than 400 deaths in the 1st half of this year in China, Viet Nam and Cambodia.Disease Control Department senior adviser Doctor Prasert Thongcharoen said Tuesday [24 Jul 2012] that laboratory tests showed the Thai girl was more vulnerable because she also had asthma.The Public Health Ministry said about 16 000 children in Thailand contracted hand, foot and mouth disease this year.--Communicated by:ProMED-mail from HealthMap alerts<promed@promedmail.org>[This is the 1st fatality recorded in Thailand in 2012 attributable to HFMD, and refers to the case described in Hand, foot & mouth disease - Thailand: (BM) 20120714.1201907. It will be important to establish how many of the non-fatal cases in this outbreak were infected by enterovirus-71.A map of Thailand can be accessed at: http://www.thailand-maps.com/. - Mod.CP]:tiphat:http://www.promedmail.org/</PRE>
 
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